Hospital‐based dental care for persons with disabilities: a study of patient selection criteria

Hulland, S; Sigal, Michael

doi:10.1111/j.1754-4505.2000.tb01149.x

Cited by 51 publications

(36 citation statements)

References 13 publications

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“…Studies have shown that people with disability, regardless of the type of disability, presented with a consistently poorer state of oral hygiene, with various levels of periodontal diseases, higher level of untreated dental caries and greater need for extractions than their normal peers (4,5,6).…”

Section: Introductionmentioning

confidence: 99%

Oral hygiene practices among the visually impaired adolescents

Anzira

Norzuliza

Saub

2007

ADUM

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The purpose of this study was to gather information on the oral hygiene behaviour among the visually impaired adolescents. Interview and observation methods were used to collect data. A total of 114 visually impaired adolescents were interviewed and 10 of the interviewees were selected for observation on the actual oral hygiene practices. The mean age of the sample was 16 years old. The sample comprised of 53.5% female, majority were Malays (86.8%) and most of them were from the lower income group. Fifty four percent of the sample had low vision and 45.6% were blind. All of the participants reported that they brushed their teeth daily and most of them brushed twice a day or more. Flossing (6.1%) was not common practice among this group. It was observed that they encountered some difficulties, especially when putting the toothpaste on the toothbrush and also the way that they brushed their teeth could cause detrimental effect to the oral cavity. Thus, they need to be taught on proper oral hygiene care so that they can practice safe oral hygiene care and maintain their own oral health.

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Section: Introductionmentioning

confidence: 99%

Oral hygiene practices among the visually impaired adolescents

Anzira

Norzuliza

Saub

2007

ADUM

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“…On the other hand, it is important to take into account the type of disability, age and demographic situation of each population studied. 10 The aim of this investigation was to determine and compare the type, number of procedures and working time length of dental treatment provided under dental general anesthesia in healthy and in medically compromised/developmentally disabled (MCDD) children.…”

Section: Dental Treatment Under General Anesthesia In Healthy and Medmentioning

confidence: 99%

Dental Treatment under General Anesthesia in Healthy and Medically Compromised/Developmentally Disabled Children: A Comparative Study

Loyola-Rodríguez

Zavala-Alonso

Gonzalez-Alvarez

et al. 2009

Journal of Clinical Pediatric Dentistry

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Aim: To compare the type, number of procedures and working time of dental treatment provided under dental general anesthesia (DGA) in healthy and medically compromised/developmentally disabled children(MCDD children). Design: This cross-sectional prospective study involved 80 children divided into two groups of 40 children each. Group 1 consisted of healthy and Group 2 consisted of MCDD children. Results:Healthy children needed more working time than MCDD children, the means being 161±7.9 and 84±5.7 minutes, respectively (P= 0.0001). Operative dentistry and endodontic treatments showed a significant statistical difference (P= 0.0001). The means of procedures were 17±5.0 for healthy children and 11±4.8 for MCDD children (P= 0.0001). Conclusions: Healthy children needed more extensive dental treatment than MCDD children under DGA. The information from this sample of Mexican children could be used as reference for determining trends both within a facility as well as in comparing facilities in cross-population studies.

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“…Nestas condições os pacientes podem sofrer diminuição da oxigenação sanguínea ou aspirar conteúdos gástricos 2,3 . Em tratamentos odontológicos, grande parte dos pacientes apresentam medo e ansiedade 3,[5][6][7] , sentimentos que podem ser exacerbados por procedimentos que geram dor 3,7,8 . Embora muitas técnicas de condicionamento de comportamento possam ser empregadas, existe uma parcela de pacientes ansiosos ou apreensivos, com deficiências físicas e/ou mentais, que necessitam de métodos adjuvantes para viabilizar o tratamento odontológico 1,3,7 .…”

Section: Introductionunclassified

“…Em tratamentos odontológicos, grande parte dos pacientes apresentam medo e ansiedade 3,[5][6][7] , sentimentos que podem ser exacerbados por procedimentos que geram dor 3,7,8 . Embora muitas técnicas de condicionamento de comportamento possam ser empregadas, existe uma parcela de pacientes ansiosos ou apreensivos, com deficiências físicas e/ou mentais, que necessitam de métodos adjuvantes para viabilizar o tratamento odontológico 1,3,7 . Na maioria dos casos, a sedação consciente é o procedimento de escolha e, para este fim, diversos tipos de drogas podem ser utilizadas, tais como o óxido nitroso 6,9,10 , o hidrato de cloral 11,12 .…”

Section: Introductionunclassified

Sedação consciente endovenosa com midazolam no tratamento odontológico de pessoas com deficiência

Aguiar¹,

Aranega²,

Menezes³

et al. 2018

Arch Health Invest

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O objetivo deste estudo foi observar os resultados dos procedimentos dentários realizados em pessoas com deficiência sob sedação consciente com midazolam, por via intravenosa, atendidas no Centro de Assistência Odontológica para Pacientes com Deficiências, da Faculdade de Odontologia de Araçatuba - UNESP. Foram observados 460 procedimentos, independentemente do sexo, idade ou deficiência dos pacientes, que não permitiam a realização do tratamento odontológico rotineiro. Os resultados foram classificados como sucesso (quando realizados sem problemas, mesmo que fosse necessária restrição física suave, ou havia algum problema contornável, mas os procedimentos planejados puderam ser realizados) e insucesso (quando não foi possível realizar o tratamento planejado). Também foram registrados o uso diário de medicamentos pelos pacientes e prováveis causas de resultados negativos. A pressão arterial, a frequência cardíaca, a saturação de oxigênio e a temperatura corporal foram monitoradas antes, durante e após o procedimento. As doses de midazolam foram administradas entre 0,5 e 1 mg / kg, de acordo com o peso corporal e a reação do paciente. Na maioria dos casos, foi possível realizar o tratamento planejado sem problemas para os pacientes ou para a equipe odontológica e seus sinais vitais permaneceram dentro dos valores normais. Portanto, conclui-se que a sedação consciente com midazolam, por via intravenosa, pode ser considerada uma alternativa efetiva para tratamento odontológico de pessoas com deficiência não colaboradoras.Descritores: Pessoas com deficiência; Sedação Consciente; Assistência Odontológica; Midazolam; Pacientes.

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Hospital‐based dental care for persons with disabilities: a study of patient selection criteria

Cited by 51 publications

References 13 publications

Oral hygiene practices among the visually impaired adolescents

Oral hygiene practices among the visually impaired adolescents

Dental Treatment under General Anesthesia in Healthy and Medically Compromised/Developmentally Disabled Children: A Comparative Study

Sedação consciente endovenosa com midazolam no tratamento odontológico de pessoas com deficiência

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