Oral health findings in athletes with intellectual disabilities at the NYC Special Olympics

Fernandez, Jill B.; Lim, Lily; Dougherty, Nancy; LaSasso, Jennifer; Atar, Michael; Daronch, Márcia

doi:10.1111/j.1754-4505.2012.00268.x

Cited by 25 publications

(37 citation statements)

References 16 publications

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“…; Fernandez et al . ; Finkelman et al . ; Hanke‐Herrero, Lõpez Del Valle, Sánchez, Waldman, & Perlman ; Hughes & Gazmararian ; Leroy & Declerck ; Morgan et al .…”

Section: Resultsunclassified

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Oral health of adults with intellectual disabilities: a systematic review

Ward

Cooper

Hughes-McCormack

et al. 2019

J intellect Disabil Res

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Background There have been several past reports that adults with intellectual disabilities experience poor oral health (tooth loss, periodontal health and untreated dental caries). Loss of a functional dentition has serious consequences, including problems with chewing, swallowing, nutrition, speech, temporomandibular joint osteoarthritis and pain and systemic health conditions. Poor oral health is largely preventable through proactive oral care support. In recent years, social care provision for adults has changed, with deinstitutionalisation and home‐based personalised care now being the typical provision in high income countries. Hence, oral health inequalities might be reducing. However, there is limited recent evidence‐synthesis on the topic. We aimed to address this. Method PROSPERO registration number: CRD42018089880. We conducted a preferred reporting items for systematic reviews and meta‐analyses systematic review of publications since 2008. Four databases were searched with a clear search strategy, strict inclusion criteria for selection of papers, double scoring (two raters), systematic data extraction and quality appraisal of included papers. Results A total of 33/3958 retrieved articles were included, of which 14 were drawn from dental service users and 10 from Special Olympic athletes, therefore not necessarily being representative of the wider population with intellectual disabilities. Despite this limitation, adults with intellectual disabilities were still shown to experience poor oral health. High levels of poor oral hygiene and gingivitis were found, with many also affected by periodontitis and untreated dental decay. There is clear unmet need relating to both periodontal (gum) and tooth health, leading to tooth loss. Conclusions Despite reports in the past of poor oral health amongst adults with intellectual disabilities, and despite it being preventable, there remains a high burden of poor oral health. This highlights the need to raise awareness, and for polices on effective daily oral care, and appropriate service provision. The importance of oral health and its possible negative sequelae needs to be elevated amongst carers and professionals.

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“…; Fernandez et al . ; Finkelman et al . ; Hanke‐Herrero, Lõpez Del Valle, Sánchez, Waldman, & Perlman ; Hughes & Gazmararian ; Leroy & Declerck ; Morgan et al .…”

Section: Resultsunclassified

“…; Fernandez, Kaschke, Perlman, Koehler, and Marks ; Fernandez et al . ; Hanke‐Herrero et al . ; Turner, Sweeney, Kennedy, & Macpherson ).…”

Section: Resultsmentioning

confidence: 99%

Oral health of adults with intellectual disabilities: a systematic review

Ward

Cooper

Hughes-McCormack

et al. 2019

J intellect Disabil Res

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“…However, the prevalence across the studies ranged from 0% to 50%. On average (unweighted mean), 1.6% of participants in reported Special Olympics Special Smiles (SOSS) samples were edentulous, compared to 20.2% of institutional samples and 17.6% of database samples . By comparison, 10.9% of the patient‐cohort sample of Morgan et al .’s was edentulous, a group who by definition attended the dentist.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of edentulism among adults with intellectual disabilities: A narrative review informed by systematic review principles

Phadraig

Nunn

McCallion

et al. 2018

Special Care in Dentistry

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“…Through the quality assessment (Table ), the score ranged from 4 to 7 out of 10 possible points. Of the 16 studies that underwent a risk of bias assessment, eight (50%) were considered to have a moderate risk of bias and eight (50%) were considered to have a high risk of bias …”

Section: Resultsmentioning

confidence: 99%

Global prevalence of dental caries in athletes with intellectual disabilities: An epidemiological systematic review and meta‐analysis

Azeredo

Guimarães

Antunes

2018

Special Care in Dentistry

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Aims This study aimed to perform an epidemiological systematic review and meta‐analysis to estimate the global prevalence of dental caries in athletes with intellectual disabilities. Methods and results This study was registered in PROSPERO (CRD42017068127). A systematic and extensive search was conducted in the Pubmed, Scopus, Web of Science, Virtual Health Library (Lilacs) databases, and Grey literature from inception up to April 2017. The MeSH terms “Sports,” Athletes,” and “Dental Caries” were used. The inclusion criteria used were observational cross‐sectional studies, longitudinal retrospective and prospective studies that present the prevalence of dental caries in athletes with intellectual disabilities. After the selection process, the risk of bias was assessed and a meta‐analysis was conducted. Sixteen articles met the inclusion criteria. Of these, eight studies were considered to have a moderate risk of bias, and eight were considered to have high risk of bias. The global prevalence of dental caries was 36.5% (95% CI = 30.6 to 42.7) with high heterogeneity between studies. Conclusion Dental caries is a significant global health problem in athletes with intellectual disabilities worldwide. There is a great need for increased oral health promotion, education, and prevention as a way to reduce this condition in this population.

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Oral health findings in athletes with intellectual disabilities at the NYC Special Olympics

Cited by 25 publications

References 16 publications

Oral health of adults with intellectual disabilities: a systematic review

Oral health of adults with intellectual disabilities: a systematic review

Prevalence of edentulism among adults with intellectual disabilities: A narrative review informed by systematic review principles

Global prevalence of dental caries in athletes with intellectual disabilities: An epidemiological systematic review and meta‐analysis

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