Oral health needs and barriers to dental care in hospitalized children

Nicopoulos, Martine; Brennan, Michael T.; Kent, M. Louise; Brickhouse, Tegwyn H.; Rogers, Mary K.; Fox, Philip C.; Lockhart, Peter B.

doi:10.1111/j.1754-4505.2007.tb00348.x

Cited by 19 publications

(23 citation statements)

References 14 publications

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“…Like other studies that have found CSHCN’s access to oral health services challenged by resource constraints, 41 administrative burdens, 42 lack of available dentists, 17, 43–44 and low demand from parents, 45 our study identified similar barriers. Additionally, all the organizations brought up fluoride as a preventive oral health tool but did not uniformly recommend fluoride to families of CSHCN.…”

Section: Discussionsupporting

confidence: 80%

Oral health services within community‐based organizations for young children with special health care needs

Cruz

Donald

Huebner

2016

Special Care in Dentistry

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Purpose To identify the types of oral health services offered by community-based organizations to young children with special health care needs (CSHCN) and the barriers and facilitators to the provision of these in a non-fluoridated community. Methods Thirteen key informant interviews with representatives from early intervention agencies, advocacy groups, and oral health programs who provide services to CSHCN in Spokane county, Washington. We used a content analysis to thematically identify oral health services as proactive or incidental and the barriers and facilitators to their provision. Results We identified four types of oral health services: screenings, parent education, preventive dental care, and dental referrals. Barriers to providing all four services included limited agency resources, restrictive administrative and system-level policies, and low demand from parents. A barrier to providing education and preventive dental care was community disagreement regarding fluoride. A barrier to providing dental referrals was the perceived lack of dentists who could treat CSHCN. Facilitators included community partnerships among the organizations and utilization of the statewide oral health program. Conclusions Oral health services for young CSHCN are limited and often delivered in response to oral health problems. Coordinated efforts between community-based organizations, health providers, and advocates are necessary to ensure the provision of comprehensive care, including preventive and restorative services, to all young CSHCN.

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Section: Discussionsupporting

confidence: 80%

Oral health services within community‐based organizations for young children with special health care needs

Cruz

Donald

Huebner

2016

Special Care in Dentistry

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“…Untreated caries was found in 42% of subjects and soft tissue abnormalities in 59%. No statistically significant differences were found between the subjects who were chronically ill or acutely ill. Caregivers of subjects with chronic medical conditions were more likely to report barriers to dental care than caregivers of subjects with acute conditions 2 …”

Section: Introductionmentioning

confidence: 98%

“…A literature search found very few publications specific to oral health of pediatric patients who were hospitalized. Relevant literature included: descriptive studies, 1‐3 case reports, 4,5 and case series 6 related to oral problems of children who were hospitalized. The American Academy of Pediatric Dentistry (AAPD) guidelines on Dental Management of Pediatric Patients Receiving Chemotherapy, Hematopoietic Cell Transplantation, and/or Radiation, 7 and the American Academy of Pediatrics (AAP) and AAPD policy on the dental home 8,9 are also applicable to this paper.…”

Section: Introductionmentioning

confidence: 99%

“…A North Carolina study 2 examined the oral health status and utilization of dental care by children who were hospitalized with chronic or acute medical conditions; 120 inpatients ages 3–12 years received oral health examinations in a pediatric hospital ward. Untreated caries was found in 42% of subjects and soft tissue abnormalities in 59%.…”

Section: Introductionmentioning

confidence: 99%

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A one‐year survey of inpatient dental consultations at a children's hospital

Kanuga

Sheller

Williams

et al. 2012

Special Care in Dentistry

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This study describes dental consultations for pediatric inpatients. Records of inpatient dental consultations in 2007 were analyzed to determine consultation reasons, diagnoses, treatment, and demographics. Consultations from Hematology-Oncology (Hem-Onc) and Transplant Oncology (T-Onc) were further analyzed. One hundred and fifty-five consultations were performed for 133 subjects. Hem-Onc (37%) and T-Onc (17%) were the most frequent consultations. Requests were most frequently for baseline evaluation (33%) and oral pain/discomfort (10%). Frequent dental diagnoses were soft tissue conditions (29%) and caries (23%). A dental home preexisted for 48% of subjects and in 44% of consultations with caries and 53% without caries. Caries was present in 30% of consultations where Medicaid was sole payer versus 18% with non-Medicaid payers. Subjects from the Oncology department had more baseline evaluations, frequently had soft tissue diagnoses, and more often received preventive counseling and treatment under general anesthesia. In conclusion, dentists play an important role in optimal management of certain hospital inpatients.

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“…25 Intellectual and developmental disability (IDD) children face additional barriers to receiving dental care and may be at higher risk for dental disease; they utilise preventive dental services at the same rate as non-IDD children. 26 Children with chronic medical conditions reported barriers to receiving dental care more often (24%) than children with acute medical conditions (3.5%). A high prevalence of unmet oral health needs and soft tissue abnormalities was identified in a hospitalised pediatric population.…”

mentioning

confidence: 98%

Barriers of utilisation of dental services among children and adolescent: A systematic review

Farlina

Maharani

2018

Padjadjaran J Dent

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Introduction: Underutilisation of dental services among children and adolescent is a worldwide problem that increases caries prevalence. Younger children are less likely to receive dental care and, thus, experience oral diseases more often. This systematic review was aimed to explore the barriers of utilisation of dental services among children and adolescent. Methods: The literature search was conducted in the electronic database of Pubmed © /Medline © . The literature exclusion criteria were adults and qualitative study. Keywords were verified in MeSH. Boolean "AND" and "NOT" was used to specify the search. Twenty-four literature were filtered from Pubmed © , and twenty-three literature fit the inclusion criteria. Result: The result revealed that low-income families, minority ethnic, and disability condition have lower dental care utilisation. Conclusion: The identified potential determinants of oral health and dental care utilisation among children and adolescent are economic barriers, uninsurance, and availability of dental service providers.

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Oral health needs and barriers to dental care in hospitalized children

Cited by 19 publications

References 14 publications

Oral health services within community‐based organizations for young children with special health care needs

Oral health services within community‐based organizations for young children with special health care needs

A one‐year survey of inpatient dental consultations at a children's hospital

Barriers of utilisation of dental services among children and adolescent: A systematic review

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