Abstract:Analysis of the results obtained following screening showed comparable oral health needs of athletes with intellectual disability among countries. Exploration of the oral health systems of the countries revealed similar significant co-payments and lack of incentive for dentists to treat patients with special needs. The results from Romania, Poland and Slovenia demonstrated the need for a structured system in which a special population is a target for oral-health-related education programmes and system-included… Show more
“…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.…”
Much like for the general population, edentulism should be seen as a key measure of disease experience and management. Such focus is needed to reduce the prevalence of edentulism for people with IDs globally. This can only be measured by adopting representative samples, which include people with IDs.
“…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.…”
Much like for the general population, edentulism should be seen as a key measure of disease experience and management. Such focus is needed to reduce the prevalence of edentulism for people with IDs globally. This can only be measured by adopting representative samples, which include people with IDs.
“…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%
“…A population sample of 35,732 individuals was enrolled in this review, ranging from 160 to 14,319 athletes. Thirteen articles were cross‐sectional studies, another study was a retrospective, one study did not report the design, and Feldman et al . was a pilot study.…”
Section: Resultsmentioning
confidence: 99%
“…Only five studies presented a true or close representation of the group of athletes with intellectual disabilities . As the sample, in some studies, is not representative to the group of athletes with intellectual disabilities, the prevalence data may have been underestimated or overestimated.…”
Section: Discussionmentioning
confidence: 98%
“…People with intellectual disabilities are more likely to have poor oral hygiene and, consequently, dental caries than people without this condition . Data from the literature show that the prevalence of dental caries in athletes with intellectual disabilities varies widely . This study provides a unique set of data that classifies the quality of studies and describes the overall prevalence of dental caries among athletes with special needs.…”
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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