Oral health needs of athletes with intellectual disability in Southern Europe: Greece, Italy and Spain

Rojas, Carla Fernandez; Emmanouil, Dimitris; Dellavia, Claudia; Limeres, Jacobo; Castro, Natália Rayanne Souza; Marks, Luc

doi:10.1111/scd.12557

Cited by 4 publications

(13 citation statements)

References 36 publications

(54 reference statements)

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“…Regarding the overall low percentage of subjects with sealants on permanent teeth, it is important to note that since 2018, the SO-SS program in Romania includes professional cleaning and provision of glass-ionomer sealant, which considerably increased the proportion of subjects with sealants during the last two SS events. Data reported in other studies on SO athletes of similar ages also showed that the presence of sealants among athletes with ID was the least frequent of the oral findings [ 5 , 12 , 14 , 15 , 16 ]. The low prevalence of fissure sealants points out a persistent need for prevention.…”

Section: Discussionmentioning

confidence: 55%

“…Trihandini et al [ 4 ] reported untreated decay in more than 70% of a group of 1217 Indonesian SO athletes (mean age = 13.46 ± 2.97 years). In South European countries, the percentage of SO athletes with untreated caries varied between 38.1% (Spain), 46.5% (Greece), and 48.5% (Italy) [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another important factor favoring caries and soft tissue diseases in people with ID can be represented by medication. Chronic administration of medicines such as psychotropic drugs may result in significant decrease in the salivary flow rate, favoring both decay and periodontal conditions [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Fernandez et al [ 12 ] found 25.2% of subjects had missing permanent teeth due to extractions in a group of 503 SO athletes from Europe/Eurasia, with a mean age 17.08 ± 2.2 years. Another study, conducted on SO athletes in southern Europe (age 18-25 years), reported higher proportions of subjects with missing teeth due to caries: 39.8% (Spain), 40.9% (Greece), and 53.4% (Italy) [ 14 ]. Pradhan et al [ 33 ] found that 39% of Australian SO athletes aged 8 to 18 years (mean age = 15 years) had extracted teeth.…”

Section: Discussionmentioning

confidence: 99%

“…During the last 20 years, many studies regarding the oral health status of SO athletes from different parts of the world were published [ 2 , 4 , 5 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. Several papers on the oral health status of Romanian SO athletes are available, showing the trends, over time, of the oral health of this category [ 2 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Ecological Study on the Oral Health of Romanian Intellectually Challenged Athletes

et al. 2022

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This study aimed to give an image of the oral health status and treatment needs of intellectually challenged athletes taking part in Special Olympics—Special Smiles (SO-SS) events organized in Romania during 2011–2019 and to find potential associations with socio-economic factors. An observational ecological retrospective study was conducted, and 1860 oral examinations were performed on participants aged 8 to 30 years in nine SS-SO events. Oral examination was performed under field conditions. Percentage of caries-free subjects, mean DMF-T index and its components (D = decayed; M = missing; F = filled; T = teeth), restoration index RI = [F/(F + D) × 100]%, and Plaque Index were calculated for each of the nine groups. Caries-free subjects ranged between 5.90% and 21.70%. DMF-T ranged from 4.27 to 7.71. Higher values for “F” component (range 0.66–1.69) and RI (range 13.02–27.74%) were found in events held in cities from regions with higher reported Gross Domestic Product. Sealants were present in 0 to 8.4% of the subjects. In areas with lower numbers of inhabitants per dentist, more sealants were found (p < 0.001). Romanian SO athletes exhibited relatively poor oral health, limited access to dental treatment, and low level of prevention. Targeted prevention and treatment programs adjusted to specific conditions in each geo-economic region are needed.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ecological Study on the Oral Health of Romanian Intellectually Challenged Athletes

et al. 2022

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Healthcare for people with intellectual and developmental disabilities in Italy

Bacherini,

Pierluigi,

Balboni

2024

Policy Practice Intel Disabi

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The Italian healthcare system is public and freely available to the population. With a few exceptions, there are no distinctions between the healthcare services and practices (e.g., primary care) designed for the general population and those for individuals with intellectual and developmental disabilities (IDD). Prevalence data on adults with IDD are lacking and most disability policies and resources are designed for people with disabilities broadly defined, without specification based on disability type or severity level. Recent legislation provides specific supports for individuals with severe disabilities or autism spectrum disorder. This paper describes the legislation and health policies developed for people with disabilities, the organization of the Italian healthcare system, and the organization of disability support services and healthcare services. Strengths (e.g., availability of many financial resources, adoption of biopsychosocial approach to disability, presence of innovative projects to address the healthcare needs of people with IDD) and weaknesses (e.g., lack of distinction among disability types, territorial differences, lack of disability training of healthcare providers) of the current healthcare practices are reported and discussed.

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Brazilian special olympics athletes: Oral health problems

Pinho

Campos²,

Pereira

et al. 2023

Special Care in Dentistry

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AimsThe people with intellectual disabilities have been reported to be a vulnerable population in terms of oral health. This study was carried out to determine the oral health condition and treatment needs of Special Olympics athletes in Brazil.MethodsThis study is a retrospective review of oral health data collected from athletes participating in Healthy Athletes Program Special Olympics in Brazil, between the years 2015 and 2019. About 1241 athletes from the Brazil Special Olympics program were screened in the cities of São Paulo, Jundiai and Belo Horizonte (located in southeastern Brazil) and Recife (in northeastern Brazil). At each of these events, volunteer dental professionals performed an oral health screening for each athlete, All oral health assessments were done visually; and extra lighting were available if needed. The examinations were performed with the aid of a wooden spatula of the tongue depressor type and under natural light. The following parameters were recorded: mouth pain, untreated tooth decay, missing teeth, gingival signs, urgency and mouth hygiene habits. Data was analyzed using the STATA 14.0 program. Frequency tables were used for descriptive analyses. Categorical variables were compared between the different years of the event using the Chi‐Square or Fisher's Exact test. Continuous variables were compared between different event years using the Kruskal‐Wallis test followed by Dunn's post‐hoc analyses. Simple logistic regression was used to assess the effect of age on dental assessment results. For all tests, a p‐value was considered significant when less than or equal to .05.ResultsNo statistically significant differences were observed in the frequencies of Mouth Pain and Missing Teeth over the years (p > .05). In relation to Untreated Tooth Decay, there is a higher frequency in the years 2016 and 2018 and a lower frequency in the year 2015 (p = .048). Regarding Gingival Signs of inflammation, there is a higher frequency in the years 2016 and 2018 and a lower frequency in the year 2017 (p < .001). In relation to cases of urgency (in need of treatment (Urgent treatment need, Non‐Urgent or Maintenance)), there was a higher frequency (no urgency) in 2016 (p = .007). Finally, in relation to mouth hygiene habits, there is a higher frequency of participants with irregular habits in the years 2017 and 2019 (p < .001).ConclusionThe dental condition of Brazilian athletes Special Olympycs Brazil reported in this study from 2015 to 2019 showed us that athletes have a high prevalence of dental diseases and these needs could contribute to health damage. The athletes have many unmet dental treatment needs and these needs are similar in different regions of the country and in the years reported.

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Oral health needs of athletes with intellectual disability in Southern Europe: Greece, Italy and Spain

Cited by 4 publications

References 36 publications

Ecological Study on the Oral Health of Romanian Intellectually Challenged Athletes

Ecological Study on the Oral Health of Romanian Intellectually Challenged Athletes

Healthcare for people with intellectual and developmental disabilities in Italy

Brazilian special olympics athletes: Oral health problems

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