Oral health status of children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Zhou, Nan; Wong, Hai Ming; Wen, Yi Feng; McGrath, Colman

doi:10.1111/dmcn.13486

Cited by 61 publications

(75 citation statements)

References 45 publications

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“…Given the fact that the gingival inflammation was more common and severe among individuals with ID than the general population (Anders & Davis ; Zhou et al . ), the effectiveness of chlorohexidine might be compromised among individuals with ID. Further investigations should explore more effective interventions for intellectually disabled patients with more severe periodontal inflammation.…”

Section: Discussionmentioning

confidence: 99%

“…Because of the impairment in conceptual (language and literacy) and practical skills (activities of daily personal care), the routine health care for individuals with ID was reported to be more challenging than the general population, and their oral health status was far from ideal (Anders & Davis ; Avraamova & Pakhomova ; Zhou et al . ).…”

Section: Introductionmentioning

confidence: 97%

“…The result from a meta‐analysis also supported that the periodontal status among children and adolescents with ID was worse than their non‐affected counterparts (Zhou et al . ).…”

Section: Introductionmentioning

confidence: 97%

“…The main findings of a systematic review showed that children and adolescent with or without ID had similar proximal carious lesions, but fewer decayed surfaces were treated among those with ID (Zhou et al . ). Another review confirmed that the rates of untreated caries were consistently higher among individuals with ID, and for those who were at higher risk of oral health problems, they were more likely to be uncooperative during dental treatment (Anders & Davis ).…”

Section: Introductionmentioning

confidence: 97%

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Efficacy of caries and gingivitis prevention strategies among children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Zhou

Wong

Wen

et al. 2018

J intellect Disabil Res

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Background Dental caries and periodontal diseases are the most common oral diseases among human beings. Individuals with intellectual disabilities (IDs) have poor oral health and limited access to dental care. The aim of this study was to investigate the efficacy of strategies in caries and gingivitis prevention among children and adolescents with ID. Methods Four electronic databases (PubMed, Cochrane Library, Web of Science and Scopus) were searched from their commencement date to 17 April 2017. Randomised or non-randomised controlled trials evaluating the efficacy of interventions in caries and gingivitis prevention were included if the participants were children and adolescents with ID. Gingival index and caries experiences were reported in the format of mean difference and standard error. Metaanalysis was conducted if data could be pooled from two or more studies using similar outcome measurements and intervention. Results A total of 1455 articles published in English were identified. Fourteen studies formed the basis of qualitative analysis; six studies were feasible to perform quantitative analysis. Meta-analysis favoured fluoride to placebo in caries prevention [Z = 2.02, P < 0.05, 95% CI: À0.71 (À1.40, À0.02)], while the effectiveness of chlorhexidine remained elusive. Conclusions Both mechanical and chemical approaches had been applied to caries and gingivitis prevention among children and adolescents with ID. Insufficient evidence supported the efficacy of chlorhexidine nor powered toothbrush, while fluoride was suggested to be an effective caries preventive strategy in fluoride-deficient areas. More welldesigned randomised controlled trials using integration strategies are encouraged in further studies.(1) = (2) CHX (spray, 0.12%) = placebo CHX, chlorhexidine; CT, controlled trial; RCT, randomised controlled trial.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

“…The result from a meta‐analysis also supported that the periodontal status among children and adolescents with ID was worse than their non‐affected counterparts (Zhou et al . ).…”

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

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Efficacy of caries and gingivitis prevention strategies among children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Zhou

Wong

Wen

et al. 2018

J intellect Disabil Res

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“…These findings, however, may reflect the outcomes of care and practices from some years previously, given the gestational period for oral and dental problems. Whilst there has been a recent systematic review on the oral health status of children and adolescents with intellectual disabilities (Zhou et al 2017) reporting poorer oral health compared to the general population, little has been reported on adults with intellectual disabilities. A more up-to-date evaluation of the current oral health of people with intellectual disabilities would therefore provide a better indication of the extent of health inequalities/closure in the oral health inequalities gap since care provision has changed, or the need for further/more intensive dental public health input and support.…”

Section: Introductionmentioning

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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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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Oral Health Treatment Planning: Dental Disease Prevention and Oral Health Promotion for Children with Autism Spectrum Disorder and Developmental Disabilities

Donald

Duker²

2022

Handbook of Treatment Planning for Children With Autism and Other Neurodevelopmental Disorders

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Oral health status of children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Cited by 61 publications

References 45 publications

Efficacy of caries and gingivitis prevention strategies among children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Efficacy of caries and gingivitis prevention strategies among children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Oral health of adults with intellectual disabilities: a systematic review

Oral Health Treatment Planning: Dental Disease Prevention and Oral Health Promotion for Children with Autism Spectrum Disorder and Developmental Disabilities

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