Oral hygiene programmes for people with intellectual disabilities

Waldron, Catherine; Phadraig, Caoimhin MacGiolla; Nunn, June; Comiskey, Catherine; Donnelly‐Swift, Erica; Guérin, Suzanne; Clarke, Mike

doi:10.1002/14651858.cd012628

Cited by 12 publications

(13 citation statements)

References 55 publications

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“…The findings of this work and others show the need for individual countries to address the oral health inequalities faced by adults with intellectual disabilities. For example, in the UK when a person with intellectual disabilities turns 18 and moves into adulthood, their oral health fast deteriorates (Waldron et al 2017). Dental caries has been a priority disease for public dental health for decades, but now that people with intellectual disabilities are living longer, it is crucial to focus on this age-related oral health problem and not only focus on interventions aimed at children.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…We extracted data under the following headings: profile of the participants, number of participants, settings, details of interventions including details of the carers or personnel delivering or supporting the intervention and any BCTs identified within the interventions, outcomes measured, duration of intervention and follow-up, and study design. We designed a template for the Characteristics of included studies tables, based on the methods outlined in the protocol (Waldron 2017), and headings used in the data collection sheet, to highlight the important elements of the studies (Appendix 2).…”

Section: Data Extraction and Managementmentioning

confidence: 99%

Oral hygiene interventions for people with intellectual disabilities

Waldron

Nunn

Phadraig

et al. 2019

Cochrane Database of Systematic Reviews

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“…fissure sealants are some of the preventive measures. Use of a powered toothbrush may be indicated for those with mental disabilities or those who have tooth brushing performed by caregivers [28].…”

Section: From Birth To 1 Year (Infancy)mentioning

confidence: 99%

Williams–Beuren syndrome: a complete guide for oral healthcare

Patil

Patil²

2021

J Oral Med Oral Surg

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Introduction: Williams–Beuren syndrome is a rare, congenital, multisystem disorder, resulting from genetic alterations on chromosome 7q11.23. Characteristic features of WBS are the developmental, physical and mental abnormalities associated with it. Typical facial features and a spectrum of tooth disorders are associated with this condition. Cardiac and renal involvement may be so severe that sudden death during oral healthcare procedures is a possibility. Photophobia and hyperacusis further make dental treatment a challenge in these patients. Corpus: Routine dental treatment in the dental office pose a significant risk, depending upon the mental and physical compromise of the patient, thereby making hospital admission a safer approach. A multispeciality approach is necessary to provide effective and safe oral healthcare to such patients. This article provides undergraduates, residents, general dental practitioners, and specialists involved in oral healthcare with a comprehensive overview of the condition with emphasis on its genetic basis, pathology, clinical features, diagnosis, and management of general and oral health. Conclusion: Adequate knowledge regarding the various aspects of Williams–Beuren syndrome allows the oral health care student or specialist to plan and manage oral procedures safely and effectively. Specialist referral and multidisciplinary care may be considered when appropriate.

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Oral hygiene programmes for people with intellectual disabilities

Cited by 12 publications

References 55 publications

Oral health of adults with intellectual disabilities: a systematic review

Oral health of adults with intellectual disabilities: a systematic review

Oral hygiene interventions for people with intellectual disabilities

Williams–Beuren syndrome: a complete guide for oral healthcare

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