Periodontics and Patients With Special Needs

Hb, Waldman; Perlman, Steven P.; Swerdloff, M

doi:10.1902/jop.2000.71.2.330

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…With the deinstitutionalization of people with disabilities, access to oral health care has become more difficult [22] . People who need specific dental care may live in their own homes, in long-term residential care, or on the streets.…”

Section: How Does Access Influence the Provision Of Care?mentioning

confidence: 99%

“…Periodontal disease typically necessitates a patient's compliance with a home-care programme in order to improve oral health and/or treatment outcomes. The ability to understand the need for and accomplish proper oral hygiene, as well as the physical and medical limits in providing adequate home care, must all be taken into account while developing such a programme [22] . Because patient anxiety during a dental appointment might affect understanding and implementation of verbal instructions, it is recommended that a written preventive programme be provided.…”

Section: How Is Oral Health Maintained?mentioning

confidence: 99%

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Untitled

2021

Int. J. Appl. Dent. Sci.

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Individuals with intellectual and developmental disabilities (I/DD) are at risk for oral illness and have a difficult time getting routine and preventive dental care. It comes third in terms of unmet requirements, after residential services and career options for this group of people. Oral health has a detrimental impact on one's general health and quality of life. Significantly higher incidence of dental caries, periodontal disease, poor oral hygiene, low expectations, fear of treatment, and lack of information among persons and caregivers are all factors contributing to this condition. Other concerns include difficulty getting dental treatment or rejection of services due to a lack of education and clinical expertise, inappropriate bias, or inadequate provider compensation. Individualized and coordinated care services, as well as education of persons, carers, and providers, including both classroom and clinical experiences with special needs patients in dental programmes, are all strategies to improve service delivery.

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Section: How Does Access Influence the Provision Of Care?mentioning

confidence: 99%

Section: How Is Oral Health Maintained?mentioning

confidence: 99%

Untitled

2021

Int. J. Appl. Dent. Sci.

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“…Access to oral health care has been made more complex with the de‐institutionalization of individuals with disabilities . People who require special care dentistry may live in their own home, in long‐term residential care or be homeless.…”

Section: How Does Access Influence the Provision Of Care?mentioning

confidence: 99%

“…The prevention or management of periodontal disease often requires the patient to follow a home‐care program to enhance oral health and/or treatment outcomes . Development of such a program must take into consideration the patient's and/or their carer's motivation, the ability to understand the need for and to achieve good oral hygiene, and the physical and medical limitations in providing reasonable home care . Provision of a written preventive program is recommended as patient anxiety during a dental appointment may impact on the understanding and implementation of verbal instructions .…”

Section: How Is Oral Health Maintained?mentioning

confidence: 99%

Periodontal disease and the special needs patient

Lf¹,

Ford²,

Symons³

2017

Periodontology 2000

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Individuals with special needs are at more risk of dental disease, including periodontal diseases, and have a greater prevalence and incidence of periodontal diseases than the rest of the population. Genetic or medical conditions, and/or the use of prescription medication or recreational substances, may further increase the risk for susceptibility to periodontal disease. The success of preventing or controlling periodontal diseases amongst this group of patients has not been established. Even those individuals who access regular and comprehensive dental care appear to develop periodontal diseases as they age, and this development occurs at a rate comparable to the natural history of the disease. The reasons behind the lack of success of interventions in reducing the incidence of periodontal diseases are complex and part of the lack of success may relate to the professional challenges in treating individuals with special needs.

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Comprehensive assessment of periodontal health in cerebral palsy: A systematic review and meta‐analysis

de Oliveira,

Drumond,

Kimura

et al. 2024

Special Care in Dentistry

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AimsCerebral palsy (CP) is the term for a set of neurological disorders resulting from brain damage that impairs motor function. The aim of the present study was to perform a systematic review of the literature to determine whether individuals with CP are at a greater risk of negative periodontal health outcomes compared to those without CP.MethodsThis study followed the recommendations of the MOOSE guidelines. Electronic searches were conducted in the PubMed, Web of Science, Scopus, Ovid, Embase, and PsycInfo databases. Observational studies assessing periodontal outcomes in individuals with CP were included. Risk of bias was appraised using the Newcastle‐Ottawa scale. Meta‐analyses were conducted and the results were presented using standardized mean differences (SMD), odds ratios (OR), and 95% confidence intervals (CI). The strength of the evidence was also assessed.ResultsA total of 316 records were retrieved from the electronic databases, 17 of which were included in the qualitative synthesis. Meta‐analyses revealed significantly higher scores in individuals with CP compared to those without CP for the oral hygiene index (SMD = 0.47 [95% CI: 0.17–0.78, I2 = 80%), gingival index (SMD = 0.75 [95% CI: 0.39–1.11], I2 = 79%), plaque index (SMD = 0.70 [95% CI: 0.07–1.33], I2 = 93%), and calculus index (SMD = 0.98 [95% CI: 0.76–1.20], I2 = 0%). However, no significant difference was found between groups for the prevalence of gingivitis (OR = 1.27 [95% CI: 0.28–5.66], I2 = 93%). The risk of bias for the outcome assessment and statistical tests was low. The strength of the evidence was deemed very low.ConclusionIndividuals with CP may experience more significant negative periodontal health outcomes compared to those without CP.

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Periodontics and Patients With Special Needs

Cited by 3 publications

References 10 publications

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Periodontal disease and the special needs patient

Comprehensive assessment of periodontal health in cerebral palsy: A systematic review and meta‐analysis

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