Reported gum disease as a cardiovascular risk factor in adults with intellectual disabilities

Hsieh, Kelly; Murthy, Sumithra; Heller, Tamar; Rimmer, James H.; Yen, Gloria S.

doi:10.1111/jir.12438

Cited by 9 publications

(13 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…; Seirawan, Schneiderman, Greene, & Mulligan ; Zizzi et al . ), and in four papers, a high prevalence of daily toothbrushing was reported (Fernandez, Descamps, Fabjanska, Kaschke, & Marks ; Hsieh, Murthy, Heller, Rimmer, & Yen ; Margaritis, Koletsi‐Kounari, Mamai‐Homata, & Kiriakou ; Seirawan et al . ).…”

Section: Resultsmentioning

confidence: 99%

“…; Hsieh et al . ; Margaritis et al . ), adults with intellectual disabilities continue to suffer poor oral health.…”

Section: Discussionmentioning

confidence: 95%

“…The longitudinal health and intellectual disability study of America included n = 1381 adults with intellectual disabilities and reported gum disease to be an independent risk factor for cardiovascular disease, with 19.5% having both gum disease and cardiovascular disease (Hsieh et al . ). This interrelationship between oral and systemic disease may create greater oral health inequalities for adults with intellectual disabilities.…”

Section: Discussionmentioning

confidence: 97%

“…Therefore, as well as periodontitis presenting an oral health burden for adults with intellectual disabilities, it is also related to other systemic diseases which have an elevated prevalence in adults with intellectual disabilities (diabetes, respiratory disease, obesity and multimorbidity) (Cooper et al 2015). The longitudinal health and intellectual disability study of America included n = 1381 adults with intellectual disabilities and reported gum disease to be an independent risk factor for cardiovascular disease, with 19.5% having both gum disease and cardiovascular disease (Hsieh et al 2018). This interrelationship between oral and systemic disease may create greater oral health inequalities for adults with intellectual disabilities.…”

Section: Discussionmentioning

confidence: 99%

“…Poor gingival health, with inflammation and bleeding of the gums, was frequently reported in adults with intellectual disabilities and this relates to the level of plaque control. Many of these studies involved dental service users (Alves et al 2016;Batista, Moreira, Rauen, Corso, & Fiates 2009;Finkelman, Stark, Tao, & Morgan 2014;Özgül et al 2014;Seirawan, Schneiderman, Greene, & Mulligan 2008;Zizzi et al 2014), and in four papers, a high prevalence of daily toothbrushing was reported (Fernandez, Descamps, Fabjanska, Kaschke, & Marks 2016;Hsieh, Murthy, Heller, Rimmer, & Yen 2018;Margaritis, Koletsi-Kounari, Mamai-Homata, & Kiriakou 2012;Seirawan et al 2008). Of the clinical studies assessing the more severe form of periodontal health (periodontitis), a significant level of disease was recorded, with the prevalence in adults with intellectual disabilities ranging from 22.5% to 69.2% (Alves et al 2016;Cheng, Leung, & Corbet 2008;Davies et al 2008;Finkelman et al 2014;Margaritis et al 2012;Martinez-Martinez et al 2013;Moosani et al 2014;Morgan et al 2012;Özgül et al 2014;Zizzi et al 2014).…”

Section: )mentioning

confidence: 99%

See 4 more Smart Citations

Oral health of adults with intellectual disabilities: a systematic review

Ward

Cooper

Hughes-McCormack

et al. 2019

J intellect Disabil Res

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

“…; Hsieh et al . ; Margaritis et al . ), adults with intellectual disabilities continue to suffer poor oral health.…”

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: )mentioning

confidence: 99%

See 3 more Smart Citations

Oral health of adults with intellectual disabilities: a systematic review

Ward

Cooper

Hughes-McCormack

et al. 2019

J intellect Disabil Res

View full text Add to dashboard Cite

show abstract

Intellectual Disability

Hickey,

Cotts

2024

Care of Adults With Chronic Childhood Conditions

View full text Add to dashboard Cite

The Oral Status Survey Tool: construction, validity, reliability and feasibility among people with mild and moderate intellectual disabilities

Phadraig

Ishak

Harten

et al. 2021

J intellect Disabil Res

View full text Add to dashboard Cite

Background A lack of robust data about the oral health of people with intellectual disabilities (IDs) contributes to health disparities. Appropriate research tools are therefore needed. This study reports the construction and evaluation of the Oral Status Survey Tool (OSST), designed to be administered with people with disabilities by non‐dental personnel. Method Oral Status Survey Tool construction and evaluation was achieved adopting a non‐clinical construction and content validation phase and a clinical phase to test concurrent validity, reliability and feasibility. Final refinements were also made. Results The OSST conceptual framework covered oral function (tooth count, denture wear and opposing pairs of teeth) and oral disease/treatment need (soft tissue status, oral cleanliness, gum condition, carious teeth and oral pain). A systematic literature review identified no existing suitable indices. Candidate items were identified and validated by experts generating content validation ratios. This framework was modified later to expand the function construct. In the initial clinical phase, 49 out of 60 participants underwent examination with OSST and standard dental assessments. All had mild to moderate IDs. Mean age was 43 years (SD = 16), and mean number of teeth was 22.1 (SD = 8.6). Data collectors included two dentists and three non‐dentists. Later, a further 17 adults (nine female and eight male) with mild/moderate IDs were included for refinement. At this stage, data collectors included two dentists and five non‐dentists. Concurrent validity was established for tooth count [intraclass correlation coefficient = 0.99 (95% confidence interval, CI: 0.99–0.99)], carious teeth [Gwet's AC2 = 0.94 (95% CI: 0.89–0.99)] and gum condition [Gwet's AC1 = 0.84 (95% CI: 0.64–1)]. For all final OSST items, inter‐rater reliability ranged from moderate to very good; median test–retest reliability ranged from moderate to good. Acceptability was demonstrated for data collectors and participants. Mean time to complete the OSST was 7 min. Conclusions The OSST is a novel tool that can record a range of clinical oral features including tooth count, denture wear, occluding pairs of teeth and functional dentition, oral cleanliness, gum condition, carious cavitation and oral pain that will be useful within health surveys of people with mild–moderate IDs and similarly neglected populations. The tool demonstrates promising attributes and acceptability. From this study, the OSST appears to be a robust tool that can be incorporated into general data collection for people with mild–moderate IDs and similar populations. A key feature is that it can be administered by well‐trained non‐dentists.

show abstract

Reported gum disease as a cardiovascular risk factor in adults with intellectual disabilities

Cited by 9 publications

References 49 publications

Oral health of adults with intellectual disabilities: a systematic review

Oral health of adults with intellectual disabilities: a systematic review

Intellectual Disability

The Oral Status Survey Tool: construction, validity, reliability and feasibility among people with mild and moderate intellectual disabilities

Contact Info

Product

Resources

About