State, trait, and dental anxiety in caregivers of individuals with disabilities

Pinho, Roberto Carlos Mourão; Barbosa, André Cavalcante da Silva; Caldas-Júnior, Arnaldo de França; Vasconcelos, Márcia Maria Vendiciano Barbosa; Cimões, Renata; Santos, Maria Teresa Botti Rodrigues

doi:10.1111/scd.12230

Cited by 4 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar studies have demonstrated that individuals with disabilities are highly dependent on a caregiver for activities of daily living, including oral hygiene [14,19]. This poses a burden on caregivers, with the consequent postponement or forgetting of oral hygiene practices, which should not be neglected [15,[20][21][22][23].…”

Section: Discussionmentioning

confidence: 94%

Oral Health Care of Children and Adolescents with Different Impairments of Cerebral Palsy: Barriers and Challenges

Silva-Selva

Lins-Filho

Macêdo

et al. 2022

Pesqui. Bras. Odontopediatria Clín. Integr.

Self Cite

View full text Add to dashboard Cite

Objective: To evaluate the barriers to access and oral health care faced by children and adolescents with Cerebral Palsy (CP) according to their motor impairment through the perception of caregivers. Material and Methods: A case series study was carried out at three health institutions in Pernambuco, Brazil. The study sample consisted of 94 caregivers of 5-to-18-year-old patients with CP, according to GMFCS (The Gross Motor Function Classification System). Data were collected using a semi-structured form to evaluate the barriers to access and analyzed statistically by the chi-square and Fisher exact tests, adopting a 5% level of significance. In addition, binary logistic regression was performed to determine the weight of the variables in explaining the outcome variable. Results: There were major difficulties involving transportation (p=0.04) and structural accessibility to dental services (p<0.01) among children and adolescents with severe CP. In addition, the more severe the CP, the greater the difficulty of accessibility (OR=4.09,) and the lower the income (OR=8.80), the greater the motor impairment. Conclusion: Despite the availability of access to dental services, low-income families have more severe CP patients, contributing to the daily difficulties already faced by them in oral health care.

show abstract

Section: Discussionmentioning

confidence: 94%

Oral Health Care of Children and Adolescents with Different Impairments of Cerebral Palsy: Barriers and Challenges

Silva-Selva

Lins-Filho

Macêdo

et al. 2022

Pesqui. Bras. Odontopediatria Clín. Integr.

Self Cite

View full text Add to dashboard Cite

show abstract

“…The participation of parents and caregivers of people with intellectual disabilities is essential so that there can be a satisfactory oral health condition, since, in most cases, the athlete's brushing is performed by parents or caregivers. In this aspect, Most caregivers of individuals with disabilities were mothers with an older age and a greater frequency of trait anxiety, especially when these mothers had health problems 30 …”

Section: Discussionmentioning

confidence: 99%

“…In this aspect, Most caregivers of individuals with disabilities were mothers with an older age and a greater frequency of trait anxiety, especially when these mothers had health problems. 30 The oral health conditions of Brazilian SO athletes are varied and show us through the reported data that athletes have many dental needs, the reported difficulties can predict the difficulties that still exist for the access of people with intellectual disabilities to dental care. Many reports state that people with ID have poorer oral health as compared to the general population, more caries and tooth extractions, fewer fillings, greater gingival inflammation, higher rates of edentulism, less prevention, more dental anxiety, and poorer access to services.…”

Section: Discussionmentioning

confidence: 99%

Brazilian special olympics athletes: Oral health problems

Pinho

Campos²,

Pereira

et al. 2023

Special Care in Dentistry

Self Cite

View full text Add to dashboard Cite

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.

show abstract

“…This indicated that highly educated patients might concern more about the safety of attending dental appointment during the pandemic. In other studies on education and medical attitudes, low-level medical attitudes have been associated with anxiety [22][23][24], but few studies mentioned the effects of education and attitudes toward the general treatment of dentistry. Regarding the correlation between education level and dental visit attendance, a study in 2021 pointed out that the higher education level has 2.19-4.40 times the dental visit attendance compared with the lower education level [11].…”

Section: Discussionmentioning

confidence: 99%

Highly educated patients have lower dental compliance during the COVID-19 pandemic: an observational study

et al. 2022

View full text Add to dashboard Cite

Background The outbreak of coronavirus disease 2019 (COVID-19) is rapidly changed medical habits, and dental clinics have been forced to adapt. This study explored the pandemic-induced changes in patient utilization of dental services to assist practitioners in responding efficiently to similar public crises as references in the future. Methods We retrospectively analyzed the correlation between patient profiles and dental visits attendance within 2 months before and during the outbreak. Results A total of 332 patients, 210 women and 122 men (total number of visits: 1068) were enrolled in this study. A significantly lower attendance rate was noted during the COVID-19 period (70.3%) than prior to the pandemic (83.4%). The rate of return visits for patients with a high education level during the COVID-19 period was significantly reduced from 96.5 to 93.1%. In addition, the number of days between two visits significantly increased during the pandemic. Conclusions Our results indicate that, during the pandemic period, the attendance rates of return dental appointments decreased, and the rate of missed appointments for patients with a high educational levels was higher than that of patients with a low educational level. Clinical relevance Preventive management of these patients who are easy to miss dental appointments may enable more effective use of medical resources.

show abstract

State, trait, and dental anxiety in caregivers of individuals with disabilities

Abstract: Higher dental anxiety levels were found among caregivers with a higher level of trait anxiety, independently of the type of patient to which care was given.

Cited by 4 publications

References 32 publications

Oral Health Care of Children and Adolescents with Different Impairments of Cerebral Palsy: Barriers and Challenges

Oral Health Care of Children and Adolescents with Different Impairments of Cerebral Palsy: Barriers and Challenges

Brazilian special olympics athletes: Oral health problems

Highly educated patients have lower dental compliance during the COVID-19 pandemic: an observational study

Contact Info

Product

Resources

About