Background: Oral healthcare of adults with intellectual disabilities (ID) presents one of the most unattended health needs, while at the same time, having a huge impact on their quality of life. Specific Aims: The aims of the present investigation were to assess the rate of tooth loss and the influence of tooth extractions during dental procedures under general anesthesia (GA) on the prospects for efficient oral rehabilitation of adults with ID in Serbia.Methods: This study was designed as a retrospective observational study, based on available data from dental, medical and anesthesia records. The pattern of oral healthcare and rehabilitation possibilities of 257 adults with ID who were treated under GA was investigated. Distribution of restored and extracted teeth, and demand for prosthodontic rehabilitation were analyzed.Findings: The average number of dental appointments under GA in 10 years of observation period was 1.36 AE 0.79, with 3.64 AE 4.42 restored teeth and 6.64 AE 5.95% extracted teeth. Prosthodontic treatment was provided for 29 (11.28%) patients. The analysis identified that age (p = 0 .041) and number of dental visits (p = 0.002) were significant predictors for prosthodontics rehabilitation.Conclusion: Age, level of IQ, and the presence of concomitant conditions in adults with ID could be considered as a predictor for tooth loss. Regular attendance to dental treatment was identified as a manner for successful oral rehabilitation. Patient-centered individualized approach, implementation of preventive protocols, and improvement in delivering prosthodontic rehabilitation are mandatory in providing dental care for persons with ID.

Background/AimThe aim of this study was to determine the link between dental visits and independent sociodemographic factors and smoking in the adult population in Serbia.Methods This cross-sectional study represents an analysis of 2013 National Health Survey for the population of Serbia (without data of Kosovo and Metohia population). Study included 13,404 adults 20 years and over. The mean age of participants was 51.7 years including 7,221 females (53.9%) and 6,183 males (46.1%). In order to determine possible predictors of a dental visit the multivariate logistic regression model was implemented.Visit to a dentist was dependent variable while the independent variables were: sex, age, marital status, type of settlement, region, education, employment status, Wealth Index and smoking status. Results Significant differences were observed between categories of dental visit and all independent variables except marital and smoking status. In multivariate model odds of visiting dentist in period "12 months or longer" vs. "in last 6 months" were the highest among older respondents (OR=1.03; 95%CI=1.02-1.04), from rural area (OR=1.17; 95%CI=1.03-1.32), with low (OR=2.55; 95%CI=2.12-3.07) and middle (OR=1.76; 95%CI=1.54-2.00) education level, unemployed (OR=1.20; 95%CI=1.06-1.37), who belong to poorer (OR=1.30; 95%CI=1.08-1.54) or the poorest class (OR=1.71; 95%CI=1.38-2.12) and smokers (OR=1.13; 95%CI= 1.01-1.26). Conclusion Study demonstrated that sociodemographic factors and smoking are important factors related to visit to a dentist. This study can help to advance regular visits to a dentist and programs of health education focusing on oral health and smoking cessation as well.Key words: visit to a dentist, adults, sociodemographic factors, smoking Apstrakt Uvod/Cilj Cilj ove studije bio je utvrĎivanje povezanosti izmeĎu posete stomatologu i nezavisnih socio-demografskih faktora i pušenja kod odrasle populacije u Srbiji. Metode Istraživanje predstavlja analizu podataka dobijenih u okviru Nacionalnog istraživanja zdravlja stanovništva Srbije koje je sprovedeno 2013. godine kao studija preseka na reprezentativnom uzorku odraslog stanovništva Srbije (bez podataka o stanovništvu Kosova i Metohije). Studija je obuhvatila 13404 ispitanika starosti 20 godina i više. Prosečna starost ispitanika bila je 51,7 godina, uključujući 7221 ženu (53,9%) i 6183 muškarca (46,1%). Prediktori učestalosti posete stomatologu analizirani su 4 multivarijantnom logističkom regresijom. Poseta stomatologu je bila zavisna promenljiva, dok su nezavisne promenljive bile: pol, starost, bračni status, tip naselja, region, obrazovanje, radni status, indeks blagostanja i pušački status. Rezultati Postoje značajne razlike izmeĎu kategorija posete stomatologu i svih nezavisnih promenljivih osim bračnog i pušačkog statusa. Rezultati multivarijantnog modela pokazali su da su šanse za posetu stomatologu u periodu "12 meseci ili duže" u odnosu na "u poslednjih 6 meseci" bile najveće kod starijih ispitanika (UO=1,03; 95%IP=1,02-1,04), onih koji žive u naselj...