Access to Dental Care—A Survey from Dentists, People with Disabilities and Caregivers

D’Addazio, Gianmaria; Santilli, Manlio; Sinjari, Bruna; Xhajanka, Edit; Rexhepi, Imena; Mangifesta, Rocco; Caputi, Sergio

doi:10.3390/ijerph18041556

Cited by 33 publications

(29 citation statements)

References 29 publications

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“…21.7% of patients have not undergone dental screening for more than 5 years. Patients with physical disabilities have limited access to dental care due to difficulty in finding barrier free dental offices [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Oral health status and its associated factors among post-stroke inpatients: a cross-sectional study in Hungary

et al. 2022

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Background Post-stroke inpatients are at risk of poor oral health for a number of reasons. The aim of this study was to assess the oral health status of post-stroke patients and also to explore the factors that may influence it. Methods This cross-sectional study was organised at National Institute for Medical Rehabilitation in Hungary. Altogether 410 post-stroke patients were enrolled in the survey. Personal medical history and functional assessment was obtained from the final medical reports of the patients. The clinical examination and data collection were conducted according to the World Health Organization (2013) criteria. Socio-demographic background and behaviours related to oral health were assessed using a questionnaire. The dental status was explained by the number of Decayed, Missing and Filled Teeth (DMFT). The association of socio-demographic factors, stroke and functional assessment with oral health status and behaviour was evaluated. Chi-square test, Fisher’s exact test, Welch test, Mann–Whitney U test, Kruskal–Wallis test, ANOVA model and correlation analysis were used to analyse our data. The level of significance was set at p < 0.05. Results Mean age of stroke patients was 59.21(Standard Deviation [SD] 14.74) years. Mean DMFT score was 20.13 (8.08), including 3.28 (4.24) decayed teeth, 15.02 (10.29) missing teeth and 1.83 (2.94) filled teeth score. Factors that influenced the oral health status were gender, age, occupational status, level of education, type and risk factors for stroke. Significant correlation was found between the Functional Independence Measure and oral health-related behaviours with patients brushing their teeth once a month showing the lowest value. Conclusion According to the results, low socio-demographic and economic status, low level of education and the Functional Independence Measure score, unemployment, the combination of risk factors for stroke and residual dysfunctions are associated with poor oral health status. The data indicate that a series of changes are needed, for special attention and care in oral health for patients who have had a stroke. Based on the findings of this research, a new model of prevention and care can be developed, with an interdisciplinary collaboration, to promote the quality of life of these individuals.

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Section: Discussionmentioning

confidence: 99%

Oral health status and its associated factors among post-stroke inpatients: a cross-sectional study in Hungary

et al. 2022

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“…In this study, we did not include disabled people among the categories of social vulnerability, as they may be affected by a double vulnerability, social and sanitary, at the same time. However, it must be taken into account that social and medical vulnerability combined increase the risk factors for caries and periodontal disease [ 209 ].…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Cianetti

Valenti

Orso

et al. 2021

IJERPH

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Dental caries and periodontal disease represent a health problem and a social cost for the entire population, and in particular for socio-economically disadvantaged individuals who are less resistant to disease. The aim of this review is to estimate the prevalence and severity of the two dental pathologies, caries and periodontal disease, in the different classes of socio-economically disadvantaged subjects and to understand which of them are most affected. A systematic search of the literature was performed in MEDLINE (via PubMed), EMBASE and Web of Science after establishing a suitable search strategy for each database, using keywords related to socio-economically vulnerable classes and health outcomes. Socio-economically disadvantaged individuals are more susceptible to tooth decay and periodontal disease (with relative tooth loss) than non-vulnerable people. Additionally, when multiple vulnerabilities are combined in the same subject, these oral diseases worsen. There is no type of vulnerability more affected by caries and periodontitis than others, since overall they all have severe disease indices. The data from this systematic literature review might be useful for health policy makers looking to allocate more resources and services to socially disadvantaged individuals, resulting in making them more resilient to oral disease due to their social marginalization.

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“…Several studies have shown a worse quality of life in patients with compromised oral health especially in children with special needs [ 49 , 50 ]. In addition, people with disabilities report difficulties accessing dental care and finding specialized dentists and barrier-free dental offices [ 51 ]. Oral prevention, namely treatment and maintenance programs associated with careful oral hygiene procedures carried out at home, is essential to prevent oral diseases, especially in patients with rare genetic syndromes.…”

Section: Discussionmentioning

confidence: 99%

Rare Genetic Syndromes and Oral Anomalies: A Review of the Literature and Case Series with a New Classification Proposal

et al. 2021

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Rare genetic syndromes, conditions with a global average prevalence of 40 cases/100,000 people, are associated with anatomical, physiological, and neurological anomalies that may affect different body districts, including the oral district. So far, no classification of oral abnormalities in rare genetic syndromes is present in the literature. The aim of this narrative review is to analyze literature on rare genetic syndromes affecting dento-oro-maxillofacial structures (teeth, maxillary bones, oral soft tissues, or mixed) and to propose a classification according to the detected oral abnormalities. In addition, five significant cases of rare genetic syndromes are presented. The Scale for the Assessment of Narrative Review Articles (SANRA) was followed for this review. From 674 papers obtained through PubMed search, 351 were selected. Sixty-two rare genetic syndromes involving oral manifestations were found and classified. The proposed classification aims to help the clinician to easily understand which dento-oro-maxillofacial findings might be expected in the presence of each rare genetic syndrome. This immediate framework may both help in the diagnosis of dento-oro-maxillofacial anomalies related to the underlying pathology as well as facilitate the drafting of treatment plans with the involvement of a multidisciplinary team.

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Access to Dental Care—A Survey from Dentists, People with Disabilities and Caregivers

Cited by 33 publications

References 29 publications

Oral health status and its associated factors among post-stroke inpatients: a cross-sectional study in Hungary

Oral health status and its associated factors among post-stroke inpatients: a cross-sectional study in Hungary

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Rare Genetic Syndromes and Oral Anomalies: A Review of the Literature and Case Series with a New Classification Proposal

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