Assessment of Dentist&amp;#39;s Perception of the Oral Health Care toward Child with Special Healthcare Needs: A Cross-sectional Study

Hugar, Shivayogi M; Soneta, Sanjana P; Gokhale, Niraj; Badakar, Chandrashekhar; Joshi, Riddhi S; Davalbhakta, Rucha

doi:10.5005/jp-journals-10005-1777

Cited by 5 publications

(14 citation statements)

References 8 publications

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“…These difficulties were, however, not significantly associated with sensory over‐responsivity, suggesting that for children with Down syndrome, factors other than sensory over‐responsivity influence access and utilization of preventive dental visits. Supported by our findings, dental provider education has been commonly reported as a barrier to dental care by both parents and providers of children with special healthcare needs 29,31,38,39,45–49 …”

Section: Discussionsupporting

confidence: 76%

“…These could arguably be one of the most important variables to consider when examining the impact sensory sensitivities may have on oral care, as uncooperative behaviors exhibited during care are reported to be one of the leading barriers to dentists' treatment of children with special healthcare needs. [35][36][37][38][39] Likewise, slightly more parents of children with SOR endorsed that their child had been refused care by a dentist due to their child's behavior problems than parents of SNOR children with DS.…”

Section: Discussionmentioning

confidence: 99%

“…During professional oral care, more parents of children with SOR than in SNOR reported increases in uncooperative behaviors and sensory sensitivities at the dental office, which were reported significantly more often by SOR parents to make dental care more challenging for their children. These could arguably be one of the most important variables to consider when examining the impact sensory sensitivities may have on oral care, as uncooperative behaviors exhibited during care are reported to be one of the leading barriers to dentists’ treatment of children with special healthcare needs 35–39 . Likewise, slightly more parents of children with SOR endorsed that their child had been refused care by a dentist due to their child's behavior problems than parents of SNOR children with DS.…”

Section: Discussionmentioning

confidence: 99%

“…Supported by our findings, dental provider education has been commonly reported as a barrier to dental care by both parents and providers of children with special healthcare needs. 29,31,38,39,[45][46][47][48][49] Despite reporting challenges accessing care at some time, over 95% of parents reported that their child had received a dental cleaning at least one time in the last year, with almost 50% of each group receiving two preventive visits and over 50% reporting that their child had a dental home. Interestingly, another research suggests that once families of children with Down syndrome locate a dentist, they are more likely to attend consistently than their non-Down syndrome peer or sibling, 30 which may explain the high frequency of annual visits in our study sample.…”

Section: Discussionmentioning

confidence: 99%

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Association between oral care challenges and sensory over‐responsivity in children with Down syndrome

Duker

Martínez

Lane

et al. 2021

Int J Paed Dentistry

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Background Sensory over‐responsivity has been linked to oral care challenges in children with special healthcare needs. Parents of children with Down syndrome (cDS) have reported sensory over‐responsivity in their children, but the link between this and oral care difficulties has not been explored. Aim To investigate the relationship between sensory over‐responsivity and oral care challenges in cDS. Design An online survey examined parent‐reported responses describing the oral care of their cDS (5–14 years; n = 367). Children were categorized as either sensory over‐responders (SORs) or sensory not over‐responders (SNORs). Chi‐square analyses tested associations between groups (SORs vs. SNORs) and dichotomous oral care variables. Results More parents of SOR children than of SNOR reported that child behavior (SOR:86%, SNOR:77%; p < .05) and sensory sensitivities (SOR:34%, SNOR:18%; p < .001) make dental care challenging, their child complains about ≥3 types of sensory stimuli encountered during care (SOR:39%, SNOR:28%; p = .04), their dentist is specialized in treating children with special healthcare needs (SOR:45%, SNOR:33%; p = .03), and their child requires full assistance to brush teeth (SOR:41%, SNOR:28%; p = .008). No intergroup differences were found in items examining parent‐reported child oral health or care access. Conclusions Parents of SOR children reported greater challenges than parents of SNOR children at the dentist’s office and in the home, including challenging behaviors and sensory sensitivities.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association between oral care challenges and sensory over‐responsivity in children with Down syndrome

Duker

Martínez

Lane

et al. 2021

Int J Paed Dentistry

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“…The questions were obtained from different published articles and were modified and condensed to 13 items. [8][9][10][11][12] The participants were also required to fill out their demographic details as well as years of experience and designation. The questionnaire used 5-point Likert's scale for standardization.…”

Section: Methodsmentioning

confidence: 99%

Perception of oral health professionals towards oral health care in children with attention deficit hyperactivity disorder: a cross-sectional questionnaire study

Karmarkar,

Hugar,

Badakar

et al. 2024

Int J Contemp Pediatr

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Background: Attention deficit hyperactivity disorder is one of the most common psychiatric disorders that affects both children and adults and is characterized by inattention, hyperactivity, and impulsivity. Around 9% of worlds’ child population and 20% of India’s is affected by ADHD. A child with ADHD can often have neglected or poor oral hygiene. Attending to the dental treatment of such children can be a challenging task for dentists. The aim of the study was to assess the knowledge, attitude, and practices of oral health care towards children with ADHD among oral health professionals. Methods: The study was carried out among 151 oral health professionals using a validated questionnaire. The results were tabulated in an excel sheet and analysed using SPSS software version 22.0. Results: It was found that among the participants, 71.52% had knowledge scores below the mean knowledge score, while 74.83% had attitude scores below the mean and likewise, 53.64% had practice scores below the mean practice scores. A positive correlation was found between knowledge, attitude, and practice by Karl Pearson’s correlation coefficient with a highly statistically significant p value of 0.0001 (p<0.05). This signified low knowledge correlated with less positive attitude leading to poor practices. Conclusions: Majority of the participating professionals perceive that their training did not prepare them well to treat ADHD affected children. However, practice levels were better among those with more years of experience.

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Accessibility of Patients With Special Healthcare Needs to Dental Care in the Eastern Province of Saudi Arabia: A Multicentre Study From Perspective of Caregiver and Dental Care Providers

Ezzeldin,

Algahtani,

Alghannam

et al. 2024

The Scientific World Journal

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Dental care accessibility is subject to a dentist’s qualification, practice and intention to treat patients, regardless of whether those patients have special healthcare needs (SCN) and should receive treatment in a dental setting. This multicentre study aimed to evaluate the characteristics of patients with SCN, their access to dental care and behaviour towards dental care from their caregiver’s perspective. In addition, the perspective of dental care providers who care for patients with SCN and the factors affecting the provision of treatment was also appraised. The Eastern Province of Saudi Arabia served as the site of this cross‐sectional study from 1 February 2020 to 31 January 2022. Caregivers of 272 patients with SCN, regardless of age and gender, were recruited in the study. The caregiver’s proforma sought information on the demographic characteristics, type of disability, cooperation, medical history, occupation of the parent and patient’s behaviour towards oral hygiene and dental healthcare. The second proforma had the dental care provider’s perspective about the common disabilities, factors that affect the decision to provide treatment, difficulties patients face in getting their dental treatment and, from the dentist’s experience, recommendations to improve the access to dental care for patients with SCN. Statistical analysis was carried out by using SPSS version 22.0. The demographic features, caregiver’s perception about oral healthcare accessibility and dental professional’s point of view were presented as frequencies and percentages. Chi‐square test was applied to compare the proportions. The majority of the caregivers were satisfied with the dental service providers (91.9%) for their patients with SCN. The dental care provider’s survey results indicated a shortage of dentists (54.7%) in the region and other factors that pose challenges to special care, like the severity of the disability of patients with SCN (50%), family structure (46.7%), treatment cost (35.6%) and transportation (32.8%). Patients with SCN in Saudi Arabia had a high appraisal of access to dental care and were very satisfied with dental treatment results. However, the presence of a dental care provider in the same rehabilitation centre was a major concern. The severity of the disability and the patient’s cooperation were the major factors that may have affected the decision of the dental care provider.

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Assessment of Dentist's Perception of the Oral Health Care toward Child with Special Healthcare Needs: A Cross-sectional Study

Cited by 5 publications

References 8 publications

Association between oral care challenges and sensory over‐responsivity in children with Down syndrome

Association between oral care challenges and sensory over‐responsivity in children with Down syndrome

Perception of oral health professionals towards oral health care in children with attention deficit hyperactivity disorder: a cross-sectional questionnaire study

Accessibility of Patients With Special Healthcare Needs to Dental Care in the Eastern Province of Saudi Arabia: A Multicentre Study From Perspective of Caregiver and Dental Care Providers

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