Barriers to dental care for children with special needs: General dentists' perception in Kerala, India

Adyanthaya, Amith; Sreelakshmi, N.; Ismail, Sajeela; Raheema, Marium

doi:10.4103/jisppd.jisppd_152_16

Cited by 27 publications

(12 citation statements)

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“…Majority of the practising dentists (83.7%) conveyed inadequate training as a barrier in managing these children at their private dental clinics. These findings were in congruence with a study reported by Adhyanthaya et al (2017) who stated that 84.6% of dentists felt a similar lack of training.…”

Section: Discussionsupporting

confidence: 92%

“…Around 43.8% of dentists were comfortable in delivering preventive treatments to children with disability, which concurred with findings by Adhyanthaya et al (2017) who mentioned that 30.8% of dentists gave only oral health education and preventive treatment to these clients. The study also reported that dentists had difficulty in gaining access to their mouths.…”

Section: Discussionsupporting

confidence: 83%

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Barriers in Dental Care Delivery for Children with Special Needs in Chennai, India: A Mixed Method Research

Krishnan¹,

Iyer²,

Diwakar³

2019

DCID

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Purpose: The study aimed to assess the barriers faced by children with disability, both qualitatively and quantitatively, from the perspectives of caregivers and dental practitioners.Methods: A concurrent mixed method design was used. A sample of 195 dentists and 100 caregivers was selected through convenience sampling. A pre-validated questionnaire was used to assess the barriers faced by the children with disability in their care. Focus group discussions and in-depth interviews were conducted with caregivers. Descriptive statistics were computed using SPSS version 20 and thematic analysis of qualitative data was done using NVivo software.Results: 195 dentists and 100 caregivers responded to the survey. Majority of practising dentists (83.7%) reported inadequate training in handling children with special needs, while caregivers (38%) reported fear of dentist among the children as major barriers experienced in utilising dental services.Conclusion and Implications: This study helps to identify the barriers faced by children with special healthcare needs. The findings highlight the need for hands-on training to be incorporated into the dental curriculum. It also suggests that improvements be made in dental clinics to accommodate these children in comfort. Due to limitations of the study, it is suggested that there is a need for further longitudinal studies that involve other family members of children with disability.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 83%

Barriers in Dental Care Delivery for Children with Special Needs in Chennai, India: A Mixed Method Research

Krishnan¹,

Iyer²,

Diwakar³

2019

DCID

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“…A diferencia de los factores planteados en esta investigación, Casamassimo et al (29) refieren que los factores que aumentan la probabilidad de la atención a PCD son las experiencias educativas prácticas en las escuelas de odontología sobre la atención, los cono-cimientos y una alta preparación. Sin embargo, al corroborar los resultados arrojados por esta investigación, Adyanthaya et al (30) coinciden en que los odontólogos que tenían experiencia práctica de más de 5 años encontraron barreras con mayor frecuencia, y esto fue estadísticamente significativo (P = 0.01).…”

Section: Discussionunclassified

Factores determinantes para la atención clínica odontológica de pacientes con discapacidad

Valderrama

Arredondo

Figueroa

et al. 2020

Acta Odontol. Colomb.

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Objetivo: identificar los factores, inherentes a la práctica clínica, que determinan la atención odontológica de pacientes con discapacidad. Métodos: realización de estudio descriptivo, de alcance explicativo, cuantitativo y corte transversal; aplicación de encuesta dirigida a odontólogos que ejercen como profesionales independientes, con la cual se midieron variables de caracterización, conocimientos, habilidades, percepción, infraestructura y atención del paciente con discapacidad. También, se desarrolló un análisis descriptivo, correlacional y multivariado. Resultados: no todos los odontólogos recibieron formación para la atención clínica de personas con discapacidad; algunos conocen los métodos de comunicación alternativa y aumentativa y, de estos, una mayoría representativa no los sabe manejar. Sobre la infraestructura, se identificó que esta cumple parcialmente con la normatividad y que la mayoría de los profesionales se sienten medianamente preparados para llevar a cabo esta atención, por lo que el 67,3% (99) afirmó atender esta población con sus protocolos clínicos habituales, pero, el 83,7% (123) manifestó brindar la atención solo en casos de urgencia odontológica. Los factores que determinan la atención del paciente con discapacidad están relacionados con la cantidad de pacientes asistentes, las experiencias negativas previas, las habilidades en el manejo de la consulta, la sensación de preparación y los años de experiencia clínica. Conclusiones: las experiencias negativas previas en la práctica clínica con pacientes con discapacidad son determinantes; para su disminución se sugiere la urgente implementación de técnicas comunicativas, la adecuación de infraestructura y el desarrollo de habilidades para la atención integral e inclusiva.

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“… 6 Their ability to physically access the dental clinics and offices, along with their ability to afford the cost of the treatment and inadequate financing for dental treatment, may hinder their access to dental clinics. 6 , 9 – 12 Moreover, the preparedness and willingness of dental care providers to treat patients with special needs may impact access and thus their oral health. 1 , 3 , 13 …”

Section: Literature Reviewmentioning

confidence: 99%

Preparedness and willingness of dental care providers to treat patients with special needs

Alumran¹,

Almulhim²,

Almolhim³

et al. 2018

CCIDE

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This study aimed to review the available literature about special needs dentistry, factors affecting treatment of patients with special needs, dental education, and the preparedness and willingness of dental care providers to treat patients with special needs. The study also aimed to assess the validity and reliability of available scales that measure the preparedness of dental care providers to treat patients with special needs. Forty studies from esteemed refereed journals were reviewed in this article. The topics in the study were relevant to special needs dentistry, Saudi Arabia, and dental care providers’ perceptions of treating patients with special needs. Reviewed studies were extracted from several electronic databases, such as PubMed and Medline. Studies in Saudi Arabia about special needs dentistry and the preparedness of dental care providers to treat patients with special needs are scarce. Further research in this area needs to be conducted in Saudi Arabia.

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Barriers to dental care for children with special needs: General dentists' perception in Kerala, India

Cited by 27 publications

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Barriers in Dental Care Delivery for Children with Special Needs in Chennai, India: A Mixed Method Research

Barriers in Dental Care Delivery for Children with Special Needs in Chennai, India: A Mixed Method Research

Factores determinantes para la atención clínica odontológica de pacientes con discapacidad

Preparedness and willingness of dental care providers to treat patients with special needs

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