Dental Education and People with Special Needs

Glassman, Paul

doi:10.1002/j.0022-0337.2014.78.8.tb05779.x

Cited by 3 publications

(5 citation statements)

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“…Previous research has questioned whether priorities produced by public opinion surveys are relevant or useful for decision-makers [32] and the results of this Delphi survey may similarly be questioned, especially if one attempts to infer from an Irish context to other areas. While poor oral health among people with disabilities appears to be a global phenomenon [33] , [34] , it is unlikely that the priorities for dental services will be the same internationally. Similar processes could be undertaken in other countries within the policy, practice and cultural norms of other societies.…”

Section: Discussionmentioning

confidence: 99%

What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey

et al. 2014

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BackgroundThis study aimed to generate prioritised goals for oral health services for people with disabilities as a first step in meeting the need for evidence based oral health services for people with disabilities in Ireland.MethodsThe study used a three round modified e-Delphi method, involving dental service professionals and people with disabilities or their representatives, in Ireland. Three rounds were completed online using SurveyMonkey. Round 1 asked: “List what you think dental services for people with disabilities in Ireland should be like.” Items for subsequent rounds were generated from responses to Round 1. Round 2 and Round 3 used 5 point Likert scales to rank these items by priority: from No Priority (1) to Top Priority (5). Consensus was achieved on each item where at least 80% of respondents considered an item either High or Top Priority. A consensus meeting concluded the process.ResultsSixty-one panelists started and 48 completed the survey. The Delphi panel agreed on level of priority for 69 items and generated 16 consensus statements. These statements covered a range of topics such as access to care, availability of information and training, quality of care, dental treatment and cost. A recurrent theme relating to the appropriateness of care to individual need arose across topics suggesting a need to match service delivery according to the individual's needs, wants and expectations rather than the disability type/diagnosis based service which predominates today.ConclusionsThis process produced a list of prioritised goals for dental services for people with disabilities. This creates a foundation for building evidence-based service models for people with disabilities in Ireland.

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Section: Discussionmentioning

confidence: 99%

What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey

et al. 2014

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“…The effect of disabling conditions are many and varied, but one of the most common effects is inability to maintain oral health. [ 7 ] The three principal components - impairment, disability and handicap - would operate independently, with impairment addressing impact on the body; disability to impact on the person; and handicap to impact on the person interacting with the environment. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

Oral hygiene and periodontal status of teenagers with special needs in the district of Nalgonda, India

Ameer¹,

Neerudu²,

Palakuru³

et al. 2012

J Indian Soc Periodontol

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Objectives:To assess oral hygiene status, oral hygiene practices and periodontal status among 14-17-year-old visually impaired, deaf and dumb, intellectually disabled and physically challenged and normal teenagers in the district of Nalgonda, South India.Materials and Methods:Seven hundred and fifty teenagers in the age group of 14-17 years, constituting visually impaired, deaf and dumb, intellectually disabled, physically challenged and normal teenagers, were studied. Oral hygiene status and periodontal status were assessed using clinical indices and compared.Results:Among the five groups chosen for the study, the intellectually disabled group had the highest plaque scores and poor oral hygiene. The visually impaired and deaf and dumb had better oral hygiene compared with other disability groups. Physically handicapped showed higher loss of attachment scores and deleterious and parafunctional habits. Normal teenagers had good oral hygiene and lower plaque scores. Oral health status relied basically on proper use of oral hygiene aids and training of the groups by their care takers.Conclusion:Disabled groups showed poor oral hygiene and higher incidence of periodontal disease, which may be attributed to the lack of coordination, understanding, physical disability or muscular limitations. Hence, more attention needs to be given to the dental needs of these individuals through ultimate, accurate and appropriate prevention, detection and treatment.

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“…An estimated 76% of parents reported the need for dental services in the prior 12 months, and of these 13% did not receive care. The researchers identified a link with lower income and failure to obtain routine medical care as a risk for failure to obtain dental care [ 26 ]. While access to dental care services presents its own challenges, individuals with I/DD vary considerably in their abilities to cooperate in the dental setting and treatment is usually more difficult when services are obtained.…”

Section: Unmet Need For Dental Care and Servicesmentioning

confidence: 99%

“…Numerous reports cite lack of access to dental care and services as a critical problem for those with special needs [ 6 , 16 , 26 ]. Since the mid-1970s approximately two-thirds of individuals previously living in institutions were moved into the community.…”

Section: Access Issues: Lack Of Education Reimbursement Stigmamentioning

confidence: 99%

“…Approximately 80% of those without disability are covered by private health insurance; only 44% of those with severe disability have private insurance, with approximately 40% having government insurance only and 17% with no insurance at all [ 16 ]. Needless to say, having insurance is significantly associated with more physician contacts, which has been associated with dental visits for individuals with disabilities [ 26 ].…”

Section: Compensation Issues For Servicesmentioning

confidence: 99%

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Is There Anything to Smile about? A Review of Oral Care for Individuals with Intellectual and Developmental Disabilities

Fisher

2012

Nursing Research and Practice

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Individuals with intellectual and developmental disabilities (I/DD) are at risk for dental disease and face substantial challenges in accessing both routine and preventive dental services. In terms of unmet needs it ranks third, following residential services and employment opportunities for this particular group of people. Poorer oral health status negatively impacts overall health and one’s quality of life. Factors contributing to this problem include significantly higher rates of dental caries, periodontal disease, poor oral hygiene, low expectations, fear of treatment, and lack of awareness among individuals and carers. Additional factors include problems accessing dental care or denial of services because of inadequate education and clinical training, inappropriate bias, or inadequate levels of compensation to providers. Strategies to improve service delivery include individualized and coordinated care services, education of individuals, carers, and providers, including both classroom and clinical experiences with special needs patients in dental programs.

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Dental Education and People with Special Needs

Cited by 3 publications

References 1 publication

What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey

What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey

Oral hygiene and periodontal status of teenagers with special needs in the district of Nalgonda, India

Is There Anything to Smile about? A Review of Oral Care for Individuals with Intellectual and Developmental Disabilities

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