Dental health care for children with Down syndrome: Parents’ description of their children's needs in dental health care settings

Stensson, Malin; Norderyd, Johanna; Riper, Márcia Van; Marks, Luc; Björk, Maria

doi:10.1111/eos.12859

Cited by 4 publications

(7 citation statements)

References 34 publications

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“…It is also noteworthy that the management of halitosis by dentists can result in patient satisfaction and contribute to greater adherence to dental treatment 44 . Parents of individuals with DS have manifested that dental health care professionals need knowledge and expertise in caring for children with DS in order to provide a tailored approach to meet their unique needs 45 …”

Section: Discussionmentioning

confidence: 99%

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Factors associated with halitosis reported by parents/caregivers in individuals with Down syndrome

Campos

Costa

Borges‐Oliveira

et al. 2023

Special Care in Dentistry

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AimsData on halitosis among individuals with Down syndrome (DS) are scarce. The aim was to evaluate factors associated with the occurrence of halitosis reported by parents/caregivers (P/Cs) in individuals with DS.Methods and ResultsA cross‐sectional study was conducted in non‐governmental assistance institutions in the State of Minas Gerais—Brazil. P/Cs have answered an electronic questionnaire with sociodemographic, behavioral and oral health data. Factors associated with halitosis were evaluated by multivariate logistic regression. The sample comprised 227 P/Cs (age 48.8 ± 13.2 years; 82.9% mothers) of individuals with DS (age 20.8 ± 13.5 years). The prevalence of halitosis in the total sample was 34.4% (n = 78) and its occurrence was associated: 1) in individuals with DS ≤18 years old (26.2%; n = 27)—negative perception of oral health (OR = 3.91); 2) in individuals with DS > 18 years (41.1%; n = 51)—gingival bleeding (OR = 4.53), absence of tongue brushing (OR = 4.50), negative perception of oral health (OR = 2.72).ConclusionsThe occurrence of halitosis in individuals with DS reported by P/Cs was relevant and associated with dental factors, having a negative impact on the perception of oral health. Oral hygiene practices, especially tongue brushing, should be reinforced to prevent and control halitosis.

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Section: Discussionmentioning

confidence: 99%

“…44 Parents of individuals with DS have manifested that dental health care professionals need knowledge and expertise in caring for children with DS in order to provide a tailored approach to meet their unique needs. 45…”

Section: Discussionmentioning

confidence: 99%

Factors associated with halitosis reported by parents/caregivers in individuals with Down syndrome

Campos

Costa

Borges‐Oliveira

et al. 2023

Special Care in Dentistry

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“…Consistent with prior research [ 2 , 45 ], we found a significant association between unmet dental needs and SHCN status in adolescents. This could potentially be related to parents' lack of information about oral health and dental clinics and services available for this age group [ 46 , 47 ], lack of proper communication between the parents and dental team [ 47 ], and dental professional limited knowledge and skills related to treating this population [ 17 ]. In addition, some parents of children with SHCN may be unaware of dental services available to them, which puts their children at a higher risk of unmet dental needs.…”

Section: Discussionmentioning

confidence: 99%

“…In turn, this can lead to reduced adherence to healthy behaviors such as oral self-care and regular dental attendance for children. Previous work [ 47 ] has suggested that providing parents of children with SHCN with support and tools prior to the dental visit can improve not only child attendance but also involvement during the dental clinic. This is in line with Imms and colleagues' work [ 54 ], which identified parental support as a key extrinsic factor that facilitates children's participation [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Parental psychosocial factors, unmet dental needs and preventive dental care in children and adolescents with special health care needs: A stress process model

et al. 2022

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Background Children and adolescents with special health care needs (SHCN) have higher unmet dental needs, but the potential mechanisms by which parental factors can influence dental care use have not been determined. Parenting a child with SHCN can present special demands that affect parents’ well-being and, in turn, their caregiving. Hence, the study's overall aim was to apply the stress process model to examine the role of parental psychosocial factors in the association between child SHCN and dental care. Specifically, the study tested hypotheses regarding how (a) children’s SHCN status is associated with child dental care (unmet dental needs and lack of preventive dental visits), both directly and indirectly via parental psychosocial factors (parenting stress, instrumental, and emotional social support) and (b) parental social support buffers the association between parenting stress and child dental care. Methods A secondary data analysis of the 2011–2012 US National Survey of Children’s Health was performed for 6- to 11-year-old children (n = 27,874) and 12- to 17-year-old adolescents (n = 31,328). Our age-stratified models estimated associations between child SHCN status and parental psychosocial factors with two child dental care outcomes: parent-reported unmet child dental needs and lack of preventive dental care. Results Parents of children with (vs without) SHCN reported higher unmet child dental needs, higher parenting stress, and lower social support (instrumental and emotional). Instrumental, but not emotional, parental support was associated with lower odds of their child unmet dental needs in both age groups. The association between parenting stress and child dental care outcomes was modified by parental social support. Conclusion Differences existed in child unmet dental needs based on SHCN status, even after adjusting for parental psychosocial factors. SHCN status was indirectly associated with unmet dental needs via parental instrumental support among adolescents, and parental instrumental support buffered the negative association between parenting stress and both child dental care outcomes. Hence, parental social support was an important determinant of child dental care and partially explained the dental care disparities in adolescents with SHCN.

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“…The dental management of children with DS generally is not different from that of other healthy children [ 7 ]. There is a commonality that good collaboration between dentists, parents, and patients is important [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management

Sari,

Primarti,

Setiawan

2024

Case Reports in Dentistry

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Background. Managing dental care in children with special health care needs poses distinct challenges. This case report explores these challenges within the context of a 9‐year‐old boy with Down syndrome (DS) facing dental treatment refusal. Case Report. Over ten months and 13 visits, a tailored approach was devised for the patient who presented with multiple cavities and retained primary teeth. Key strategies included gradually introducing dental procedures, including tooth brushing, intraoral examination, tooth preparation, extraction, and myofunctional therapy. Behaviour guidance techniques include tell‐show‐do, desensitization, positive reinforcement, and close collaboration between dental professionals and the patient’s mother. Discussion. This methodical approach helped overcome the child’s initial refusal without sedation or general anaesthesia, facilitating successful dental care. Conclusion. This case emphasizes the effectiveness of patient‐centred strategies and detailed communication in pediatric dentistry for children with DS, providing valuable insights for managing similar challenges in dental care.

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Dental health care for children with Down syndrome: Parents’ description of their children's needs in dental health care settings

Cited by 4 publications

References 34 publications

Factors associated with halitosis reported by parents/caregivers in individuals with Down syndrome

Factors associated with halitosis reported by parents/caregivers in individuals with Down syndrome

Parental psychosocial factors, unmet dental needs and preventive dental care in children and adolescents with special health care needs: A stress process model

Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management

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