Dentists' willingness to provide care for patients with developmental disabilities

Ferguson, Fred; Berentsen, Barbara J.; Richardson, P

doi:10.1111/j.1754-4505.1991.tb01486.x

Cited by 33 publications

(32 citation statements)

References 28 publications

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“…18,[20][21][22] Russell and Kinirons 26 surveyed community dental officers in Northern Ireland and demonstrated that, even among these dentists, lack of experience and knowledge were common reasons given by them for not offering comprehensive dental care for special needs patients including those with learning disability. A survey by Bickley 27 investigating dental hygienists' attitudes towards treating people with learning disability demonstrated that 73.5% of the respondents considered their basic training to be inadequate for such work.…”

Section: Discussionmentioning

confidence: 99%

“…Access to routine dental care will clearly influence the oral health of community-based patients with learning disabilities. Other barriers include some dentists' unwillingness to care for such individuals due to behavioural problems, 12,18,19 financial disincentives, 18,[20][21][22] limited physical access to dental surgeries 20,23,24 and (supposed) inadequate equipment. 12,18,21 Recently, Gordon and co-workers 25 raised the issue of the client's fear and anxiety as a major barrier for adults with learning disability receiving dental care.…”

Section: Discussionmentioning

confidence: 99%

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Oral healthcare of clients with learning disability: changes following relocation from hospital to community

et al. 2003

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Objective To investigate changes in the oral healthcare of adults with learning disability after transference from long stay hospital care to community-based care. Subjects Adults with learning disability who were former residents of a single long stay hospital and who had been resettled into the community during the period April1995 to April 1998. Design Structured questionnaire with a covering letter sent to community-based carers. Hospital notes were reviewed to assess oral healthcare received as in-patients. Results There was a 68% response rate to the questionnaire from community-based carers with details obtained from 106 out of a possible 157 subjects. As residents in the hospital, all subjects were examined regularly by a dentist -yearly for edentulous and six-monthly for dentate individuals. However, attendance patterns were less regular as residents in the community. In the community, individuals were also less likely to receive operative dental treatment. Although oral hygiene regimes were generally on a daily basis only 37% of the subjects and/or their carers had received oral health education from dental professionals in the community. Conclusion Changes from institutional living to community-based housing for adults with learning disability may be associated with changes in dental attendance and treatment patterns.Despite having a similar caries experience as otherwise healthy adults, people with learning disabilities often have more untreated carious lesions, poorer oral hygiene and a higher number of missing to filled teeth than the general population. [1][2][3][4] People who also have a concomitant physical disability are more likely to have poorer oral hygiene than those without such disability. [5][6] Individuals with mild learning disabilities may have better oral hygiene and less periodontal disease in comparison with individuals whose

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Oral healthcare of clients with learning disability: changes following relocation from hospital to community

et al. 2003

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“…Several studies have shown that the complex needs of individuals with neurodevelopmental disability are not always being adequately met, including in routine care (Tiffreau et al, 2006) such as general healthcare and dental care (Bourke and Jago, 1983;Finger and Jedrychowski, 1989;Ferguson et al, 1991;Russell and Kinirons, 1993;Schultz et al, 2001;Waldman and Perlman, 2002;Al Agili et al, 2004) and many other areas like hospitalization (Buzio et al, 2002) and counseling for psychosocial and mental health problems (Cathels and Reddihough, 1993;Michaud et al, 2004).…”

Section: Personhood Justice Quality Of Life and Attitudes Toward Dmentioning

confidence: 99%

Ethics in neurodevelopmental disability

Racine¹,

Bell²,

Shevell³

2013

Ethical and Legal Issues in Neurology

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“…7 There have been few studies on the willingness of dental practices to provide dental care for people with handicaps. [8][9][10][11] These studies, conducted in North America, showed that approximately 20% of the dentists surveyed were willing to provide den-Willingness of dental practitioners tal care for people with handicaps.…”

Section: Introductionmentioning

confidence: 99%

“…11 These are cost, the need for special equipment, facilities, access and specialised training. However, dental care for people with handicaps is still dependent on the willingness of the dentist to treat.…”

Section: Introductionmentioning

confidence: 99%

The willingness of general dental practitioners to treat people with handicapping conditions: the Hong Kong experience

O’Donnell

Sheiham²,

Yeung

2002

Journal of the Royal Society for the Promotion of Health

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A study was carried out to assess the willingness of general dental practitioners in Hong Kong to treat patients with handicaps. A questionnaire and practitioner scale were developed and circulated to 400 general dental practitioners of which 250 responded giving a response rate of 62.5%. The majority of practitioners (59.6%) saw between one and five patients with handicaps per year, 15.6% saw none at all. The mean score was 33.68 (SD = 9.19) on a scale with a range from 0 to 60. The observed mean score, which was just over the halfway mark, indicated a slightly positive feeling for treating people with handicaps. Cronbach's alpha for the scale was 0.67 for the raw variables. Cronbach's alpha was sufficiently high to indicate a reliable scale for the population under investigation. It was found that although general dental practitioners were relatively enthusiastic about treating people with handicaps they felt it was not economically viable to do so. There was also a strong feeling that government should play a more prominent role in provision of dental care for this group.

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Dentists' willingness to provide care for patients with developmental disabilities

Abstract: This paper reports the results of a survey of School of Dental Medicine graduates at State University of New York at Stony Brook, regarding their willingness to treat patients with developmental disabilities in private practice. It also explored the influence of the DCDD program.

Cited by 33 publications

References 28 publications

Oral healthcare of clients with learning disability: changes following relocation from hospital to community

Oral healthcare of clients with learning disability: changes following relocation from hospital to community

Ethics in neurodevelopmental disability

The willingness of general dental practitioners to treat people with handicapping conditions: the Hong Kong experience

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