Factors influencing caries experience among adults with physical and intellectual disabilities

Pradhan, Archana; Slade, Gary D.; Spencer, A. John

doi:10.1111/j.1600-0528.2008.00455.x

Cited by 46 publications

(53 citation statements)

References 6 publications

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“…Many reports have shown that individuals with ID have worse oral hygiene and higher rates of dental disease as compared with the general population (2)(3)(4). Until recently, studies of dental caries in individuals with ID primarily focused on children (5,6), although concerns regarding affected adults have recently been discussed (7). The oral health status of individuals with ID is related to their cognitive patterns, developmental anomalies (8), and a variety of other factors, including age, type of caregiver, and physical disability (3).…”

Section: Introductionmentioning

confidence: 99%

Five-year longitudinal study of dental caries risk associated with Streptococcus mutans and Streptococcus sobrinus in individuals with intellectual disabilities

et al. 2017

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Streptococcus mutans (S. mutans) andStreptococcus sobrinus (S. sobrinus) are important etiologic agents in human dental caries. Using quantitative real-time polymerase chain reaction assays for the presence of those strains, we examined 145 outpatients with intellectual disability (ID), calculated the proportion of each of these strains to total bacteria, and compared dental caries incidence over 5 years. Plaque samples were collected from all erupted tooth sites, and dental examinations were performed annually to determine numbers of decayed, missing, and filled teeth (DMFT score; World Health Organization caries diagnostic criteria). Elevated DMFT scores were calculated as ∆DMFT, and sites of newly affected caries (∆SNAC) were identified. Sixty-six patients had both strains. The proportion of S. mutans to total bacteria was moderately correlated with DMFT in year 2, ∆DMFT in years 2 and 5, and ∆SNAC in years 2 and 5 (correlation coefficient = 0.470, P < 0.001), while the proportion of S. sobrinus to total bacteria was moderately correlated with DMFT in years 2 and 5, ∆DMFT in years 1, 2, and 5, and ∆SNAC in years 2 and 5 (correlation coefficient = 0.695, P < 0.001). Individuals with ID who harbored both bacterial strains had a higher risk of dental caries and a significantly higher proportion of S. sobrinus to total bacteria.

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Section: Introductionmentioning

confidence: 99%

Five-year longitudinal study of dental caries risk associated with Streptococcus mutans and Streptococcus sobrinus in individuals with intellectual disabilities

et al. 2017

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“…16 In the present study, sugar intake was not shown to be significantly associated with caries experience, which disagrees with most findings in the literature. 15 However, a recent systematic review suggested that the relationship between sugar consumption and caries is presently less substantial than it was in the past. 17 One study 16 showed that female gender is a predisposing factor for dental caries, especially in the permanent dentition of disabled individuals.…”

mentioning

confidence: 99%

“…14 Nonetheless, the assistance and support of others is fundamental to the maintenance of oral health, 1 which is supported by the fact that a greater caries experience is observed in individuals with no oral hygiene assistance. 15 Along with physical limitations, individuals with CP may also exhibit some degree of cognitive impairment, which further hinders the adoption of adequate oral hygiene practices. 13 Such patients are often unable to follow instructions or understand the importance of maintaining satisfactory oral hygiene.…”

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confidence: 99%

Factors associated with dental caries in the primary dentition of children with cerebral palsy

Roberto¹,

Machado²,

Resende³

et al. 2012

Braz. oral res.

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The aim of this study was to investigate factors associated with caries experience in the primary dentition of one-to five-year-old children with cerebral palsy. A total of 266 dental records were examined, and caries experience was measured by dmft. The following variables were also analyzed: gender, oral hygiene, history of gastroesophageal reflux, use of medications for gastroesophageal reflux, gingival status, sugar intake and reports of polyuria, excessive thirst and xerostomia. For analysis purposes, the individuals were categorized as those with and without caries experience and subcategorized into the following age groups: one year; two to three years; and four to five years. After bivariate analysis, variables with a p-value < 0.25 were selected for incorporation into the Poisson regression models. Considering the limitations of the protocol, the level of oral hygiene perceived on the first appointment was the only factor associated with caries experience among two-to-fiveyear-old children with cerebral palsy.

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“…In addition, a Swiss study found a higher incidence of dental caries (tooth decay) among adults with ID who lived with family as compared to their counterparts in institutional settings (Gabre & Gahnberg, 1994). In a more recent study, adults who lived with their families were more likely to receive needed assistance with daily dental hygiene than their institutionalized counterparts, but were less likely to receive regular preventive care from a dentist (Pradhan, Slade, & Spencer, 2009). However, family relationships are also an important source of support for people with ID (Orsmond et al, 2006).…”

Section: Introductionmentioning

confidence: 96%

More Than Just a Mammogram: Breast Cancer Screening Perspectives of Relatives of Women With Intellectual Disability

Greenwood¹,

Dreyfus²,

Wilkinson³

2014

Intellectual and Developmental Disabilities

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Women with intellectual disability (ID) have similar rates of breast cancer as the general public, but higher breast cancer mortality and lower rates of regular screening mammography. Screening rates are lowest among women who live with their families. Though women with ID often make decisions in partnership with their relatives, we lack research related to family member perspectives on mammography. We conducted a qualitative study of family members of women with ID, with an interview guide focused on health care decision making and experiences, and breast cancer screening barriers, facilitators, and beliefs as related to their loved ones. Sixteen family members underwent semistructured interviews. Important themes included mammography as a reference point for other social and cultural concerns, such as their loved one's sexuality or what it means to be an adult woman; fear of having to make hard decisions were cancer to be diagnosed acting as a barrier to screening; a focus on quality of life; and desire for quality health care for their loved one, though quality care did not always equate to regular cancer screening. Adults with ID are valued members of their families, and their relatives are invested in their well-being. However, families fear the potentially complicated decisions associated with a cancer diagnosis and may choose to forgo screening due to misinformation and a focus on quality of life. Effective interventions to address disparities in mammography should focus on adults with ID and their families together, and incorporate the family context.

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Factors influencing caries experience among adults with physical and intellectual disabilities

Abstract: Residential setting was not associated with caries experience. Modifiable risk factors were diet, frequency of dental visits, no OHA and carer-contact hours.

Cited by 46 publications

References 6 publications

Five-year longitudinal study of dental caries risk associated with <i>Streptococcus mutans</i> and <i>Streptococcus sobrinus</i> in individuals with intellectual disabilities

Five-year longitudinal study of dental caries risk associated with <i>Streptococcus mutans</i> and <i>Streptococcus sobrinus</i> in individuals with intellectual disabilities

Factors associated with dental caries in the primary dentition of children with cerebral palsy

More Than Just a Mammogram: Breast Cancer Screening Perspectives of Relatives of Women With Intellectual Disability

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