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

Fisher, Kathleen

doi:10.1155/2012/860692

Cited by 27 publications

(30 citation statements)

References 25 publications

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“…Our results bring additional data to previous research that proposes a number of individual, carer and social barriers contributing to oral health problems in the intellectually disabled [5,33]. Several researchers have linked greater disable severity with poorer caries scores [24,34], a finding that was present in our sample but only in association with the number of decayed teeth as a separate entity.…”

Section: Discussionsupporting

confidence: 74%

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Diab¹,

Salameh²,

Hamadeh³

et al. 2017

JOMR

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ObjectivesTo assess the dental status of institutionalized intellectually disabled individuals in Lebanon and the role of background and behavioural determinants.Material and MethodsOral health was recorded for 652 individuals (6, 12, 15 and 35 - 44 years old) using the decayed, missing and filled teeth/decayed and filled teeth (DMFT/dft) index. Data collected was statistically analysed with statistical significance set at P = 0.05.ResultsOverall, mean DMFT index score was 5.86 (SD 6); composed of 3.64 (SD 4.05) decayed (D) teeth; 1.71 (SD 4.38) missing (M) teeth; 0.87 (SD 2.51) filled (F) teeth. DMFT was highest in adults (12.71 [SD 7.43]) and had a large component of missing (6.24 [SD 7.02]) and filled (3.31 [SD 4.56]) teeth. DMFT scores ranged between 3.5 (SD 4.44) at 6 years and 4.8 (SD 4.52) at 15 years and the decayed component was the main contributor. In multivariate analyses, governorate of residence was statistically significantly (P ≤ 0.040 and P ≤ 0.044) associated with D and DMFT, the degree of disability and caretaker educational level were statistically significantly (P = 0.009 and P = 0.008) associated with D, oral hygiene practices were statistically significantly (P ≤ 0.017; P < 0.001; P ≤ 0.017; P < 0.001) associated with D, M, F and DMFT and sugar consumption was statistically significantly (P ≤ 0.03 and P ≤ 0.019) associated with D and DMFT.ConclusionsIn Lebanon, preventive and treatment programs to improve the oral health status of institutionalized intellectually disabled subjects are needed.

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Section: Discussionsupporting

confidence: 74%

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Diab¹,

Salameh²,

Hamadeh³

et al. 2017

JOMR

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“…3,15,19,20 . Neste contexto, verifica-se a importância de orientar os cuidadores quanto às alterações bucais decorrentes da medicação, seus efeitos deletérios na dentição e a importância da escovação após sua administração 15,21 .…”

Section: Conclusãounclassified

Avaliação das condições periodontais e de higiene bucal em escolares com transtornos neuropsicomotores

Nasiloski

Silveira

Neto

et al. 2015

Rev. odontol. UNESP

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ResumoIntrodução: A doença cárie e as alterações periodontais são problemas frequentemente encontrados em pacientes com deficiência. Objetivo: Avaliar as condições periodontais e de higiene bucal em escolares com deficiência neuropsicomotora matriculados em um centro de reabilitação. Método: A pesquisa envolveu entrevista com os responsáveis e exame clínico do escolar, para registro do índice de placa e do índice de sangramento. Após o exame, foi realizada profilaxia profissional, orientação de higiene bucal e esclarecimento de dúvidas. Os dados foram observados por meio de estatística descritiva. Resultado: A amostra foi constituída por 41 escolares com deficiência neuropsicomotora, com idades entre sete e 14 anos, sendo 20 do sexo feminino (48,8%) e 21 do sexo masculino (51,2%), e com idade média de 10,8 anos. A maioria dos pacientes tinha a figura da mãe como principal cuidador (85%). Observou-se que 71% dos escolares necessitavam de ajuda para realizar a higiene bucal e quase 40% dos cuidadores apresentavam dificuldade para realizá-la, principalmente pelo fato de o paciente "não abrir a boca". Quase a totalidade dos escolares não usava fio dental. Constatou-se, ainda, que 87,2% apresentaram sangramento gengival à sondagem e que, em 84,7%, verificou-se índice de placa maior ou igual a '2' . Conclusão: Concluiu-se que os escolares com deficiência neuropsicomotora incluídos neste estudo apresentaram condições periodontais e de higiene bucal insatisfatórias, demonstrando a necessidade de serem instituídas ações preventivas focadas na orientação aos pacientes e cuidadores, para a efetividade da higiene bucal.Descritores: Higiene bucal; pessoas com deficiência; gengivite. AbstractIntroduction: Caries and periodontal disease are problems frequently affecting patients with disabilities. Objective: In this study we aim to evaluate the periodontal conditions and the oral hygiene in students with neuropsychomotor disorders enrolled in a rehabilitation center. Method: Data collect was based in interview with the responsible and the scholar's clinical exam to register the plaque index and the bleeding index. After the clinical exam were performed professional prophylaxis, oral hygiene orientation and explanation of doubts. Result: The sample consisted of 41 students with neuropsychomotor disabilities, with ages among 7 and 14 years, 20 females (48.8%) and 21 males (51.2%) with a mean age of 10.8 years. Most patients had the figure of the mother as primary caregiver (85%). It was observed that 71% of students need help in performing oral hygiene and nearly 40% of caregivers had difficulty doing it, in most of the cases because the patient "did not open his mouth". Almost the totality of the students doesn't use dental floss. It was also found that 87.2% had gingival bleeding and 84.7% had the plaque index greater or equal to 2. Conclusion: It was concluded that disabled students included in this study had bad periodontal conditions and poor oral hygiene. It shows the need of preventive programs to guide themselves and the...

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“…While many persons with special health care needs (SHCNs) may be able to receive treatment in a typical dental office setting with minimal equipment and management, this patient cohort still faces many obstacles in finding a dental home. The access to care issues is multifactorial, and includes cost, travel, and limited numbers of practitioners willing and comfortable treating this patient population …”

Section: Introductionmentioning

confidence: 99%

“…The access to care issues is multifactorial, and includes cost, travel, and limited numbers of practitioners willing and comfortable treating this patient population. [10][11][12][13][14][15][16][17][18] Cost of oral health care is also often a major factor since the majority of individuals with disabilities in the United States are less likely to have private dental insurance and may be uninsured or be eligible for Medicaid. In fact, nearly half, 48%, depend on Medicaid for their health insurance.…”

mentioning

confidence: 99%

Using the web to increase access to oral health care for patients with special health care needs in South Carolina: A replicable model

Ziegler

Pilcher

2020

Special Care in Dentistry

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Aim To create an accessible web‐based resource of providers willing to provide dental services for patients with special health care needs (SCHNs). Methods With a grant from The Duke Endowment, surveys were sent to dentists in South Carolina Results Data showed that the majority of providers expressed willingness to treat patients with one or more mild SHCN, but fewer expressed willingness to treat those with one or more moderate or severe SHCN. Additionally, the data showed that among general practitioners specifically, only one‐third were willing to treat mild and moderate/severe manifestations of all categories listed. The number of practitioners willing to treat moderate to severe manifestations of SHCN and accept Medicaid and willing to take new Medicaid patients dropped even further. These results demonstrated a need to increase the number of providers in South Carolina who are willing to treat patients with SHCN, and a need to provide an accessible resource for patients with SHCN to be able to find these providers. Data collected populated the web‐based resource for the Special Adult Network of Dentists http://url:www.sandsc.org1 Conclusion This resource may be used by patients, caregivers, and health care providers and could be replicated in other states or designed as a national resource.

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

Cited by 27 publications

References 25 publications

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Avaliação das condições periodontais e de higiene bucal em escolares com transtornos neuropsicomotores

Using the web to increase access to oral health care for patients with special health care needs in South Carolina: A replicable model

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