Oral health care for patients with developmental disabilities: A survey of Michigan general dentists

Byrappagari, Divesh; Jung, Young–Jin; Chen, Kelvin

doi:10.1111/scd.12303

Cited by 19 publications

(30 citation statements)

References 18 publications

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“…Parents with either private or public health insurance policies were more likely to self-report that their children had all their OH needs met. 2c). Perspectives of dentists Byrappagari, Jung & Chen, 2018 (USA) [67]Cross–sectional studyExamine level of access individuals with DD have to dental care and explore the dentists’ practices, attitudes and barriers to providing care to this population.279 dentists (male 75.6%)Most dentists provided care for people with DD (80.3%) and 58% were confident to do so. All dentists identified training and better reimbursement for services as key to improving care for these patients.…”

Section: Resultsmentioning

confidence: 99%

“…Byrappagari et al [67] examined the perspectives of dentists ( n = 291) in Michigan, USA of providing care to people with IDD. The results indicated the following barriers: 1) behaviour management problems; 2) inadequate training/experience; 3) severity of patient’s condition; 4) inadequately trained staff; and 5) the additional time required to treat versus inadequate reimbursement.…”

Section: Resultsmentioning

confidence: 99%

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Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review

et al. 2019

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Background: People with intellectual and developmental disability (IDD) have poor oral health and need support to maintain optimal oral health outcomes. Little is known about how, when and where to intervene for this population. Thus the aim of this review was to summarise the existing evidence surrounding improving oral health outcomes for people with IDD. Methods: A scoping literature review was conducted focusing on 'oral health' and 'intellectual disability'. Systematic searches of five electronic databases were conducted in line with the study aims and two authors independently examined all records for relevance, with consensus achieved by a third author. Results: A small number of approaches and interventions were identified to support people with IDD to independently maintain optimal oral hygiene. Identified studies highlighted that caregivers play a vital role in the provision of oral health support, emphasising the effectiveness of educational interventions for caregivers. However, there was uncertainty regarding the efficacy of specific tooth brushing interventions for people with IDD. In cases of more severe IDD and/or dental-related behavioural problems, dental treatment under general anaesthesia was often both a necessary and effective method of oral health care provision. The findings also identified outreach and exclusive oral health services as successful strategies for increasing the limited access of people with IDD to oral care services. Conclusions: A uniform approach to supporting oral health for people with IDD is unlikely to succeed. A systembased approach is needed to address the diverse needs of the population of people with IDD, their caregivers and service context. Further high quality evidence is required to confirm these findings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review

et al. 2019

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“…In particular, the groups analyzed in the present study were the following: Two different questionnaires, one for each group, were prepared. The optimization of the detection tools started from the analysis of questionnaires in the literature [13,24], then moving forward with some interviews to ANFFAS operators and family members or caregivers as well as to dentists.…”

Section: Study Design and Sample Selectionmentioning

confidence: 99%

Access to Dental Care—A Survey from Dentists, People with Disabilities and Caregivers

D’Addazio

Santilli

Sinjari

et al. 2021

IJERPH

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The literature highlights differences in the dental conditions of people with disabilities compared with the general population. The aim of this study was to provide an overview of the dental health of people with disabilities in order to understand if their needs are met and to identify their most critical issues as per dentists. A paper and a Google Form platform were used in conducting a survey in Central Italy (the Abruzzo region), by performing an analysis on different points of view as reported by people with disabilities and dentists. The results showed that only 69.2% of dentists treat persons with disabilities. Of these, 73.5% treat less than 10 patients with physical disabilities per year. However, 54% of dentists do not treat people with cognitive impairment and a poor ability to collaborate during treatment. More than 80% of respondent dentists report that people with disabilities do not have good oral hygiene. On the other hand, 49.1% of people with disabilities (or their caregivers in cases where the patient was unable to answer) report that they rarely or never go to the dental office. Moreover, when they do go, it is mainly for emergencies. Despite this, respondents are well aware of their dental problems. However, they have difficulties in communicating their dental problems to their dentist. The 50% of dentists who treat people with cognitive impairment do not include them in follow-up, while only 20% of these patients reported being regularly recalled. This illustrates the importance of the implementation of follow-up. In addition, training courses could help clinicians to reduce this gap and create barrier-free dental offices.

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“…Patient anxiety and noncompliance during examinations is a commonly cited barrer to receiving routine dental care (Duker et al, 2017 ; Gabre et al, 1999 ; Morgan et al, 2012 ; Wilson et al, 2019 ; Zhou et al, 2017 ). Research suggests that many individuals with IDD may engage in problem behavior to escape dental examinations (Altabet, 2002 ; Cumella et al, 2000 ; Kupzyk & Allen, 2019 ) and that dentists may exclude individuals with IDD from their practice as a result of these behavioral difficulties (Byrappagari et al, 2018 ; Casamassimo et al, 2004 ; Derbi et al, 2016 ; Duker et al, 2017 ). Some dental professionals also may require the use of restraints, sedation, or anesthesia to treat patients with IDD (Boynes et al, 2010 ; Connick et al, 2000 ; Dougherty, 2009 ).…”

mentioning

confidence: 99%

“…In light of these findings, it is not surprising that dental students and professionals often report feeling unprepared to serve this population (e.g., Byrappagari et al, 2018 ; Dao et al, 2005 ; Wolff et al, 2004 ; see also El-Yousfi et al, 2019 , for a review). For example, in a survey of 562 dental students and professionals, only about 38% reported that their dental education well prepared them to serve this population and only about half reported that they planned to treat or currently treated patients with disabilities (Smith et al, 2006 ).…”

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confidence: 99%

Remote Training of Dental Students and Professionals to Promote Cooperative Behavior in Patients with Intellectual and Developmental Disabilities

et al. 2022

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Many individuals diagnosed with intellectual and developmental disabilities (IDD) are uncooperative during routine dental exams, leading to poor oral health in this population. Few studies have evaluated methodologies for preparing dental students and professionals to work effectively with patients diagnosed with IDD. In this study, experimenters used remote behavioral skills training (BST) to train dental students and professionals how to implement a practical intervention that included tell-show-do, contingent praise, and noncontingent reinforcement. Results suggested that group training conducted via videoconferencing was effective for teaching six of seven participants to implement the intervention in the absence of post-training feedback. This approach appears useful for quickly and efficiently training current and future dental professionals to implement behavior techniques to promote patient compliance.

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Oral health care for patients with developmental disabilities: A survey of Michigan general dentists

Abstract: A majority of Michigan general dentists treat patients with developmental disabilities. Addressing barriers like training and improved reimbursements might help in increasing the number of dentists willing to treat patients with developmental disabilities.

Cited by 19 publications

References 18 publications

Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review

Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review

Access to Dental Care—A Survey from Dentists, People with Disabilities and Caregivers

Remote Training of Dental Students and Professionals to Promote Cooperative Behavior in Patients with Intellectual and Developmental Disabilities

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