Oral health knowledge and attitude among caregivers of special needs patients at a Comprehensive Rehabilitation Centre: An Analytical Study

Shah, Abdul Haleem; Naseem, Mustafa; Ms, Khan; Asiri, Faris Yahya; AlQarni, Ibrahim Ali Mohammed; Gulzar, Shabnam; Nagarajappa, Ramesh

doi:10.11138/ads/2017.8.3.110

Cited by 27 publications

(26 citation statements)

References 26 publications

(37 reference statements)

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“…Two things remain unclear however: i) the length of time the effects of the educational interventions last; and ii) how unpaid family caregivers could access these educational opportunities. The first issue is vital; just because caregivers know how to clean teeth, does not mean that they know the value of oral hygiene [27]. Staff motivation to provide support that is enabling and of high quality differs depending on organisational culture [74, 75].…”

Section: Discussionmentioning

confidence: 99%

“…Studies also revealed that lower caregiver education was associated with greater caregiver burden and less preventative dental care use [26]. Caregivers’ attitude towards oral health of special needs patients was found relatively unsatisfactory even though their knowledge was adequate [27]. If interventions to improve the oral health of people with IDD are to be implemented effectively, barriers faced by caregivers should be identified and carefully considered in the investigation and evaluation of these interventions.…”

Section: Introductionmentioning

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: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

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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“…Since SCPs highly dependent on their caregivers’ perception toward oral health, this could be the reason of the lack of SCPs in dental practice encountered by the participants in this study. It is documented that caregivers of SCP understood that oral care was important, however, there were still some who thought that it was not essential and dental visits should only be performed when the patients were in pain [ 40 ]. Preventive measure for this cohort will always require the cooperation, positive attitude, and continued interest and treatment priorities of the caregivers.…”

Section: Discussionmentioning

confidence: 99%

Special care dentistry perception among dentists in Jakarta: An online survey study

et al. 2021

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Special Care Dentistry (SCD) or Special Needs Dentistry is a branch of dentistry concerned with the oral health of people with a variety of medical conditions or limitations that require more than routine delivery of care. There were reports on oral status of special care patients and special interest group for SCD dentists in Indonesia has existed. However, there was not perception report on SCD amongst dentists in Jakarta. This paper will describe the perception of dentists in Jakarta towards SCD. A cross-sectional questionnaire, translated and cross adapted to Indonesian, was distributed online through Whatsapp to dentists registered in Jakarta late 2019. Quantitative data was analyzed using statistical software for proportion and correlation using Chi-Square test. The questionnaire explored dentists’ perception towards SCD. A total of 250 dentists participated in this study, of them 173 general practitioners and 77 specialist dentists. Most respondents reported that they did not have SCD component during undergraduate dental school and did not provide treatment to patients with special needs in their clinical practice. Most respondents have poor perception of SCD, however, most of the respondents showed motivation and interest towards SCD training. Dentists in Jakarta involved in this study had poor perception of SCD. More efforts should be performed to improve SCD education and awareness.

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“…We also speculate that with appropriate training, the spatula may aid toothbrushing by caregivers, who also have difficulty accessing the oral cavity of people with disability and thus struggle to provide adequate preventive oral care [ 43 – 45 ]. Studies on this issue are pending.…”

Section: Discussionmentioning

confidence: 99%

Efficacy, tolerability, and safety of an innovative medical device for improving oral accessibility during oral examination in special-needs patients: A multicentric clinical trial

Mogenot¹,

Hein-Halbgewachs²,

Goetz³

et al. 2020

PLoS ONE

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Background People with special needs have high unmet oral healthcare needs, partly because dentists find it difficult to access their oral cavity. The Oral Accessibility Spatula aims to improve oral accessibility. This prospective multicenter interventional open-label non-randomized patient-self-controlled trial assessed the ability of the spatula to improve the oral accessibility of special-needs patients during dental examinations. Methods The cohort was a convenience sample of minor and adult patients with special needs due to physical, intellectual, and/or behavioral disorders who underwent dental check-up/treatment in five French tertiary hospitals/private clinics in 2016-2018 and evinced some (Venham-Score = 2-4) but not complete (Venham-Score = 5) resistance to oral examination. After inclusion, patients underwent oral examination without the spatula and then immediately thereafter oral examination with the spatula. Primary outcome was Oral Accessibility Score (0-12 points; higher scores indicate visualization and probing of the tooth sectors). Secondary outcomes were patient toleration (change in Venham-Score relative to first examination), safety, and Examiner Satisfaction Score (0-10; low scores indicate unsatisfactory examination).

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Oral health knowledge and attitude among caregivers of special needs patients at a Comprehensive Rehabilitation Centre: An Analytical Study

Abstract: Caregivers showed a deficiency in the proper oral health attitude. To improve oral health attitudes of caregivers, dental education plus training programs should be given high priority.

Cited by 27 publications

References 26 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

Special care dentistry perception among dentists in Jakarta: An online survey study

Efficacy, tolerability, and safety of an innovative medical device for improving oral accessibility during oral examination in special-needs patients: A multicentric clinical trial

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