Oral health profile in an institutionalized population of Italian adults with mental retardation

Abstract

The oral health of 219 residents with mental retardation living in a long-term-care institution near Milan was assessed. The dental and periodontal status, daily habits, oral hygiene, and oral mucosal status were evaluated. Of the sample, 179 (81.7%) were males. The mean age of the residents was 61.3 years, and the degree of cooperation was evaluated as good for 131 subjects (59.8%), fair for 79 (36.1%), and poor for nine (4.1%). The percentage of residents who were edentulous was 21.5% (47 subjects), of whom 28 subjects (59.6%) were without dentures. Evaluation showed an overall DMFT of 23.1, and the average number of missing teeth was 20.5. All subjects had periodontal disease: Forty-five subjects had calculus and/or shallow pockets (4-5 mm); 61 had deep pockets (> or = 6 mm). The most common mucosal lesion was oral stomatitis (49.3%). These findings underline the need for special programs aimed at institutionalized subjects with mental retardation.

Prevalence of dental caries in patients with intellectual disabilities from the Association of Exceptional Children’s Parents and Friends of Southern Brazil

“…Most patients assessed in this study had good oral hygiene, regardless of how severe their disabilities were. These data are consistent with studies reporting that institutionalized patients had better oral health than non-institutionalized ones 15,17 .…”

“…Besides patient-specific factors, these studies correlate this high prevalence of dental caries with patients' socioeconomic background as families are often socially and emotionally disadvantaged and hardly provided with education on health, increasing the odds for oral diseases among these patients 3,[12][13][14][15][16] . Most patients assessed in this study had good oral hygiene, regardless of how severe their disabilities were.…”

“…Furthermore, it requires that professionals prepare themselves for the care of patients with special needs [24][25] . In the study with 219 ID, concluded that special dental care programs are important for institutionalized patients with mental disability in order to reduce the prevalence of caries and periodontal disease [15][16][17] . Also, the studies with 12-year-old ID, highlighted the necessity to provide educators and parents with qualification in oral health 18 .…”

Dental Caries and its Results in Adult Disabled Patients Treated Under General Anesthesia

“…Średnia wartość liczby D 3 MFT oraz liczba zębów (z próchnicą, usuniętych i wypełnionych) przed leczeniem w znieczuleniu ogólnym z uwzględnieniem płci, wieku, rozpoznania, miejsca zamieszkania, sprawowanej opieki i kolejności zabiegu Obserwacje własne potwierdzają, że średnia wartość D 3 MFT zwiększa się wraz z wiekiem badanych osób. Podobne wyniki badań odnotowują autorzy w innych publikacjach [13,14,22] [16,21,26,27].…”

Vision and oral health needs of individuals with intellectual disability

“…Several researchers have found that 18 to 84% of children and adults with ID have untreated caries compared with 16 to 55% in the general population [Guillikson, 1969;Murray and McLeod, 1973;Kendall, 1991Kendall, , 1992Cumella et al, 2000]. Others have found evidence that individuals with ID were more likely to receive poor treatment for dental caries, such as tooth extractions rather than restorations for dental problems, compared with individuals in the general population [Butts, 1967;Svatun and Heloe, 1975;Nowak, 1984;Shaw et al, 1986;Whyman et al, 1995;Shapira et al, 1998;Pregliasco et al, 2001;Vazquez et al, 2002]. Nowak [1984], for example, examined the oral health of 3,622 disabled individuals aged 0 -16ϩ years living in the community.…”