Parents’ perspectives on a dental home for children with special health care needs

Kagihara, Lynette E.; Huebner, Colleen E.; Mouradian, Wendy E.; Milgrom, Peter; Anderson, Bruce M.

doi:10.1111/j.1754-4505.2011.00204.x

Cited by 16 publications

(8 citation statements)

References 24 publications

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“… 23–26 From the aspect of dental care professionals, the lack of special care training skills among dentists often makes them uncomfortable treating these patients because of their resistant and maladaptive behavior. 19 , 27 , 28 …”

Section: Introductionmentioning

confidence: 99%

Barriers to Dental Care in Individuals with Special Healthcare Needs in Qatif, Saudi Arabia: A Caregiver’s Perspective

Alfaraj¹,

Halawany²,

Al-Hinai³

et al. 2021

PPA

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Access to dental care is a key factor influencing oral health outcomes. Individuals with special healthcare needs are at risk of not having access to dental care services which they need to maintain their oral health. This study assessed the magnitude of this problem and identified barriers responsible for the difficulties in accessing dental care in Qatif, Saudi Arabia, as reported by caregivers of individuals with special healthcare needs. Methods: This cross-sectional study collected data using a self-administered survey questionnaire from caregivers of individuals with special healthcare needs across 11 centers (eight special needs centers and three schools) in Qatif, Eastern Province of Saudi Arabia, between February and April 2019. Results: A total of 186 caregivers participated in the study, 102 (54.8%) of whom reported difficulties in getting access to dental care. The key barriers included lack of time on the part of caregivers (60.8%), unsuitable clinic environment (53.9%), difficulties with transportation (51.9%), medical/health status of the individual with special healthcare needs (51.0%), and geographically distant dental clinics (51.0%). Caregiver demographics (age, gender, and educational level) had no significant influence on the difficulties reported by caregivers in getting access to dental care for individuals with special healthcare needs (p>0.05). Conclusion:A large proportion of caregivers in Qatif, Saudi Arabia, experience difficulties with access to dental care services for individuals with special healthcare needs. The most common barriers are physical accessibility of dental facilities (for individuals with special healthcare needs), affordability, and lack of skills and knowledge of dental care providers.

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Section: Introductionmentioning

confidence: 99%

Barriers to Dental Care in Individuals with Special Healthcare Needs in Qatif, Saudi Arabia: A Caregiver’s Perspective

Alfaraj¹,

Halawany²,

Al-Hinai³

et al. 2021

PPA

View full text Add to dashboard Cite

show abstract

“…Examples include children with autism spectrum disorders, intellectual disability, cerebral palsy, craniofacial anomalies, and other health conditions. As a group, children with developmental disabilities are more likely to have unmet dental needs than are typically developing children 2,3 and are considered to be at greater risk of developing dental disease. The reasons include frequent use of medicine high in sugar, dependence on a caregiver for regular oral hygiene, reduced clearance of foods from the oral cavity, impaired salivary function, preference for carbohydrate-rich foods, a liquid or puréed diet, and oral aversions.…”

mentioning

confidence: 99%

Oral Health Care for Children With Developmental Disabilities

Liptak¹,

Murphy²,

Adams³

et al. 2013

Pediatrics

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Children with developmental disabilities often have unmet complex health care needs as well as significant physical and cognitive limitations. Children with more severe conditions and from low-income families are particularly at risk with high dental needs and poor access to care. In addition, children with developmental disabilities are living longer, requiring continued oral health care. This clinical report describes the effect that poor oral health has on children with developmental disabilities as well as the importance of partnerships between the pediatric medical and dental homes. Basic knowledge of the oral health risk factors affecting children with developmental disabilities is provided. Pediatricians may use the report to guide their incorporation of oral health assessments and education into their well-child examinations for children with developmental disabilities. This report has medical, legal, educational, and operational implications for practicing pediatricians.

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“…Almost 13% of families needed help identifying a primary care provider for their child and nearly one-third required assistance with dental and orthodontic resources. This problem and impact of unmet dental and orthodontic needs has been previously reported (Lewis et al, 2005;O'Keefe, 2008;Viswanathan, 2010;Kagihara et al, 2011). For families traveling long distances for team care, practicality requires access to local dental and orthodontic providers rather than relying on the team orthodontist for interventions.…”

Section: Discussionmentioning

confidence: 89%