Prevalence of malocclusion in individuals with and without intellectual disability: A comparative study

Cabrita, Joana P.; Bizarra, Maria de Fátima; Graça, Sandra Ribeiro

doi:10.1111/scd.12224

Cited by 15 publications

(14 citation statements)

References 23 publications

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“…There are only a few studies using DAI for occlusion evaluation. Cabrita et al 24 found a DAI value on people with ID of 32.80, similar to the value observed in this group of individuals with FXS. Note that 45.2% presented a mandatory need of treatment.…”

Section: Discussionsupporting

confidence: 83%

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Evaluation of oral characteristics and oral health of individuals with fragile X syndrome and related guardians perceptions

Montez

Bizarra

Graça

2020

Special Care in Dentistry

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ObjectivesTo relate the oral health of individuals with fragile X syndrome (FXS) with their oral characteristics, habits, and difficulties in terms of oral hygiene and the perception of oral health of the guardians.Methods and resultsThis observational transversal study included 31 volunteers who belong to the Portuguese Fragile X Syndrome Association. A questionnaire was presented to guardians, and a head and neck and oral examination was performed to the individuals: decay, missing and filled teeth index (DMFT) = 4.65, gingival index (GI) = 1.01, and simplified oral hygiene index (OHI‐S) = 2.26 and Malocclusion Class Angle II (61.3%) with dental aesthetic index 34.90. A high‐arch narrow palate (71%), accentuated gagging reflex (45.2%), and bruxism (22.6%) were the most common oral characteristics. There was a negative correlation between the several behaviors, attitudes, and habits reported by the guardians and all the indexes of oral health, with significance to the DMFT (P = .032), missing teeth (P = .032), and GI (P = .04).ConclusionThere was a variability in oral characteristics, and these can represent a difficulty in performing oral hygiene. The collected data provide information for the health professionals and guardians to guide the monitoring of patients with FXS as well as to create strategies to improve oral hygiene.

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Section: Discussionsupporting

confidence: 83%

“…Note that 45.2% presented a mandatory need of treatment. This value was higher than the one found in the ID study (18.8%) 24 . This fact may be due to the FXS specific characteristics.…”

Section: Discussioncontrasting

confidence: 80%

Evaluation of oral characteristics and oral health of individuals with fragile X syndrome and related guardians perceptions

Montez

Bizarra

Graça

2020

Special Care in Dentistry

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“…A further caveat requiring discussion is the lack of inclusion of confounding factors amongst articles. There are a multitude of variables that influence oral health: from simple physical ability to complete oral hygiene (Gallagher & Scambler ), malocclusion (Cabrita, Bizarra, & Graça ) or dental trauma from epileptic seizures (Aragon & Burneo ) to the more complex influence of medication (Ciancio ) or systemic diseases. People taking 5+ medications (polypharmacy) are at an increased risk of poor oral health due to anticholinergic burden causing xerostomia (dry mouth) leading to an increased risk of dental caries (Scottish Government Model of Care Polypharmacy Working Group ; Vázquez, Garcillan, Rioboo, & Bratos ).…”

Section: Discussionmentioning

confidence: 99%

Oral health of adults with intellectual disabilities: a systematic review

Ward

Cooper

Hughes-McCormack

et al. 2019

J intellect Disabil Res

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Background There have been several past reports that adults with intellectual disabilities experience poor oral health (tooth loss, periodontal health and untreated dental caries). Loss of a functional dentition has serious consequences, including problems with chewing, swallowing, nutrition, speech, temporomandibular joint osteoarthritis and pain and systemic health conditions. Poor oral health is largely preventable through proactive oral care support. In recent years, social care provision for adults has changed, with deinstitutionalisation and home‐based personalised care now being the typical provision in high income countries. Hence, oral health inequalities might be reducing. However, there is limited recent evidence‐synthesis on the topic. We aimed to address this. Method PROSPERO registration number: CRD42018089880. We conducted a preferred reporting items for systematic reviews and meta‐analyses systematic review of publications since 2008. Four databases were searched with a clear search strategy, strict inclusion criteria for selection of papers, double scoring (two raters), systematic data extraction and quality appraisal of included papers. Results A total of 33/3958 retrieved articles were included, of which 14 were drawn from dental service users and 10 from Special Olympic athletes, therefore not necessarily being representative of the wider population with intellectual disabilities. Despite this limitation, adults with intellectual disabilities were still shown to experience poor oral health. High levels of poor oral hygiene and gingivitis were found, with many also affected by periodontitis and untreated dental decay. There is clear unmet need relating to both periodontal (gum) and tooth health, leading to tooth loss. Conclusions Despite reports in the past of poor oral health amongst adults with intellectual disabilities, and despite it being preventable, there remains a high burden of poor oral health. This highlights the need to raise awareness, and for polices on effective daily oral care, and appropriate service provision. The importance of oral health and its possible negative sequelae needs to be elevated amongst carers and professionals.

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“…Maxillar and anterior teeth protrusion, deep overbite, mandibular grows with clockwise rotation, incompetent growth of lip, poor morphology of chin and other poor coordinated surface types are clinical manifestations with Angle class II division 1 malocclusion patients (Cabrita et al, 2017;Mehta et al, 2017;Ozbilek et al, 2017). These performances affect patients' confidence, mental health and daily communication.…”

Section: Introductionmentioning

confidence: 99%

Morphological Characteristics of Soft Tissue Profile of Angle’s Class II Division I Malocclusion before and after Orthodontic Treatment

Xuan¹,

Li²,

Li³

et al. 2018

Int. J. Morphol.

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SUMMARY:By analysing cephalometrics before and after the treatment of Angle's class II division 1 malocclusion, soft tissue profile changes were observed, and to explore whether there was a correlation between the change of posterior occlusal plane (OP-P) and soft tissue profile. The study aimed to provide a theoretical reference in the clinical diagnosis and orthodontic treatment of early permanent dentition of Angle class II division 1 malocclusion patients. We randomly selected 20 cases of orthodontics in Shanxi Medical University orthodontics patients (aged 12-18 years) of the lateral cephalograms, Winceph 8.0 software was used to measure the posterior occlusal plane (OP-P), TUL-EP , TLL-EP, nasolabial angle, upper lip base thickness, upper lip tension, lower lip H line distance, chin soft tissue thickness and Z angle. And SPSS 22.0 software was used to analyze the correlation between OP-P and other measurement indexes. The change of posterior occlusal plane was positively related to the distance from upper lip to the esthetic plane, the distance from lower lip to the esthetic plane, the tension of the upper lip and distance from lower lip to H line, and the change of posterior occlusal plane was negatively related to nasolabial angle and Z angle. The change of posterior occlusal plane had no significant correlation with upper lip base thickness and soft tissue chin thickness. The change of posterior occlusal plane has an important guiding significance for orthodontic treatment,by focusing on the change of the posterior occlusal plane to achieve the purpose of changing the soft tissue profile.

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Prevalence of malocclusion in individuals with and without intellectual disability: A comparative study

Cited by 15 publications

References 23 publications

Evaluation of oral characteristics and oral health of individuals with fragile X syndrome and related guardians perceptions

Evaluation of oral characteristics and oral health of individuals with fragile X syndrome and related guardians perceptions

Oral health of adults with intellectual disabilities: a systematic review

Morphological Characteristics of Soft Tissue Profile of Angle’s Class II Division I Malocclusion before and after Orthodontic Treatment

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Prevalence of malocclusion in individuals with and without intellectual disability: A comparative study

Cited by 15 publications

References 23 publications

Evaluation of oral characteristics and oral health of individuals with fragile X syndrome and related guardians perceptions

Evaluation of oral characteristics and oral health of individuals with fragile X syndrome and related guardians perceptions

Oral health of adults with intellectual disabilities: a systematic review

Morphological Characteristics of Soft Tissue Profile of Angle&#8217;s Class II Division I Malocclusion before and after Orthodontic Treatment

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Morphological Characteristics of Soft Tissue Profile of Angle’s Class II Division I Malocclusion before and after Orthodontic Treatment