Providing oral care for adults with mental health disorders: Dental professionals’ perceptions and experiences in Perth, Western Australia

Scrine, Clair; Durey, Angela; Slack‐Smith, Linda

doi:10.1111/cdoe.12427

Cited by 23 publications

(19 citation statements)

References 16 publications

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“…Dentists need to be equipped with adequate knowledge and skills to address the special needs of these patients. Treatment and admission protocols that do not accommodate these individuals and an unfriendly environment lower the quality of care for these individuals 41 . Therefore, a special training course for people involved in dental care should be established where special needs dentistry units are lacking, to train dentists who will devote themselves to dental care of individuals with special needs.…”

Section: Discussionmentioning

confidence: 99%

“…People with ID have impaired intellectual and adaptive functioning with an intelligence quotient (IQ) below 70. The American Association on Intellectual and Developmental Disabilities (AAIDD) divides ID into four categories according to IQ: mild (55-69), moderate (36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54), severe (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35), and profound (<20). People with ID have difficulty in understanding, learning, and applying new or complex skills.…”

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confidence: 99%

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A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia

Ningrum

Wang

Liao

et al. 2020

Sci Rep

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people with intellectual disability have a higher risk of oral health problems. this study assessed the clinical oral health status and behaviors and treatment needs of people living in an institution in Padang, West Sumatra, Indonesia. We quantified oral health status of 65 individuals with intellectual disability using Oral Hygiene Index Simplified (OHIs), Angle's classification of malocclusion, Community Periodontal Index and Treatment Need (CPITN), and decay index and also recorded their brushing behavior. We found that males had significantly lower OHIs (p < 0.001), more malocclusion (p < 0.001), greater caries number (p < 0.001), greater CPITN (p = 0.001) and higher need of dental treatment (p < 0.01) than females. Additionally, we found that high caries number was associated with poor OHIS, malocclusion, periodontal disease, and dependent brushing behavior (p < 0.001). The findings of this study imply that there is a gap in appropriate oral health care in individuals with intellectual disability. there should be a greater focus on providing appropriate oral health education to people with intellectual disability, improving the health literacy and quality of care of caregivers, and providing more dentists with specialized training in special needs dentistry.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia

Ningrum

Wang

Liao

et al. 2020

Sci Rep

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“…Authors [22,36,43,44] have highlighted a lack of evidence on the effectiveness of oral health interventions for people with mental disorders. There have been calls for the training of mental health professionals and closer collaboration between all health professionals [48,49]. Recommendations for further research include studies focused on oral health education and promotion within mental health service settings (including inpatient and community settings) [23,49].…”

Section: Introduction/backgroundmentioning

confidence: 99%

Oral health interventions for people living with mental disorders: protocol for a realist systematic review

Kenny

Dickson‐Swift

Gussy

et al. 2020

Int J Ment Health Syst

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Background: The increasing number of people who experience mental disorders is a global problem. People with mental disorders have high rates of co-morbidity and significantly poorer oral health outcomes than the general public. However, their oral health remains largely a hidden and neglected issue. A complex range of factors impact the oral health of this group. These include anxiety and dental phobia, dietary habits, including the heavy consumption of sugary drinks, substance misuse of tobacco, alcohol, and/or psychostimulants, the adverse orofacial side effects of anti-psychotic and anti-depression medications, and financial, geographic, and social barriers to accessing oral health care. Methods:The aim of this realist systematic review is to (a) identify and synthesise evidence that explores oral health interventions for people living with mental disorders; (b) explore the context and mechanisms that have contributed to the success of interventions or the barriers and challenges; (c) produce program theories on causal, contextual and mechanistic factors to facilitate outcomes and (d) produce recommendations and guidelines to guide future oral health interventions for people with mental disorders at both the policy and practice level. Using a five-step process, that incorporates primary data collection from key stakeholders, a beginning theoretical framework will be developed to describe contextual and mechanistic factors and how they might impact on the success or failure of oral health interventions for people with mental disorders. Key database searches will be conducted, with data extraction focused on the factors that might have impacted on intervention implementation and outcomes. Quality appraisal of studies will occur, and the theoretical framework will be populated with extracted data. Stakeholder input will support the development and refinement of a theory on oral health interventions for people with mental disorders.Discussion: This will be the first review to take a realist approach to explore the broad scope of causal factors that impact on the success or failure of oral health interventions for people with mental disorders. The approach includes extensive stakeholder engagement and will advance realist systematic review methodology. Review outcomes will be important in guiding policy and practice to ensure oral health interventions better meet the needs of people with mental disorders. Systematic review registrationThis review protocol is registered with PROSPERO (Number) 155969. © The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article' s Creative Commons licence, unless indicated otherwise in a credit l...

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“…In general health care, increased effectiveness, better quality of care, and reduction of health disparities have been associated with successful inter-professional collaboration [ 17 – 19 ]. Collaboration between dental practitioners and non-dental primary care providers has been pointed out as a potential factor to improve oral health care among patients with mental health problems [ 20 ]. However, the dental health care delivery system in Norway is separated from the general health care system, hence collaboration can be challenging [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration

Ansteinsson¹,

Klepaker²,

Widström³

et al. 2020

BMC Oral Health

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Background The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and to interprofessional collaboration with the rehabilitation institutions (RIs). Methods The study population comprised 141 dentists and dental hygienists (response rate 73%) working in the Public Dental Service (PDS) in three counties in Norway. All of the participants completed an electronically distributed questionnaire on existing practices and experiences regarding dental treatment for drug users and interprofessional collaboration with RIs. The Norwegian Centre for Research Data (NSD) approved the study. Results Thirty-five percent of the dentists and 10% of the dental hygienists had treated five or more drug users per month (p < 0.05). The majority of dentists and dental hygienists used more time for examination and treatment of drug users compared to other patient groups. Over 70% of dental clinicians considered drug users as demanding patients due to fear, missing appointments, and poor compliance with oral hygiene advice. Multivariable logistic regression analyses showed that attitudes and experiences with dental treatment of drug users were significantly associated with background characteristics of professionals. The overall perception was that drug users often had higher expectations of dental treatment than what could be defined as necessary care and provided by the PDS. One-third of dental professionals reported that they were satisfied with the collaboration they had with RIs. Most of the respondents agreed that personnel from RIs could positively influence interprofessional collaboration by having sufficient knowledge of drug users statutory rights to free of charge dental treatment, as well as by close follow-up and motivation of patients before dental treatment. Conclusions Dental professionals perceived the management of drug users as demanding due to dental fear, difficulties in coping with appointments, poor compliance to preventive measures, and disagreement between dental treatment defined as necessary and drug users’ expectations. Attitudes and experiences related to dental treatment of drug users were significantly associated with background characteristics of clinicians. Organizational barriers regarding leadership, accessibility, and collaborative routines, as well as lack of interprofessional communication, suggest current models of health care delivery to drug users need reviewing.

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Providing oral care for adults with mental health disorders: Dental professionals’ perceptions and experiences in Perth, Western Australia

Cited by 23 publications

References 16 publications

A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia

A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia

Oral health interventions for people living with mental disorders: protocol for a realist systematic review

Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration

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