Unmet oral health needs among persons with intellectual disability

Petrović, Bojan; Peric, Tamara; Marković, Dejan; Bajkin, Branislav; Petrovic, Djorde; Blagojević, Duška; Vujkov, Sanja

doi:10.1016/j.ridd.2016.09.020

Cited by 63 publications

(67 citation statements)

References 36 publications

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“…A recent systematic review demonstrated that children with ILD were commonly omitted from oral health research . Yet, involving these children in dental research may not only help reduce their negative oral outcomes but also improve their dental status and overall health and wellbeing . Children with ILD have been shown to have more dental caries, more unmet treatment needs and face more oral pain than children without disabilities .…”

Section: Introductionmentioning

confidence: 99%

“…4 Yet, involving these children in dental research may not only help reduce their negative oral outcomes but also improve their dental status and overall health and wellbeing. 5 Children with ILD have been shown to have more dental caries, more unmet treatment needs and face more oral pain than children without disabilities. [6][7][8] In Saudi Arabia, very little is known about the prevalence of oral pain among children with ILD.…”

Section: Introductionmentioning

confidence: 99%

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Parent perspectives on perceived dental pain and dental caries in Saudi schoolchildren with intellectual disability

Robinson

2019

Special Care in Dentistry

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Aims To assess dental pain among male Saudi schoolchildren with intellectual learning disabilities (ILD) compared with controls and evaluate parents’ perceptions of their children's dental pain and dental status. Methods and Results A mixed‐method cross‐sectional study of 92 male schoolchildren aged 12‐16 years was conducted at schools in Albaha, Saudi Arabia between March and May 2018. Participants were clinically examined for dental caries. Parents’ perspectives on their children's dental pain were explored using interviews and a questionnaire. Chi‐square, Mann‐Whitney, Kendall's tau‐b, and t‐test analyses were run using SPSS® version 20.0. Children with and without ILD had a high prevalence of dental caries (77% and 86%, respectively). Participants with ILD had significantly higher Dental Discomfort Questionnaire (DDQ) scores than healthy controls (0.75 ± 0.27 and 0.59 ± 0.11, respectively), and their decayed teeth (DT) scores were higher. Parents’ ability to determine the complexity of dental treatment needed was significantly related to oral pain in both groups. Conclusion Children with ILD had more dental caries and pain than children without disabilities. Future research may use longitudinal studies to examine dental pain and caries in younger children with ILD and assess their parental perspectives. Implementation of oral educational programmes targeting parents of those children may be recommended.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Parent perspectives on perceived dental pain and dental caries in Saudi schoolchildren with intellectual disability

Robinson

2019

Special Care in Dentistry

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“…Intellectual disability (ID) is de ned as a neurodevelopmental disorder that begins during childhood and is characterized by intellectual di culties as well as di culties in conceptual, social, and practical areas of living [6]. Some studies have reported that the oral hygiene condition is poorer and the risk of dental disease is higher in individuals with ID when compared with those without disabilities [7][8][9][10][11]. The condition of the oral cavity is affected by the degree of intellectual disability and stages of development in individuals with ID [12].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Oral Hygiene Status and Relative Abundance of Periodontal Pathogens Between Individuals With and Without Intellectual Disabilities: a Cross-Sectional Study

Oda

Furutani

Kawano

et al. 2020

Preprint

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Background: Studies have reported a high prevalence of periodontal disease in individuals with intellectual disability (ID). The aim of this study was to compare the relative abundance of periodontal pathogens (red, orange, yellow, purple, and green complexes) between individuals with ID and healthy controls.Methods: Of the 31 subjects enrolled in this study, 16 with severe ID were selected from the outpatient clinic of the Special Care Dentistry of Hiroshima University Hospital, and 14 healthy subjects were selected from the outpatient clinic of another department at the same hospital. Dental plaque was sampled after oral examination. Decayed, missing, and filled permanent teeth (DMFT) counts were obtained and periodontal measurements were taken using the papillary-marginal-attached (PMA) index, plaque index (PI), gingival index (GI), and probing depth (PD). Gene sequencing (16S rRNA) was performed for each sample using next-generation high-throughput sequencing methods. The relative abundance of the periodontal pathogens and the clinical parameters were compared. An unpaired t-test was used to compare the oral health status in both groups and analysis of covariance was performed to compare the relative abundance of each pathogen.Results: No statistically significant difference in DMFT was observed between the two groups. However, significant differences in the median PMA index, PI, and GI were noted between the groups (P < 0.0001). In addition, the mean PD in the ID group was significantly higher than that in the control group (P < 0.0001). The relative abundances of Tannerella spp. and Treponema spp. were significantly higher in the ID group when compared to the control group at the genus level (P = 0.0383 and 0.0432, respectively); alternatively, the relative abundance of Porphyromonas spp. was significantly lower in the ID group (P < 0.0001).Conclusions: The PMA index, PI, GI, and PD were significantly lower in the ID group than in the control group. On the other hand, no significant difference in DMFT was observed between the two groups. Furthermore, our findings indicate that Tannerella forsythia might be more closely associated with periodontal disease than Porphyromonas gingivalis in individuals with ID.

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“…It may have genetic or nongenetic (environmental) origin 3. Genetic causes of ID are broadly classified into single gene disorders, including all the inborn errors of metabolism (IEM), and chromosomal disorders, which are multifactorial in origin 4.…”

Section: Introductionmentioning

confidence: 99%

Metabolic screening and its impact in children with non-syndromic intellectual disability

Ali¹,

El-Morshedy²,

Elsayed³

et al. 2017

NDT

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ObjectiveThe objective of this study was to analyze the value of routine metabolic screening tests in children with an intellectual disability (ID) and its impact on improving their outcome and quality of life through appropriate intervention and treatment.Patients and methodsThis cross-sectional study was conducted in the Pediatric Neurology Clinic, Al Khafji Joint Operations Hospital, Kingdom of Saudi Arabia. A total of 150 children with nonsyndromic ID (66% males) in the age range of 5–17 years were compared with 50 apparently healthy age- and sex-matched controls. All studied groups were subjected to detailed history taking, family pedigree, thorough clinical examination, anthropometric measurements, routine laboratory investigations and urine metabolic screening tests (ferric chloride test and toluidine blue spot test and gas chromatography–mass spectrometry). Electroencephalography, IQ, psychiatric assessment and chromosomal study were done for the patient group only.ResultsPositive consanguineous marriage, older maternal or paternal age and family history of mental disabilities in other siblings were considered as risk factors for the development of mental disabilities. History of admission to neonatal intensive care unit was significantly higher among the patient group than among the controls (P<0.05). Metabolic screening tests showed that up to 35% of patients were positive for ferric chloride test, 9% of patients were positive for gas chromatography–mass spectrometry, and only 7 out of 150 (4.7%) patients were toluidine blue test positive.ConclusionMetabolic testing should be considered in the workup of individuals with nonsyndromic ID, which will need further specific investigations to confirm the diagnosis and determine the possible treatable cases.

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Unmet oral health needs among persons with intellectual disability

Cited by 63 publications

References 36 publications

Parent perspectives on perceived dental pain and dental caries in Saudi schoolchildren with intellectual disability

Parent perspectives on perceived dental pain and dental caries in Saudi schoolchildren with intellectual disability

Comparison of Oral Hygiene Status and Relative Abundance of Periodontal Pathogens Between Individuals With and Without Intellectual Disabilities: a Cross-Sectional Study

Metabolic screening and its impact in children with non-syndromic intellectual disability

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