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Khawer MS, Da Silva K. The oral health-related quality of life of children with fetal alcohol spectrum disorder. SPECIAL CARE IN DENTISTRY 2024; 44:1280-1290. [PMID: 38472635 DOI: 10.1111/scd.12993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Revised: 02/22/2024] [Accepted: 02/28/2024] [Indexed: 03/14/2024]
Abstract
INTRODUCTION A child's oral health impacts their development and quality of life. Children who live with fetal alcohol spectrum disorder (FASD) face barriers to dental care combined with poorer oral health outcomes. However, how this affects their oral health-related quality of life (OHRQoL) is largely unknown. Thus, the aim of this study is to examine the OHRQoL of children living with FASD. METHODS This cross-sectional survey used the Child Oral Health Impact Profile-Short Form-19 (COHIP-SF-19) to evaluate the OHRQoL quality of life of children (aged 8 to 15) living with FASD, compared to healthy controls. RESULTS A total of 332 children (or their caregivers) completed the survey. The survey results showed that children living with FASD reported significantly more untreated dental conditions. The majority of children in the control group experienced a low impact across the majority of COHIP-SF-19 domains. However, children living with FASD experienced significantly higher impact scores related to oral health, functional well-being, and social-emotional well-being. CONCLUSION The results demonstrated that children who live with FASD have a poorer OHRQoL. Overall, more investigation is necessary to identify the best ways to improve the OHRQoL of children living with FASD.
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Affiliation(s)
- Mohammad Saad Khawer
- College of Dentistry, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Keith Da Silva
- College of Dentistry, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
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Mifsud S, Attard N, Gatt G. The impact of school-based social media and online technology on oral health education for individuals with disability. SPECIAL CARE IN DENTISTRY 2024; 44:206-213. [PMID: 37016561 DOI: 10.1111/scd.12852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 03/16/2023] [Accepted: 03/17/2023] [Indexed: 04/06/2023]
Abstract
AIM To evaluate the impact of school-based online communication methods on the oral health-related behavirs of individuals with disability. METHOD A prospective interventional study was conducted on 154 students (age 3-22 years) with various disabilities attending educational centers. A clinical examination was carried out before and after a school-based online educational program. Online in-person sessions were held for the participants, and educational videos were shared with parents and teachers over social media. The clinical examination included the Special Olympics HAS form, (1) Oral Hygiene Index-Simplified (OHI-S) (2) and the Modified Frankl Behavior Index. (3) Dietary and oral hygiene habits were collected via parent-administered questionnaires. RESULTS Improvements in behavior in a dental setting (p < .001), oral hygiene levels (p < .001) and dietary choices (p < .001) were observed throughout the study. CONCLUSION Oral health education online modalities can be used effectively by dental professionals to educate individuals with disabilities and their carers regularly, thus helping improve oral health and rapport with dental professionals.
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Affiliation(s)
- Silvana Mifsud
- Department of Child Dental Health and Orthodontics, Faculty of Dental Surgery, University of Malta, Msida, Malta
| | - Nikolai Attard
- Department of Oral Rehabilitation and Community Care, Faculty of Dental Surgery, University of Malta, Msida, Malta
| | - Gabriella Gatt
- Department of Child Dental Health and Orthodontics, Faculty of Dental Surgery, University of Malta, Msida, Malta
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Hu K, Da Silva K. Access to oral health care for children with fetal alcohol spectrum disorder: a cross-sectional study. BMC Oral Health 2022; 22:497. [DOI: 10.1186/s12903-022-02561-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 11/04/2022] [Indexed: 11/17/2022] Open
Abstract
Abstract
Background
Individuals with developmental disabilities, including Fetal Alcohol Spectrum Disorder (FASD), often suffer from poorer oral health than the general population as they experience challenges with accessing care. However, few studies have investigated access to oral health care specific to children diagnosed with FASD. Thus, the objective of this cross-sectional study is to examine the use of oral health care services by children diagnosed with FASD in Saskatchewan, Canada, and to identify perceived barriers that affect their access to oral health care.
Methods
Parents or caregivers for children with FASD under the age of 16 were recruited through community organizations. Between July 2020 and January 2021, 189 participants completed a 64-item questionnaire that assessed sociodemographic characteristics, oral health care utilization, and perceived barriers to care.
Results
Most children (85%) had visited the dentist within the last 24 months. 55% of children had required sedation for some treatment. 43% of caregivers experienced frustration trying to access care for their child. Common barriers were cost (63%), location (55%), the child’s behaviour (78%) and caregiver anxiety (60%). 35% of caregivers believed their dentist lacked adequate knowledge of FASD. Univariate analysis reveals that income, caregiver education, residence location, and insurance status were significantly associated with reporting barriers. Multivariate logistic regression analysis reveals that caregivers who reported a high school education (OR=1.23; 95% CI 1.03 – 1.38); or public insurance (OR=1.33; 95% CI 1.24 – 1.42) or out-of-pocket payments (OR=1.37, 95% CI 1.20 – 1.46); or rural (OR=1.19, 95% CI 1.07 – 1.26) or remote (OR=1.23; 95% CI=1.12 – 1.31) residences were more likely to report difficulties accessing oral health care.
Conclusion
Our findings indicate that children with FASD experience various barriers to accessing oral health care. Social determinants of health were significant variables that increased likelihood of barriers. Like other vulnerable populations, cost and clinic location are notable barriers. Oral health care providers’ assessment and management of children with FASD are noteworthy for future research.
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McAdam DB, Zhou Z. Behavior-Analytic Interventions for Oral Health Care: a Review of the Literature and Recommendations for Clinical Practice and Research. REVIEW JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS 2021. [DOI: 10.1007/s40489-021-00294-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Da Silva K, Wood D. The oral health status and treatment needs of children with fetal alcohol spectrum disorder. Clin Oral Investig 2020; 25:3497-3503. [PMID: 33150509 DOI: 10.1007/s00784-020-03671-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Accepted: 10/29/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To investigate the oral health status and treatment needs of children with fetal alcohol spectrum disorder (FASD). METHODS In this retrospective study, the records of children between the ages of 6 and 14 who attended the College of Dentistry, University of Saskatchewan between 2016 and 2019 were reviewed. Demographic and clinical data was collected and compared for children who were identified as having FASD and a healthy control group. RESULTS From our total sample of 252 dental records, 68 children were identified with FASD. When compared to controls, children with FASD were significantly older at their first dental visit, and more dependent on public dental insurance. Children with FASD also had a significantly higher caries experience (97% vs 64.7%) and severity (DMFT/dmft score = 7.18 ± 1.79 vs 2.93 ± 0.98). Additionally, the results of our logistic regression model indicate that children with FASD were 4.71 times more likely (OR 4.71, 95% CI 1.58 -14.03) to be referred for treatment under general anesthesia (GA) when all other factors were controlled. CONCLUSIONS Children with FASD may be at a higher risk for poor oral health outcomes and have more extensive treatment needs. Our results indicate that they may also be at a higher risk for treatment under GA. CLINICAL RELEVANCE Oral healthcare providers need to be award of the unique needs of children with FASD to better prevent and manage their oral disease.
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Affiliation(s)
- Keith Da Silva
- College of Dentistry, University of Saskatchewan, 123-105 Wiggins Road, Saskatoon, SK, S7N 5E4, Canada.
| | - Dempsey Wood
- College of Dentistry, University of Saskatchewan, 123-105 Wiggins Road, Saskatoon, SK, S7N 5E4, Canada
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Gao SS, Chu CH, Young FYF. Oral Health and Care for Elderly People with Alzheimer's Disease. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17165713. [PMID: 32784777 PMCID: PMC7460333 DOI: 10.3390/ijerph17165713] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 07/29/2020] [Accepted: 08/06/2020] [Indexed: 02/07/2023]
Abstract
Dementia is one of the main causes of disability among elderly people. It is a progressive neurodegenerative disease that affects elderly people’s ability to perform daily living activities. Alzheimer’s disease is the main subtype of dementia and causes declining memory, reasoning, and communication skills. They also have behavioural and psychological symptoms, such as depression and aggression. It is essential for them to maintain good oral health, as oral health is an important and integral part of their general health. Neglecting oral health allows dental diseases to develop, and these diseases are difficult and costly to treat. However, dental diseases can be treated with ambulatory care rather than hospitalisation and emergency care. Elderly people should establish daily oral hygiene care routines during the early stages of Alzheimer’s disease. They should have regular dental examinations and early minimal interventions to prevent the need for extensive and complicated procedures. Maintaining oral health becomes challenging, however, when Alzheimer’s disease progresses to the middle and late stages. Because elderly people might forget or lose interest in keeping their teeth healthy, caretakers and community health workers may need to take over this task. Dentists should provide guidance on the maintenance of oral health, as the techniques used to provide this support vary depending on the elderly people concerned. The purpose of this paper is to provide an overview of oral health and the importance of oral care for elderly people with Alzheimer’s disease. The paper also discusses appropriate dental interventions and techniques for maintaining good oral health and helping people with Alzheimer’s to enjoy a satisfactory quality of life.
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Affiliation(s)
- Sherry Shiqian Gao
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China;
- Correspondence: ; Tel.: +852-2859-0439
| | - Chun Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China;
| | - Fanny Yuk Fun Young
- Department of Business Administration, Hong Kong Shue Yan University, Hong Kong 999077, China;
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Huchun W, Zheng Y, Hongkun W, Jianguo L, Jin Z, Xiaoping J, Lin Z, Deqin Y, Xuedong Z. [Criterion of dental treatment for the disabled]. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2017; 35:348-354. [PMID: 28853498 PMCID: PMC7030219 DOI: 10.7518/hxkq.2017.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Revised: 05/12/2017] [Indexed: 02/05/2023]
Abstract
The number of disabled persons increases in the course of human life and in the aging population. The high prevalence, low treatment rate, long therapy period, and sophisticated procedures prevent most of disabled individuals from availing dental services. Moreover, special dental institutions for the disabled are insufficient, and a certain treatment standard is commonly not complied. This study performed analysis and evaluation, including treatment features, pretreatment procedures, patient communication, treatment factors, and treatment standards to provide a targeted solution for the special requirements of the oral therapy for disabled patients.
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Affiliation(s)
- Wan Huchun
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Yang Zheng
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of General Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Wu Hongkun
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Liu Jianguo
- Stomatological Hospital Affiliated to Zunyi Medical College, Zunyi 563003, China
| | - Zhao Jin
- The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
| | - Ji Xiaoping
- Dept. of Stomatology, The Second People's Hospital of Liangshan Yi Autonomous Prefecture, Xichang 615000, China
| | - Zhu Lin
- The Center of Stomatology, Tibet Autonomous Aegion People's Hospital, Lasa 850000, China
| | - Yang Deqin
- Dept. of Conservative Dentistry and Endodontics, Affiliated Stomatological Hospital, Chongqing Medical University, Chongqing 401147, China
| | - Zhou Xuedong
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
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Abstract
The term children with special health care needs encompasses a wide variety of conditions. When considering interventions, a broad definition of children with special needs is suggested in this article along with a focus on developing specific treatment recommendations based on a thorough data-gathering process and developing customized recommendations for children based on their unique circumstances. An area for future research is increasing the understanding of the relationship between customized recommendations and the underlying special health care needs.
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Affiliation(s)
- Paul Glassman
- University of the Pacific Arthur A. Dugoni School of Dentistry, 155 5th Street, San Francisco, California 94904, USA.
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Chang J, Seo KS. Multiple bonded restorations in a patient with severe mental disability: a case report. Oper Dent 2011; 36:104-11. [PMID: 21488737 DOI: 10.2341/10-109-sr] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Dental treatment for patients with special needs may require general anesthesia, if these patients are unable or unwilling to cooperate. To administer a restorative treatment in a limited timeframe requires an interdisciplinary approach adapted to the individual. This case report describes a comprehensive restorative procedure in a patient with severe mental disability who has serious dental caries. Direct resin composites were used to reconstruct most of the damaged dentition. In the 22-month follow-up conducted by the authors, they found one restoration failure, several primary caries lesions and one secondary-caries lesion. Every other restoration remained stable, despite limited postoperative care.
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Glassman P, Subar P. Creating and maintaining oral health for dependent people in institutional settings. J Public Health Dent 2010; 70 Suppl 1:S40-8. [DOI: 10.1111/j.1752-7325.2010.00174.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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