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Nonoyama T, Nonoyama K, Shimazaki Y. Factors Related to Regular Dental Check-Ups in Adults With Intellectual Disabilities in Japan. Int Dent J 2024; 74:953-959. [PMID: 38461096 DOI: 10.1016/j.identj.2024.02.014] [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: 10/18/2023] [Revised: 02/15/2024] [Accepted: 02/19/2024] [Indexed: 03/11/2024] Open
Abstract
BACKGROUND We investigated the factors associated with regular dental check-ups among adults with intellectual disabilities in Japan, with the aim of increasing the attendance rate of regular dental check-ups, which are important for maintaining the oral health of persons with intellectual disabilities. METHODS A questionnaire survey focused on oral health was conducted with 971 adults with intellectual disabilities in Japan. The survey included questions related to disability diagnosis, severity of intellectual disability, residence type, and several oral-health factors, including proxy-reported number of teeth, presence of a family dentist, frequency of regular dental check-ups, tooth-brushing habits, and availability of a dental hygienist at a facility. Logistic regression analysis was used to determine the association between regular dental check-ups (dependent variable) and independent variables. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. RESULTS In a multivariate analysis, sex, diagnosis of disability, severity of intellectual disability, residence type, and the presence of a family dentist were significantly associated with regular dental check-ups. The ORs for nonregular dental check-ups were significantly higher for adults with Down syndrome, those with mild disability, and those living at home with family; the respective mean ORs (95% CIs) were 2.3 (1.2-4.4), 3.3 (1.3-8.4), and 1.8 (1.1-3.0). The absence of a family dentist had a particularly strong association with a lack of regular dental check-ups, with a mean OR (95% CI) of 15.0 (8.7-26.0). CONCLUSIONS Regular dental check-ups among adults with intellectual disabilities in Japan were associated with sex, diagnosis of disability, severity of disability, type of residence, and the presence of a family dentist.
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Affiliation(s)
- Toshiya Nonoyama
- Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Nagoya, Japan
| | - Kaoru Nonoyama
- Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Nagoya, Japan; Nonoyama Dental Office, Nagoya, Japan
| | - Yoshihiro Shimazaki
- Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Nagoya, Japan.
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Faulks D. Oral health inequalities and disability: Closing the gap. Community Dent Oral Epidemiol 2023. [PMID: 36732929 DOI: 10.1111/cdoe.12843] [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: 09/26/2022] [Revised: 01/03/2023] [Accepted: 01/17/2023] [Indexed: 02/04/2023]
Abstract
The social determinants of health impact disproportionately on disabled people creating a cumulative risk of unequal oral health outcomes, compounded by impairment. Problems in early life, education and employment, poor social status and support, social exclusion, poverty and stress characterize the life course of many disabled people. Ableism and exclusion combine to ensure that disabled voices are rarely heard, ignorance and indifference lead to prejudice in policy-making and enforcement and negative media attitudes fuelled by political austerity lead to stigmatization. Yet, the health disparities experienced by disabled people are still perceived as being uniquely caused by a medical condition or impaired body function, excluding disabled people from the inequalities discourse. In parallel, the influence of medical conditions within other marginalized groups are minimized (e.g. mental health), leading to the underestimation of the impact of disability on oral health generally. The common ground between all groups subject to oral health inequalities can be conceptualized using the WHO International Classification of Functioning. Outcomes for all might be improved by emphasizing this common ground; by considering disability as a primary variable, such as gender or age; by identifying disabled people within existing inequalities research; and by explicitly including disabled people in future research.
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Affiliation(s)
- Denise Faulks
- Université Clermont Auvergne, Centre de Recherche en Odontologie Clinique (CROC), Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
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Azimi S, Troeung L, Martini A. Patterns and predictors of dental hospitalizations in patients with acquired brain injury from pre-injury to acute and post-acute injury. NeuroRehabilitation 2023; 53:309-321. [PMID: 37927284 DOI: 10.3233/nre-230145] [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] [Indexed: 11/07/2023]
Abstract
BACKGROUND Acquired brain injury (ABI) can cause long-term disability and functional impairment. OBJECTIVE This study aims to determine the prevalence of dental hospitalizations in an ABI cohort across different phases of injury and identify factors associated with such hospitalizations. METHODS The cohort comprises patients with ABI (n = 683), traumatic (n = 282) and non-traumatic (n = 401) who were admitted to a neurorehabilitation service in Western Australia between 1991 and 2016. De-identified patient data were linked to the Hospital Morbidity Data Collection. The incidence of dental hospitalizations was calculated per 1,000 person-years (PY), and associated factors were investigated using multilevel mixed-effects logistic regression. RESULTS Dental hospitalizations significantly increased from pre-injury (3.35/1,000PY) to acute injury (302.65, Δ+299.3) and remained elevated in the post-acute phase (23.98, Δ+20.63). Dental caries had the highest incidence rate among all diagnoses in the pre-injury and post-acute phases (0.68 and 8.93, respectively), followed by gingivitis and periodontal diseases (3.60) in the post-acute phase. Tooth extractions were performed more often than restorative and preventive treatment in the pre-and post-injury phase, p < 0.001. Dental hospitalizations were associated with the type of ABI, age at injury, remoteness, and history of pre-injury hospitalization. CONCLUSION Implementing comprehensive preventive dental care can reduce potentially preventable dental hospitalization among ABI patients.
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Affiliation(s)
- Somayyeh Azimi
- Brightwater Research Centre, Brightwater Care Group, Inglewood, WA, Australia
- International Research Collaborative - Oral Health and Equity, Department of Anatomy, Physiology and Human Biology, School of Human Sciences, University of Western Australia, Crawley, WA, Australia
| | - Lakkhina Troeung
- Brightwater Research Centre, Brightwater Care Group, Inglewood, WA, Australia
| | - Angelita Martini
- Brightwater Research Centre, Brightwater Care Group, Inglewood, WA, Australia
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Nonoyama T, Nonoyama K, Shimazaki Y. Cross-sectional study of the factors associated with the number of teeth in middle-aged and older persons with intellectual disabilities. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2022; 66:793-804. [PMID: 35929423 PMCID: PMC9544665 DOI: 10.1111/jir.12967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 07/11/2022] [Accepted: 07/14/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND We investigated the number of teeth in middle-aged and older individuals with intellectual disability and evaluated the related factors. METHODS A questionnaire survey on oral health was administered to 604 persons over 40 years old with intellectual disabilities in Aichi Prefecture, Japan. The questionnaire designed for this study included items on diagnosis of disability, severity of intellectual disability and type of residence. As oral-health-related factors, the proxy-reported number of teeth, family dentist, regular dental check-ups, problems during dental treatment and tooth-brushing frequency were evaluated. A multinomial logistic regression analysis was performed using the proxy-reported number of teeth (≥20, 10-19 or 0-9) as the dependent variable, and the odds ratios (ORs) and 95% confidence intervals (CIs) of independent variables were calculated. In addition, linear regression analysis was performed using the proxy-reported number of teeth as the dependent variable. RESULTS In the multivariate multinomial logistic regression analysis, age, diagnosis of disability and type of residence were significantly associated with having 10-19 versus ≥20 teeth. Participants with autism spectrum disorder had a significantly lower OR for 10-19 teeth compared with those with intellectual disability [OR (95% CI): 0.49 (0.22-1.08)]. Age, diagnosis of disability, regular dental check-ups and tooth-brushing frequency were significantly associated with having 0-9 versus ≥20teeth. Participants with Down syndrome had a significantly higher OR for 0-9 teeth compared with those with intellectual disability [OR (95% CI): 3.17 (1.09-9.23)]. The ORs for 0-9 teeth of participants who did not attend regular dental check-ups and who brushed their teeth 1 time/day compared with ≥3 times/day were significantly high, and the OR (95% CI) was 2.37 (1.06-5.30) and 4.76 (1.09-20.77), respectively. [Corrections made on 22 August 2022, after first online publication: in the previous sentence, "who attend" has been changed to "who did not attend".] In the multivariate linear regression analysis, age, diagnosis of disability and regular dental check-ups were significantly associated with the proxy-reported number of teeth. The proxy-reported number of teeth was -0.42 less with each 1-year increase in age. With autism spectrum disorder, the proxy-reported number of teeth was 0.74 more compared with intellectual disability. In Down syndrome, the proxy-reported number of teeth was -0.93 less compared with intellectual disability. The proxy-reported number of teeth was -2.12 less for those who did not have regular dental check-ups. CONCLUSIONS The number of teeth in middle-aged and older individuals with intellectual disability was related to age and the type of disability. Regular dental visits may be effective at preventing tooth loss in middle-aged and older persons with intellectual disability.
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Affiliation(s)
- T. Nonoyama
- Department of Preventive Dentistry and Dental Public Health, School of DentistryAichi Gakuin UniversityNagoyaJapan
| | - K. Nonoyama
- Department of Preventive Dentistry and Dental Public Health, School of DentistryAichi Gakuin UniversityNagoyaJapan
- Nonoyama Dental OfficeTogoJapan
| | - Y. Shimazaki
- Department of Preventive Dentistry and Dental Public Health, School of DentistryAichi Gakuin UniversityNagoyaJapan
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Baumgarten A, Hilgert JB, Rech RS, Cunha-Cruz J, de Goulart BNG. Caries experience in caregiver-intellectual deficient pair: Influence of caregiver's psychological morbidity. SPECIAL CARE IN DENTISTRY 2021; 41:707-715. [PMID: 34057228 DOI: 10.1111/scd.12617] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 04/24/2021] [Accepted: 05/18/2021] [Indexed: 12/13/2022]
Abstract
OBJECTIVE Evaluate how determinants of psychological morbidity were associated with dental caries experience in the caregiver-intellectual deficient pair. METHODS A cross-sectional study with 299 pair, who had their oral health status assessed using the DMFT index (decayed, missing and filled teeth). Symptoms of anxiety, depression, stress, quality of sleep, and socioeconomic variables were measured in caregivers. Adjusted prevalence ratios were estimated using Poisson regression with the caregiver and children's caries index as outcome. RESULTS The average prevalence of DMFT/dmft was 7.48 (SD ± 3.9) for students with ID and DMFT was 14.7 (SD ± 8.1) for their caregivers. For the caregiver's oral health, the following psychic comorbidities were associated with worse oral health condition: anxiety (PR = 1.48; 95%CI 1.07-2.06), depression (PR = 1.39; 95%CI 1.05-1.85), high level of stress (PR = 1.58; 95%CI 1.17-2.13) and sleep disorders (PR = 1.59; 95%CI 1.18-2.14). For people with ID, the caregiver's psychic comorbidities also showed association with a worse oral health condition, including anxiety (PR = 1.31; 95%CI 1.03-1.74), depression (PR = 1.28; 95%CI 1.01-1.67) and high level of stress (PR = 1.63; 95%CI 1.14-2.32), as well as mother's high level of DMFT (PR = 1.96; 95%CI 1.28-3.03). CONCLUSION Symptoms of depression, anxiety and stress were associated with higher levels of dental caries experience for caregivers and for people with intellectual disabilities.
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Affiliation(s)
- Alexandre Baumgarten
- Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Juliana Balbinot Hilgert
- Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.,Postgraduate Program in Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Rafaela Soares Rech
- Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Joana Cunha-Cruz
- School of Dentistry and School of Public Health, University of Washington, Seattle, Washington
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Baumgarten A, Hilgert JB, Rech RS, Cunha-Cruz J, Goulart BNG. Association between motor proficiency and oral health in people with intellectual disabilities. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2021; 65:489-499. [PMID: 33682246 DOI: 10.1111/jir.12828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 02/12/2021] [Accepted: 02/15/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND People with intellectual disabilities (IDs) may be at increased risk of developing periodontal diseases and dental caries due to poor oral hygiene. Our aim was to investigate motor proficiency factors associated with presence of visible plaque and gingival bleeding in people with IDs. We were particularly interested in the level of dependence, manual coordination and fine manual control of people with ID, as well as the level of exhaustion of the primary caregiver. METHODS In this cross-sectional study, 299 people with ID were evaluated for oral hygiene using the simplified Visible Plaque Index and for gum inflammation using the Gingival Bleeding Index. The Bruininks-Oseretsky Motor Proficiency Test assessed motor proficiency through fine manual control (fine motor integration and fine motor precision) and manual coordination (manual dexterity and upper limb coordination). The level of dependence was assessed by the Katz dependency index, and the caregiver was tested for exhaustion using the fatigue severity scale. Prevalence ratios [and 95% confidence intervals (CI)] were calculated using crude and adjusted Poisson regression with robust variance. RESULTS The exhaustion of the caregiver was associated positively to visible plaque [prevalence ratio (PR) = 1.36; 95% CI 1.06-1.65]. For gingival bleeding, people with IDs that had better fine motor integration (PR = 0.49; 95% CI 0.33-0.75) and precision (PR = 0.50; 95% CI 0.26-0.94), as well as manual dexterity (PR = 0.62, 95% CI 0.49-0.77), presented better results. CONCLUSION Poor oral hygiene and gum inflammation were associated with motor proficiency of people with IDs and caregivers' exhaustion. Interventions to improve the oral health of people with IDs should take into account such conditions.
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Affiliation(s)
- A Baumgarten
- Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - J B Hilgert
- Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Postgraduate Program in Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - R S Rech
- Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - J Cunha-Cruz
- School of Dentistry and School of Public Health, University of Washington, Seattle, WA, USA
| | - B N G Goulart
- Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
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Medical Diagnoses, Mode of Residence, and Dental Treatment Demand under General Anesthesia in Special Needs Adults in Innsbruck, Austria. A Retrospective Breakdown of Four and a Half Years. Healthcare (Basel) 2021; 9:healthcare9030279. [PMID: 33806623 PMCID: PMC7998673 DOI: 10.3390/healthcare9030279] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 02/15/2021] [Accepted: 03/01/2021] [Indexed: 11/17/2022] Open
Abstract
Regarding oral/dental care and attendance, special needs individuals depend on their caregivers' commitment. The purpose of this retrospective data analysis of adults who received dental general anesthesia (DGA) in Innsbruck, Austria, was a breakdown of demographic parameters (including the mode of accommodation/care), medical diagnoses (comprising intellectual/physical disablement (IPD) or psychiatric (anxiety) disorders (PDs)), and dental therapy performed under DGA. The sample was composed of 233 consecutive adults who underwent DGA from January 2015 to June 2019. Data were analyzed with descriptive and comparative statistics. In total, 133 (57.1%) subjects were male and 100 (42.9%) female; 176 (75.5%) had IPD and 57 (24.5%) PDs; 168 (72.1%) were living at private and 65 (27.9%) at nursing homes. Median age (IQR) was 35.6 (25.7-47.2) years. In the total sample, 5 (2-9) teeth were restored and 2 (0.5-6.5) teeth were extracted. Individuals with PDs had more teeth restored (p = 0.01) and extracted (p < 0.001) than individuals with IPD. Private home residents had more teeth restored (p < 0.001) but less teeth extracted (p = 0.003) than nursing home residents. Special needs individuals' oral health backlog should be tackled in private and institutional care modalities alike.
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Lim MAWT, Liberali SAC, Borromeo GL. Utilisation of dental services for people with special health care needs in Australia. BMC Oral Health 2020; 20:360. [PMID: 33308211 PMCID: PMC7733299 DOI: 10.1186/s12903-020-01354-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 12/03/2020] [Indexed: 11/12/2022] Open
Abstract
Background To explore the profile of patients and treatment delivered at specialist referral centres for individuals with special needs. Methods A cross-sectional audit was conducted of the health records of all patients with appointments at two of Australia’s largest referral centres for patients with special needs, the Integrated Special Needs Department at the Royal Dental Hospital of Melbourne and the Special Needs Unit at the Adelaide Dental Hospital, for the month of August 2015. Results The profile of patients treated at these specialist units demonstrates the diversity of individuals with additional health care needs that general dentists feel require specialised oral health care. The Adelaide-based clinic had a greater proportion of complex medical patients in comparison to those treated in Melbourne who were more likely to have a disability or psychiatric condition and were less likely to be able to self-consent for treatment. Interestingly, despite similar workforce personnel numbers, there were approximately twice as many appointments at the Special Needs Unit in Adelaide than the Integrated Special Needs Department in Melbourne during the study period which may have reflected differences in workforce composition with a greater use of dental auxiliaries at the Adelaide clinic. Conclusions The results of this study provide an initial profile of patients with special needs referred for specialist care in Australia. However, the differences in patient profiles between the two units require further investigation into the possible influence of service provision models and barriers to access of care for individuals with special needs and to ensure equitable access to health care.
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Affiliation(s)
- Mathew Albert Wei Ting Lim
- Melbourne Dental School, University of Melbourne, Carlton, Australia. .,Dental Services, Alfred Health, Melbourne, Australia. .,Maxillofacial Surgery and Dental Clinic, Royal Melbourne Hospital, Parkville, Australia.
| | - Sharon Andrea Corinne Liberali
- Adelaide Dental School, The University of Adelaide, Adelaide, Australia.,Special Needs Unit, Adelaide Dental Hospital, Adelaide, Australia
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CAVA-ARANGOITIA OCJ, GUEVARA-CANALES JO, MORALES-VADILLO R, CAVA-VERGIÚ CE, RIBERA-URIBE M, MAYO-ORTEGA L. PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES. CUMHURIYET DENTAL JOURNAL 2020. [DOI: 10.7126/cumudj.776746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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10
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Mac Giolla Phadraig C, Farag M, McCallion P, Waldron C, McCarron M. The complexity of tooth brushing among older adults with intellectual disabilities: Findings from a nationally representative survey. Disabil Health J 2020; 13:100935. [PMID: 32439304 DOI: 10.1016/j.dhjo.2020.100935] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 03/31/2020] [Accepted: 04/19/2020] [Indexed: 10/24/2022]
Abstract
BACKGROUND Adults with Intellectual and Developmental Disabilities (IDD) have poor oral-hygiene and oral health. A better understanding of their oral-hygiene behaviours will inform interventions to improve personal and population health. OBJECTIVE/HYPOTHESIS To identify the oral hygiene behaviours undertaken by and on behalf of older people with IDD. METHODS Cross-sectional survey from the third wave of the Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA) undertaken 2016-2017. Frequency of oral hygiene, level of support, type of brush used and for a subsample, brushing technique are reported. Bivariate analyses adopted Pearson's Chi Square test of independence. RESULTS The sample (N = 609) had a mean age of 59.7 years (SD = 8.8); 88.4% (n = 536) reported tooth cleaning at least daily. The majority who had teeth to clean reported using standard toothbrushes (75.9%), with a minority using electric (9.6%) or modified toothbrushes (5.9%). Of the 505 who reported cleaning teeth, 285 (48.5%) did not report any assistance, 127 (25.2%) were totally dependent on another person and 133 (26.3%) reported assisted cleaning, of whom 40.0% (n = 52) were Supervised, reminded or encouraged, 27.7% (n = 36) reported Hand-on-Hand and 23.8% (n = 31) reported Brush-after-Brush techniques. An association was detected between assistance and type of toothbrush used (p < 0.001). None was detected between assistance and frequency-of-brushing (p > 0.05). CONCLUSIONS Older adults with IDD present with a complex mix of supports, toothbrushes and techniques. This highlights the complexity of oral-hygiene behaviour for this population and indicates the need for bespoke individual care plans and complexity in interventions to improve population oral-hygiene.
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Affiliation(s)
- Caoimhin Mac Giolla Phadraig
- School of Dental Science, Trinity College Dublin, Dublin 2, Ireland; Department of Child and Public Dental Health, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland.
| | - Maria Farag
- School of Dental Science, Trinity College Dublin, Dublin 2, Ireland; Department of Child and Public Dental Health, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland.
| | - Philip McCallion
- Temple University, Temple School of Social Work, 1301 W. Cecil B. Moore Avenue, Philadelphia, PA, USA; School of Nursing and Midwifery, Trinity College Dublin, Dublin 2, Ireland.
| | - Catherine Waldron
- School of Dental Science, Trinity College Dublin, Dublin 2, Ireland; Department of Child and Public Dental Health, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland.
| | - Mary McCarron
- School of Nursing and Midwifery, Trinity College Dublin, Dublin 2, Ireland.
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Powell RM, Parish SL, Mitra M, Rosenthal E. Role of family caregivers regarding sexual and reproductive health for women and girls with intellectual disability: A scoping review. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2020; 64:131-157. [PMID: 31808223 PMCID: PMC9016753 DOI: 10.1111/jir.12706] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Revised: 10/10/2019] [Accepted: 11/15/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND While people with intellectual disability (ID) face disparities relating to sexual and reproductive health (SRH) services, little is known about the role of family caregivers who assist women and girls with ID access SRH services. This scoping review examined the findings of studies to elucidate the role of family caregivers with regard to SRH for women and girls with ID. METHOD We used Arksey and O'Malley's six-stage scoping framework, with Levac, Colquhoun and O'Brien's revisions, to evaluate identified sources. We searched three electronic databases, six ID journals and reference lists in full-text articles. Inclusion criteria included (1) primary and secondary source research studies in peer-reviewed journals; (2) published in English; (3) all research methodologies (i.e. qualitative, quantitative, mixed methods and systematic reviews or commentaries); (4) published between 2000 and 2016; and (5) studies from any country. RESULTS The search yielded 2062 studies; 57 articles met inclusion criteria. Most studies employed purposive, convenience or criterion sampling. Participants included people with ID, family caregivers, paid caregivers and health-care professionals. Findings were summarised thematically: (1) menstruation and menopause; (2) vaccinations and preventive screenings; (3) supporting sexuality and healthy relationships; (4) coordinating with health-care providers and (5) contraception and sterilisation. CONCLUSIONS Findings from this scoping review underscore the need for more and better-quality research, including how family caregivers assist women and girls with ID access perinatal and preventive SRH services and sexual abuse education. Family caregivers, women and girls with ID and health-care providers need increased access to information about SRH.
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Affiliation(s)
- R M Powell
- The Lurie Institute for Disability Policy, The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts
| | - S L Parish
- The College of Health Professions, Virginia Commonwealth University, Richmond, Virginia
| | - M Mitra
- The Lurie Institute for Disability Policy, The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts
| | - E Rosenthal
- School Psychology, College of Education, Lehigh University Bethlehem, Pennsylvania
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12
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EFFECTIVE SCHEMES OF THERAPEUTIC AND PREVENTIVE MEASURES FOR DISEASES OF THE ORAL CAVITY IN PROFESSIONAL ATHLETES. WORLD OF MEDICINE AND BIOLOGY 2020. [DOI: 10.26724/2079-8334-2020-4-74-24-28] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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13
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Bizarra MDF, Ribeiro Graça S. Short-term impact of an oral health program for adults with cerebral palsy. SPECIAL CARE IN DENTISTRY 2019; 40:26-34. [PMID: 31697453 DOI: 10.1111/scd.12431] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Revised: 10/28/2019] [Accepted: 10/29/2019] [Indexed: 11/29/2022]
Abstract
AIM To evaluate the impact of an oral health program for institutionalized individuals with cerebral palsy (CP) and their caregivers, after 2 and 6 months. METHODS Sixty-two CP individuals in four homes were selected for intervention group (n = 31) and control group (n = 31). An oral hygiene practices questionnaire was applied to all caregivers at the baseline. Both groups received awareness sessions, practical demonstration of toothbrushing and adaptive techniques with role-play. In the study group, individual oral hygiene monitoring was also performed in the first 2 months. A gingival and an oral hygiene indexes were performed at the beginning, after 2 and 6 months of intervention. RESULTS There was a significant reduction of gingival (p < 0.001) and oral hygiene (p < 0.001) indexes at 2 and 6 months in the intervention group with the most significant reductions at 2 months. Caregivers reported opening the mouth (84.6%) and swallowing toothpaste (61.5%) as the most important difficulties in performing toothbrushing. CONCLUSION It was found that frequent and individualized monitoring of plaque control was essential to reduce dental plaque and gingivitis levels and that awareness sessions were not enough to produce clinically significant result.
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Affiliation(s)
- Maria de Fátima Bizarra
- Department of Dental Hygiene, School of Dental Medicine, University of Lisbon, Lisboa, Portugal
| | - Sandra Ribeiro Graça
- Department of Dental Hygiene, School of Dental Medicine, University of Lisbon, Lisboa, Portugal
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14
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Pradhan A. Targeting Dental Caries and Body Mass Index Among Special Olympics Athletes in Australia. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2018. [DOI: 10.1111/jppi.12255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Archana Pradhan
- School of Dentistry; The University of Queensland; Herston QLD Australia
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15
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Blaizot A, Catteau C, Delfosse C, Hamel O, Trentesaux T. Obstacles to comprehensive dental care in patients with sustained limitations of their decision-making abilities: findings from a Delphi study. Eur J Oral Sci 2018; 126:222-233. [DOI: 10.1111/eos.12413] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Alessandra Blaizot
- Laboratory of Medical Ethics and Forensic Medicine; University of Paris Descartes; Paris France
- Faculty of Dentistry, Dental Public Health Department - University Hospital of Lille; University of Lille; Lille France
| | - Céline Catteau
- Faculty of Dentistry, Dental Public Health Department - University Hospital of Lille; University of Lille; Lille France
- Centre de Recherche en Odontologie Clinique; Clermont University; University of Auvergne; Clermont Ferrand France
| | - Caroline Delfosse
- Centre de Recherche en Odontologie Clinique; Clermont University; University of Auvergne; Clermont Ferrand France
- Faculty of Dentistry; Paediatric Dentistry Department; University Hospital of Lille; University of Lille; Lille France
| | - Olivier Hamel
- Laboratory of Medical Ethics and Forensic Medicine; University of Paris Descartes; Paris France
- Faculty of Dentistry, Public Health Department - University Hospital of Toulouse; University of Toulouse III; Toulouse France
| | - Thomas Trentesaux
- Laboratory of Medical Ethics and Forensic Medicine; University of Paris Descartes; Paris France
- Faculty of Dentistry; Paediatric Dentistry Department; University Hospital of Lille; University of Lille; Lille France
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Mac Giolla Phadraig C, Griffiths C, McCallion P, McCarron M, Donnelly-Swift E, Nunn J. Pharmacological behaviour support for adults with intellectual disabilities: Frequency and predictors in a national cross-sectional survey. Community Dent Oral Epidemiol 2018; 46:231-237. [DOI: 10.1111/cdoe.12365] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 01/09/2018] [Indexed: 11/29/2022]
Affiliation(s)
- C. Mac Giolla Phadraig
- Department of Child and Public Dental Health; Dublin Dental University Hospital; Dublin Ireland
- School of Dental Science; Trinity College Dublin; Dublin Ireland
| | - C. Griffiths
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
| | - P. McCallion
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
- School of Social Work; Temple University; Philadelphia PA USA
| | - M. McCarron
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
| | - E. Donnelly-Swift
- Department of Child and Public Dental Health; Dublin Dental University Hospital; Dublin Ireland
- School of Dental Science; Trinity College Dublin; Dublin Ireland
| | - J. Nunn
- Department of Child and Public Dental Health; Dublin Dental University Hospital; Dublin Ireland
- School of Dental Science; Trinity College Dublin; Dublin Ireland
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Oda Y, Hayashi F, Wakita A, Nagatani Y, Okada M. Five-year longitudinal study of dental caries risk associated with Streptococcus mutans and Streptococcus sobrinus in individuals with intellectual disabilities. J Oral Sci 2016; 59:39-46. [PMID: 28049966 DOI: 10.2334/josnusd.16-0325] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Streptococcus mutans (S. mutans) and Streptococcus sobrinus (S. sobrinus) are important etiologic agents in human dental caries. Using quantitative real-time polymerase chain reaction assays for the presence of those strains, we examined 145 outpatients with intellectual disability (ID), calculated the proportion of each of these strains to total bacteria, and compared dental caries incidence over 5 years. Plaque samples were collected from all erupted tooth sites, and dental examinations were performed annually to determine numbers of decayed, missing, and filled teeth (DMFT score; World Health Organization caries diagnostic criteria). Elevated DMFT scores were calculated as ∆DMFT, and sites of newly affected caries (∆SNAC) were identified. Sixty-six patients had both strains. The proportion of S. mutans to total bacteria was moderately correlated with DMFT in year 2, ∆DMFT in years 2 and 5, and ∆SNAC in years 2 and 5 (correlation coefficient = 0.470, P < 0.001), while the proportion of S. sobrinus to total bacteria was moderately correlated with DMFT in years 2 and 5, ∆DMFT in years 1, 2, and 5, and ∆SNAC in years 2 and 5 (correlation coefficient = 0.695, P < 0.001). Individuals with ID who harbored both bacterial strains had a higher risk of dental caries and a significantly higher proportion of S. sobrinus to total bacteria.
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Affiliation(s)
- Yuki Oda
- Department of Special Care Dentistry, Hiroshima University Hospital
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18
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Petrovic BB, Peric TO, Markovic DLJ, Bajkin BB, Petrovic D, Blagojevic DB, Vujkov S. Unmet oral health needs among persons with intellectual disability. RESEARCH IN DEVELOPMENTAL DISABILITIES 2016; 59:370-377. [PMID: 27697655 DOI: 10.1016/j.ridd.2016.09.020] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2015] [Revised: 09/04/2016] [Accepted: 09/26/2016] [Indexed: 06/06/2023]
Abstract
The aim of this study was to examine the factors affecting oral health status among intellectually disabled individuals in Serbia. The sample population was categorized according to age, sex, living arrangements, general health and the level of intellectual disability (ID). The diagnosis of dental caries was performed using the DMFT/dmft criteria. The oral hygiene and gingival health were assessed with the plaque index (Silness&Löe) and gingival index (Löe&Silness), respectively. Descriptive analysis, step-wise and logistic regression were performed to analyze related influential factors for caries presence, number of extracted teeth, teeth restored, the oral hygiene level and the extent of gingival inflammation. Odds ratios for caries were significantly higher among adult persons with ID, in persons with co-occurring developmental disorders (DDS) and increased with the level of ID. Group with DDS was associated with a 1.6 times greater odds of untreated decay, while the institutionalization was associated with 2.4 times greater odds of untreated decay. Institutionalization and co-occurring disabilities have been found to be significantly associated with a higher probability of developing gingivitis. Targeting oral health services to individuals with ID are encouraged and may help to reduce overall negative effect on oral and general health associated with delayed treatments, chronic dental pain, emergency dental care, tooth loss and advanced periodontal disease.
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Affiliation(s)
- Bojan B Petrovic
- Dentistry Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
| | - Tamara O Peric
- Department of Pediatric and Preventive Dentistry, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia
| | - Dejan L J Markovic
- Department of Pediatric and Preventive Dentistry, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia
| | - Branislav B Bajkin
- Dentistry Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Djorde Petrovic
- Dentistry Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Duska B Blagojevic
- Dentistry Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Sanja Vujkov
- Dentistry Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
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Greenwood NW, Dreyfus D, Wilkinson J. More than just a mammogram: breast cancer screening perspectives of relatives of women with intellectual disability. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2014; 52:444-455. [PMID: 25409131 DOI: 10.1352/1934-9556-52.6.444] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Women with intellectual disability (ID) have similar rates of breast cancer as the general public, but higher breast cancer mortality and lower rates of regular screening mammography. Screening rates are lowest among women who live with their families. Though women with ID often make decisions in partnership with their relatives, we lack research related to family member perspectives on mammography. We conducted a qualitative study of family members of women with ID, with an interview guide focused on health care decision making and experiences, and breast cancer screening barriers, facilitators, and beliefs as related to their loved ones. Sixteen family members underwent semistructured interviews. Important themes included mammography as a reference point for other social and cultural concerns, such as their loved one's sexuality or what it means to be an adult woman; fear of having to make hard decisions were cancer to be diagnosed acting as a barrier to screening; a focus on quality of life; and desire for quality health care for their loved one, though quality care did not always equate to regular cancer screening. Adults with ID are valued members of their families, and their relatives are invested in their well-being. However, families fear the potentially complicated decisions associated with a cancer diagnosis and may choose to forgo screening due to misinformation and a focus on quality of life. Effective interventions to address disparities in mammography should focus on adults with ID and their families together, and incorporate the family context.
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Minihan PM, Morgan JP, Park A, Yantsides KE, Nobles CJ, Finkelman MD, Stark PC, Must A. At-home oral care for adults with developmental disabilities: a survey of caregivers. J Am Dent Assoc 2014; 145:1018-25. [PMID: 25270700 PMCID: PMC4527551 DOI: 10.14219/jada.2014.64] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Little is known about effective at-home oral care methods for people with developmental disabilities (DDs) who are unable to perform personal preventive practices themselves and rely on caregivers for assistance. METHODS A convenience sample of 808 caregivers (84.5 percent paid, 15.5 percent family members) who accompanied adults with DDs (20 years or older) to appointments at a specialized statewide dental care system completed computer-assisted personal interview surveys. The authors used these data to investigate caregivers' at-home oral care experiences and to explore differences between caregivers who were paid and those who were family members. RESULTS Caregivers reported that a high proportion (85 percent) of dentate adults with DDs received assistance with tooth cleaning. They also reported a high prevalence of dental problems, and low adherence to brushing (79 percent) and flossing (22 percent) recommendations. More caregivers reported that they felt confident assisting with brushing than with flossing (85 percent versus 54 percent). Family members and paid caregivers differed with respect to confidence and training. CONCLUSIONS At-home oral care, particularly flossing, presents substantial challenges for adults with DDs. Solutions must be tailored to address the different experiences and distinct needs of the family members and paid caregivers who assist these adults. PRACTICAL IMPLICATIONS Caregivers play an important role in providing at-home oral care, and they must be included in efforts to improve oral health outcomes for people with DDs.
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Affiliation(s)
- Paula M Minihan
- Dr. Minihan is an assistant professor, Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Ave., Boston, Mass. 02111, e-mail . Address correspondence to Dr. Minihan
| | - John P Morgan
- Dr. Morgan is an associate professor, Department of Public Health and Community Service, Tufts University School of Dental Medicine, Boston
| | - Angel Park
- Ms. Park is a research analyst, Department of Public Health and Community Service, Tufts University School of Dental Medicine, Boston
| | - Konstantina E Yantsides
- Ms. Yantsides was a research assistant, Department of Public Health and Community Service, Tufts University School of Dental Medicine, Boston, at the time this study was conducted. She now is a senior research coordinator with Tufts University School of Medicine
| | - Carrie J Nobles
- Ms. Nobles was a research assistant, Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, at the time this study was conducted. She now is with the University of Massachusetts, Amherst
| | - Matthew D Finkelman
- Dr. Finkelman was an assistant professor, Department of Public Health and Community Service, Tufts University School of Dental Medicine, Boston, at the time this study was conducted. He now is with the Clinical and Translational Science Institute at Tufts Medical Center and Tufts University
| | - Paul C Stark
- Dr. Stark is a professor, Department of Public Health and Community Service, Tufts University School of Dental Medicine, Boston
| | - Aviva Must
- Dr. Must is a professor, Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston
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21
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Yap E, Parashos P, Borromeo GL. Root canal treatment and special needs patients. Int Endod J 2014; 48:351-61. [PMID: 24871933 DOI: 10.1111/iej.12321] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2013] [Accepted: 05/22/2014] [Indexed: 11/26/2022]
Abstract
AIM To identify current trends of root canal treatment for patients with special needs. METHODOLOGY A postal questionnaire was sent to General Dentists in Victoria, Australia and Endodontists and Special Needs Dentists across Australia to determine the extent of root canal treatment performed on special needs patients. RESULTS Over a four-month period, 1120 questionnaires were distributed with an overall response rate of 63.9% (n = 716). Response rates were 63.2% (n = 655), 68.5% (n = 50) and 100.0% (n = 11) amongst General Dentists, Endodontists and Special Needs Dentists, respectively. Endodontists (95.7%) and Special Needs Dentists (100.0%) performed significantly more root canal treatment on adult patients with special needs compared with 51.2% of General Dentists, (P < 0.001 and P = 0.001 respectively; Fisher's exact test). The most common reasons for not undertaking root canal treatment included limited cooperation, poor oral hygiene and uncontrolled movement. Amongst General Dentists, 75.7% opted for extraction in preference to root canal treatment. Significantly, more specialist practitioners performed root canal treatment utilizing conscious sedation (P < 0.001) and general anaesthesia (P = 0.003). Most specialist practitioners (69.1%) had undertaken single-visit root canal treatment on special needs patients compared with only 29.7% of General Dentists (P < 0.001). CONCLUSIONS Root canal treatment in special needs patients was more likely to be carried out by specialist dental practitioners who were more likely to utilize a pharmacological approach for behaviour guidance and to perform single-visit root canal treatment compared with General Dentists. A multidisciplinary approach for special needs patients who require root canal treatment provides an opportunity for these patients to retain their dentition.
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Affiliation(s)
- E Yap
- Faculty of Medicine, Dentistry and Health Sciences, Melbourne Dental School, University of Melbourne, Carlton, Australia
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22
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Phadraig C MG, Burke E, McCallion P, McGlinchey E, Nunn J, McCarron M. Dental attendance among older adults with intellectual disabilities in Ireland. SPECIAL CARE IN DENTISTRY 2014; 34:265-72. [DOI: 10.1111/scd.12067] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Mac Giolla Phadraig C
- Dublin Dental University Hospital; Department of Child and Public Dental Health; Dublin Ireland
- School of Dental Science; Trinity College; Dublin Ireland
| | - Eilish Burke
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
| | - Philip McCallion
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
- School of Social Welfare; University at Albany; Albany Canada
| | - Eimear McGlinchey
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
| | - June Nunn
- Dublin Dental University Hospital; Department of Child and Public Dental Health; Dublin Ireland
- School of Dental Science; Trinity College; Dublin Ireland
| | - Mary McCarron
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
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23
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Trihandini I, Wiradidjaja Adiwoso A, Erri Astoeti T, Marks L. Oral health condition and treatment needs among young athletes with intellectual disabilities in Indonesia. Int J Paediatr Dent 2013; 23:408-14. [PMID: 23163957 DOI: 10.1111/ipd.12010] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Data on the oral situation of young people with intellectual disabilities are scarce, especially data of children from a developing country. AIM To describe and to evaluate the oral treatment needs of Special Olympics Special Smiles Athletes in Indonesia between 2004 and 2009. DESIGN A cross-sectional study data were collected through interviews and clinical examinations using the Special Olympics Special Smiles CDC protocol. PARTICIPANTS Indonesian Special Smiles athletes; their mean age was 13.46 years ± 2.97. RESULTS More than 70% of athletes had visible untreated decay. Almost 30% (29.8%) of the athletes had gingival inflammation. Pain in the oral cavity was reported by 28.6%. Athletes who had untreated decay reported 6.67 times (95% CI OR; 4.00-11.14) more pain compared to those who did not have untreated decay. Athletes living in provinces on Java Island had 1.54 times (95% CI OR; 1.15-2.07) more untreated decay compared to the athletes who live in provinces in outer Java Island. 21.63% of the screened athletes were referred to the dentist for urgent treatment. CONCLUSION The results suggest that there is an elevated oral treatment need in Indonesian Special Smiles population.
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Affiliation(s)
- Indang Trihandini
- Department of Biostatistics and Population Studies, Faculty of Public Health, University of Indonesia, Jakarta, Indonesia
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24
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Chang J, Lee JH, Son HH, Kim HY. Caries risk profile of Korean dental patients with severe intellectual disabilities. SPECIAL CARE IN DENTISTRY 2013; 34:201-7. [PMID: 25039380 DOI: 10.1111/scd.12047] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This study evaluated the caries risk profile of patients with severe intellectual disabilities (IDs) who received dental treatment under general anesthesia. One hundred and two patients with ID [ID group, mean age (SD); 23.8(9.3)] and 100 healthy patients without ID [NID group, mean age (SD); 23.19(3.3)] were included. Medication, disability type, oral hygiene maintenance, and cooperation of the patients were investigated. Dietary habits, plaque index, mutans streptococci counts, fluoride availability, and salivary buffering were scored and analyzed using the Cariogram. The mean chance of avoiding caries (SD) was 28.1(20.4) in the ID group and 54.7(18.4) in the NID group. The ID group had significantly higher numbers of decayed and missing teeth, but fewer filled teeth than the NID group (p < .05). Significant disparities existed in the distributions of all caries-related factors except for mutans streptococci counts between the two groups (p < .05). The low chance to avoid future caries in ID patients was closely associated with insufficient oral hygiene maintenance (p < .05). Fluoride availability was strongly associated with the chance of avoiding caries in the ID group. Dental patients with severe ID exhibited a higher risk of developing caries than normal patients. Among several caries-related factors, insufficient oral hygiene maintenance and low fluoride availability most contributed to the high risk.
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Affiliation(s)
- Juhea Chang
- Assistant Professor, Clinic for Persons with Disabilities, Seoul National University Dental Hospital, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, 110-768, Korea
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25
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Brehmer-Rinderer B, Weber G. Gesundheitsförderung von Menschen mit intellektueller Behinderung. ACTA ACUST UNITED AC 2013. [DOI: 10.1026/0943-8149/a000097] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zahlreiche Publikationen belegen, dass die Gesundheit von Menschen mit intellektueller Behinderung (IB) für Krankheiten und Störungen anfälliger ist als die der Allgemeinbevölkerung. Zudem sind bestimmte Risikoverhaltensweisen (z. B. schlechte Ernährung und wenig Bewegung) häufiger bei dieser Personengruppe zu finden. Trotz der sensibleren Gesundheitssituation steht die gesundheitspsychologische Forschung für Menschen mit IB noch am Anfang. Für diesen Überblicksartikel wurde Fachliteratur über Menschen mit IB nach gesundheitspsychologischen Konzeptionen durchsucht und bestehende Forschungsarbeiten analysiert. Des Weiteren wurden rezente Gesundheitsmodelle sowie Kontinuitäts- und Stadienmodelle für die Allgemeinbevölkerung und ihre einzelnen Bestandteile hinsichtlich ihrer Übertragbarkeit auf diese spezielle Population untersucht. Eine Generalisierung von Gesundheitsmodellen der Allgemeinbevölkerung auf die Gruppe von Menschen mit IB erscheint aus verschiedenen Gründen problematisch. So erweist sich z. B. die Erfassung einzelner Bestandteile durch ihre Abstraktheit als zu komplex für Menschen mit IB. Dieses und ähnliche Forschungshindernisse werden in diesem Artikel besprochen. Diese genaue Analyse hilft jedoch notwendige Kriterien für die Entwicklung eines theoretischen Gesundheitsmodells speziell für Menschen mit IB zu erstellen. Schlussendlich werden relevante Modellbausteine für Menschen mit IB, die auf den präsentierten Forschungsergebnissen aufbauen, vorgestellt und diskutiert. Schließlich werden zukünftige Forschungsfragen erörtert.
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Limeres J, Martínez F, Feijoo JF, Ramos I, Liñares A, Diz P. A new indicator of the oral hygiene habits of disabled persons: relevance of the carer's personal appearance and interest in oral health. Int J Dent Hyg 2013; 12:121-6. [DOI: 10.1111/idh.12033] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/08/2013] [Indexed: 11/30/2022]
Affiliation(s)
- J Limeres
- Grupo de Investigación en Odontología Médico-Quirúrgica (OMEQUI); School of Medicine and Dentistry; Santiago de Compostela University; Santiago de Compostela Spain
| | - F Martínez
- Grupo de Investigación en Odontología Médico-Quirúrgica (OMEQUI); School of Medicine and Dentistry; Santiago de Compostela University; Santiago de Compostela Spain
| | - JF Feijoo
- Grupo de Investigación en Odontología Médico-Quirúrgica (OMEQUI); School of Medicine and Dentistry; Santiago de Compostela University; Santiago de Compostela Spain
| | - I Ramos
- Grupo de Investigación en Odontología Médico-Quirúrgica (OMEQUI); School of Medicine and Dentistry; Santiago de Compostela University; Santiago de Compostela Spain
| | - A Liñares
- Grupo de Investigación en Odontología Médico-Quirúrgica (OMEQUI); School of Medicine and Dentistry; Santiago de Compostela University; Santiago de Compostela Spain
| | - P Diz
- Grupo de Investigación en Odontología Médico-Quirúrgica (OMEQUI); School of Medicine and Dentistry; Santiago de Compostela University; Santiago de Compostela Spain
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Blaizot A, Trentesaux T, Hervé C, Hamel O. Décisions thérapeutiques buccodentaires chez des patients en situation de handicap intellectuel. Éléments de réflexions éthiques apportés par les aidants. ACTA ACUST UNITED AC 2013. [DOI: 10.1016/j.etiqe.2012.11.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Greenwood NW, Wilkinson J. Sexual and reproductive health care for women with intellectual disabilities: a primary care perspective. INTERNATIONAL JOURNAL OF FAMILY MEDICINE 2013; 2013:642472. [PMID: 24455249 PMCID: PMC3876698 DOI: 10.1155/2013/642472] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2013] [Revised: 09/19/2013] [Accepted: 10/03/2013] [Indexed: 05/22/2023]
Abstract
Adults with intellectual disabilities (ID) face multiple health disparities and challenges to accessing health care. Little is known about sexual health care of this population and about how to optimize women's reproductive health care for women with intellectual disabilities. Women with ID face important barriers to care, including lack of provider training and experience, hesitancy to broach the topic of sexual health, a lack of sexual knowledge and limited opportunities for sex education, disability-related barriers, higher prevalence of sexual abuse and assault, often underreported, lack of dialogue around this population's human right to consensual sexual expression, undertreatment of menstrual disorders, and legal and systemic barriers. We conducted a limited literature review related to six aspects of sexual health care of women with ID, including barriers to sexual health care, sex education, sexual abuse and consensual sexuality, contraception, screening for sexually transmitted infections and cervical cancer, and pregnancy and parenting. After providing background information about each topic, we suggest practice recommendations for primary care clinicians, using a rights-based framework.
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Affiliation(s)
- Nechama W. Greenwood
- Department of Family Medicine, Boston University School of Medicine, Dowling 5, 771 Albany Street, Boston, MA 02118, USA
- *Nechama W. Greenwood:
| | - Joanne Wilkinson
- Department of Family Medicine, Boston University School of Medicine, Dowling 5, 771 Albany Street, Boston, MA 02118, USA
- Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Avenue, 4th floor, Boston, MA 02118, USA
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Mac Giolla Phadraig C, Guerin S, Nunn J. Train the trainer? A randomized controlled trial of a multi-tiered oral health education programme in community-based residential services for adults with intellectual disability. Community Dent Oral Epidemiol 2012; 41:182-92. [DOI: 10.1111/cdoe.12006] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2012] [Accepted: 08/18/2012] [Indexed: 11/29/2022]
Affiliation(s)
- Caoimhin Mac Giolla Phadraig
- Department of Child and Public Dental Health; Dublin Dental University Hospital; Trinity College Dublin; Dublin; Ireland
| | - Suzanne Guerin
- School of Psychology; University College Dublin; Dublin; Ireland
| | - June Nunn
- Department of Child and Public Dental Health; Dublin Dental University Hospital; Trinity College Dublin; Dublin; Ireland
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30
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Roberto LL, Machado MG, Resende VLS, Castilho LS, Abreu MHNGD. Factors associated with dental caries in the primary dentition of children with cerebral palsy. Braz Oral Res 2012; 26:471-7. [DOI: 10.1590/s1806-83242012005000018] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2012] [Accepted: 07/13/2012] [Indexed: 11/22/2022] Open
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31
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Wei H, Wang YL, Cong XN, Tang WQ, Wei PM. Survey and analysis of dental caries in students at a deaf-mute high school. RESEARCH IN DEVELOPMENTAL DISABILITIES 2012; 33:1279-1286. [PMID: 22502855 DOI: 10.1016/j.ridd.2012.02.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2012] [Revised: 02/26/2012] [Accepted: 02/27/2012] [Indexed: 05/31/2023]
Abstract
The present cross-sectional study was conducted to assess and compare the prevalence of dental caries of 229 deaf adolescents in a special senior high school and to identify factors related to dental caries, with a match group of 196 healthy adolescents in a normal senior high school, in Jiangsu province of East China. In this study the prevalence of dental caries was 55.9%, Decayed, Missing and Filled Teeth (DMFT) index in deaf students was 1.40±1.89; in healthy students was 13.8% and 1.36±1.72, respectively. Relatively lower proportion of awareness on dental health knowledge and lower proper practice of dental health behavior have been observed among deaf students compared with the control group. Multiple logistic regressions showed that the risk factors of dental caries in deaf students involved high frequency of consuming dessert and carbonated beverage. Poor oral health, lack of oral health knowledge and proper oral health practice could be found in deaf students. The dental treatment for the two groups was urgently needed. The dental health education concerning dietary behavior and prevention program to the deaf students and their parents should be reinforced; the supervision of oral health behavior for deaf and healthy students needs to be strengthened.
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Affiliation(s)
- Hong Wei
- Department of Stomatology, Southeast University Hospital, Nanjing, China
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Bissar AR, Kaschke I, Schulte AG. Oral health in 12- to 17-year-old athletes participating in the German Special Olympics. Int J Paediatr Dent 2010; 20:451-7. [PMID: 20642469 DOI: 10.1111/j.1365-263x.2010.01065.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND There is a lack of actual data regarding oral health in children and adolescents with intellectual disabilities. AIM To evaluate the oral health in adolescents with intellectual disabilities participating in the German Special Olympics games 2008. METHODS A free voluntary dental examination was offered to the participating athletes. Dental examinations were performed according to WHO criteria by dental clinicians. In addition, information about the athletes' oral hygiene habits was collected. RESULTS The number of adolescent athletes aged between 12 and 17 years who had their teeth examined was 160. On average they were 15.3 years old. Caries prevalence was 58.1% and the mean DMFT was 2.3. The mean number of fissure sealed teeth was 2.5. About half of the participants showed signs of gum inflammation. The proportion of the adolescents living at home with their parents was 88%. More than 90% of them brushed their teeth by themselves without assistance. CONCLUSIONS Adolescents with intellectual disabilities seem to have benefited from various caries preventive measures which had been introduced during the last two decades in Germany but still have a poorer oral health than the general population. More specific prevention programmes seeking close cooperation with parents, custodians, and caretakers should be developed.
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Affiliation(s)
- Abdul-Razak Bissar
- Department of Conservative Dentistry, University of Heidelberg, Heidelberg, Germany.
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