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Wierichs RJ, Kaspari I, Maniewicz S, Campus G, Tennert C, Carvalho TS, Niemeyer SH. Diagnosing and recording root caries: A survey among Swiss dentists. J Dent 2024; 142:104870. [PMID: 38311018 DOI: 10.1016/j.jdent.2024.104870] [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: 01/01/2024] [Revised: 01/27/2024] [Accepted: 01/29/2024] [Indexed: 02/06/2024] Open
Abstract
OBJECTIVES Despite the increase in the root caries prevalence, little is still known about how dentists manage this condition. The present study aimed to evaluate the knowledge of dentists on diagnosing and recording root caries lesions (RCL). METHODS The survey consisted of three domains: (1) dentists' knowledge on diagnosing, recording and managing RCL; (2) information about their current general clinical routines; and (3) their demographics. The four Swiss Universities distributed the survey via e-mail lists for alumni or professionals participating in continuing education. The data was quality checked. Construct validity, internal reliability and intraclass correlation (ICC) were assessed. RESULTS The survey was answered by 383 dentists from 25(out of 26) cantons [mean(SD) working experience: 22.5(12) years]. The majority replied that they see less than 5 patients with RCL per week, whereas 41 have at least 5 per week, and 40 % (157 dentists) do not distinguish RCL from coronal caries in their patients' medical records. When diagnosing active RCL, tactile sensation was the most predominant criterion (n = 380), whereas color (n = 224) and visual appearance (n = 129) of the lesion were less often selected. The most often chosen risk factors for RCL were poor oral hygiene and presence of biofilm.The responses were significantly influenced by the participants' place of education, their age and working area. CONCLUSION The present survey highlights the huge diversity in diagnosing, recording and assessing risk factors of RCL. The benefits of an appropriate diagnosis, recording and management of risk factors of RCL should be highlighted in under- and postgraduate dental education. CLINICAL SIGNIFICANCE A great diversity in diagnosing, recording and assessing risk factors of RCL was observed, which migh strongly impact how dentists manage RCL. The study emphasizes the necessity for intensive efforts to bridge the gap between guideline recommendations and their implementation in private dental practices.
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Affiliation(s)
- Richard Johannes Wierichs
- Department of Restorative, Preventive and Pediatric Dentistry, zmk bern, University of Bern, Freiburgstrasse 7, Bern CH-3010, Switzerland.
| | - Isabelle Kaspari
- Department of Restorative, Preventive and Pediatric Dentistry, zmk bern, University of Bern, Freiburgstrasse 7, Bern CH-3010, Switzerland
| | - Sabrina Maniewicz
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Guglielmo Campus
- Department of Restorative, Preventive and Pediatric Dentistry, zmk bern, University of Bern, Freiburgstrasse 7, Bern CH-3010, Switzerland; Department of Surgery, Microsurgery and Medicine Sciences, School of Dentistry, University of Sassari, Italy
| | - Christian Tennert
- Department of Restorative, Preventive and Pediatric Dentistry, zmk bern, University of Bern, Freiburgstrasse 7, Bern CH-3010, Switzerland
| | - Thiago Saads Carvalho
- Department of Restorative, Preventive and Pediatric Dentistry, zmk bern, University of Bern, Freiburgstrasse 7, Bern CH-3010, Switzerland
| | - Samira Helena Niemeyer
- Department of Restorative, Preventive and Pediatric Dentistry, zmk bern, University of Bern, Freiburgstrasse 7, Bern CH-3010, Switzerland
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de Oliveira Marques V, Kort-Kamp LM, de Souza MAN, Portela MB, Castro GFBDA. Oral Health and Behavioral Management of Children with Autistic Spectrum Disorder: A 30-year Retrospective Study. J Autism Dev Disord 2023:10.1007/s10803-023-06209-x. [PMID: 38109033 DOI: 10.1007/s10803-023-06209-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2023] [Indexed: 12/19/2023]
Abstract
PURPOSE This article aims to determine the oral health status, the dental treatment, the behavioral management techniques, and the follow-up of pediatric autistic spectrum disorder (ASD) patients treated at the Clinic for Pediatric Patients with Disabilities (CPPD) at a public university in Brazil. METHODS The medical records of all the patients seen between 1990 and 2020 were evaluated. Data were collected on the autistic patients' medical and dental conditions, treatments, behavior during dental visits, behavioral management techniques used, and the entire follow-up period at the clinic. The Student's t-test and chi-square tests were used to perform the statistical analysis (α = 0.05%). RESULTS Sixty-six records of ASD children were analyzed from a total of 656 dental records. The majority were male (80.3%). The mean age was 7.39 ± 2.75 years. All the children had a cognitive deficit, and 62.5% used medication. Most of the children arrived with caries lesions (56.1%), and the mean number of decayed, missed and filled teeth in both the deciduous (dmft-d) and permanent dentition (DMFT) was 2.45 ± 3.13 and 0.87 ± 1.51, respectively. The restorative technique was the most commonly used procedure (54.5%), and protective stabilization was the most frequently used behavioral management technique (18.2%). Of the children who sought treatment, 86.4% were discharged, and 15.2% abandoned the procedure. The majority (those discharged) continued to undergo regular follow-up at the clinic (86%), and the incidence of new caries lesions observed was 33.33% Conclusions: Although our ASD patients had a high frequency of caries and dental treatment needs, we observed good adherence to the treatment, with a low dropout rate, and high discharge rate.
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Affiliation(s)
- Vivian de Oliveira Marques
- Pediatric Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Luana Mota Kort-Kamp
- Pediatric Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | | | - Maristela Barbosa Portela
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil
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Hillebrecht AL, Steffens S, Roesner AJ, Kohal RJ, Vach K, Spies BC. Effects of a disability-simulating learning unit on ableism of final-year dental students - a pilot study. SPECIAL CARE IN DENTISTRY 2023; 43:839-847. [PMID: 36764822 DOI: 10.1111/scd.12831] [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: 04/09/2022] [Revised: 12/25/2022] [Accepted: 01/17/2023] [Indexed: 02/12/2023]
Abstract
OBJECTIVES This study aimed to describe a disability-simulating learning unit (DSLU) to raise dental students' awareness of the special needs of patients with disabilities as well as to measure the effect of the DSLU on ableism. METHODS A DSLU among final-year undergraduate dental students (n = 33), was developed and evaluated. The students were randomly divided into two groups (Group I, n = 17; Group II, n = 16). Group II only received conventional teaching (control group), whereas Group I was additionally exposed to the DSLU (intervention group). In the DSLU, typical physical restrictions and the associated difficulties in attending dental appointments were simulated with the help of simulation suits. Four different stations offered the opportunity to experience typical signs of disability in a dental context. About 2 months after the DSLU, both groups were asked to answer the Symbolic Ableism Scale (SAS). An analysis was conducted to examine the participants' average total score and several subscores. The Mann-Whitney U Test was employed to control the differences between the study groups. RESULTS Overall, the students in the intervention group had a significantly (p = .001) lower mean SAS summary score (median = .37; IQR .32-.42) than the students in the control group (median = .50; IQR .39-.53). For the components "individualism" (p < .0001) and "excessive demands" (p = .002) significant group differences could be observed. CONCLUSION The DSLU is a potentially feasible and effective method for influencing students' ableism attitude.
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Affiliation(s)
- Anna-Lena Hillebrecht
- Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg, Germany
| | - Simone Steffens
- Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg, Germany
| | - Anuschka Josephine Roesner
- Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg, Germany
| | - Ralf-Joachim Kohal
- Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg, Germany
| | - Kristin Vach
- Institute for Medical Biometry and Statistics, Medical Center, University of Freiburg, Freiburg, Germany
| | - Benedikt C Spies
- Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg, Germany
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Niemeyer SH, Maniewicz S, Campus G, Tennert C, Yilmaz B, Zekeridou A, Roccuzzo A, Esteves-Oliveira M, Carvalho TS, Wierichs RJ. Design, development and validation of a questionnaire to assess dentists' knowledge and experience in diagnosing, recording, and managing root caries. Clin Oral Investig 2023; 27:2705-2711. [PMID: 36629963 PMCID: PMC10264516 DOI: 10.1007/s00784-022-04842-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 12/26/2022] [Indexed: 01/12/2023]
Abstract
OBJECTIVES The prevalence of root caries is increasing globally, especially in the elderly population, and even though the number of patients with root caries lesions is augmenting, there are still many discrepancies in how dentists manage this condition. The present study aimed to develop and validate a questionnaire to evaluate how dentists diagnose, record and manage root caries lesions, and to verify the validity and reliability of this questionnaire. MATERIALS AND METHODS An expert panel developed a self-administered questionnaire survey with three domains: (1) dentists' knowledge on diagnosis, recording, and managing root caries; (2) information about their current general clinical routines; (3) their demographics. The original English [E] version was translated into three different languages (French [F], German [G], Italian [I]), and subsequently back-translated into English by independent dentists. For the validation, 82 dentists (20-22 for each of the translated versions) accepted to answer the questionnaire at two different time-points (with 1-week interval). The data was quality checked. Construct validity, internal reliability, and intra-class correlation (ICC) were assessed. RESULTS Seventy-seven dentists completed the questionnaire twice [E: 17; F: 19; G: 19; I: 22]. The mean ICC (standard deviation) was 0.98(0.03) for E, 0.90(0.12) for F, 0.98 (0.04) for G, and 0.98 (0.01) for I. Overall, the test-retest reliability was excellent (mean ICC (SD): 0.96 (0.08)). Furthermore, the questionnaire demonstrated good internal reliability (inter-observer reliability; Fleiss kappa: overall:0.27(fair); E:0.30 (fair); F: 0.33(fair); G: 0.33(fair); I: 0.89 (almost perfect)). CONCLUSION The questionnaire was validated and is suitable to be used in the four languages to assess the knowledge of dentists on diagnosing, recording and managing root caries. CLINICAL SIGNIFICANCE The present questionnaire was validated and seems to be a good tool to evaluate how dentists diagnose, record, and manage root caries lesions both in its original (English) and its translated (French, German, and Italian) versions.
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Affiliation(s)
- Samira Helena Niemeyer
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, zmk bern Freiburgstrasse 7, CH-3010, Bern, Switzerland.
| | - Sabrina Maniewicz
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Guglielmo Campus
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, zmk bern Freiburgstrasse 7, CH-3010, Bern, Switzerland
- Department of Surgery, Microsurgery and Medicine Sciences, School of Dentistry, University of Sassari, Sassari, Italy
| | - Christian Tennert
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, zmk bern Freiburgstrasse 7, CH-3010, Bern, Switzerland
| | - Burak Yilmaz
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, zmk bern Freiburgstrasse 7, CH-3010, Bern, Switzerland
- Department of Reconstructive Dentistry and Gerodontology, University of Bern, zmk bern, Bern, Switzerland
| | - Alkisti Zekeridou
- Division of Regenerative Dentistry and Periodontology, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Andrea Roccuzzo
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, zmk bern Freiburgstrasse 7, CH-3010, Bern, Switzerland
- Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Marcella Esteves-Oliveira
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, zmk bern Freiburgstrasse 7, CH-3010, Bern, Switzerland
| | - Thiago S Carvalho
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, zmk bern Freiburgstrasse 7, CH-3010, Bern, Switzerland
| | - Richard Johannes Wierichs
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, zmk bern Freiburgstrasse 7, CH-3010, Bern, Switzerland
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Systematic review and meta-analysis on physical barriers to prevent root dentin demineralization. Sci Rep 2022; 12:18194. [PMID: 36307461 PMCID: PMC9616813 DOI: 10.1038/s41598-022-22132-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 10/10/2022] [Indexed: 12/31/2022] Open
Abstract
The present review systematically analyzed in vitro and in situ studies investigating physical diffusion barriers (sealants, desensitizer or adhesives) to prevent the development or the progression of root (dentin) demineralization. Three electronic databases (PubMed-Medline, CENTRAL, Ovid-EMBASE) were screened for studies from 1946 to 2022. Cross-referencing was used to identify further articles. Article selection and data abstraction were done in duplicate. Languages were not restricted. The type of outcome was not restricted, and their mean differences (MD) were calculated using fixed- or random-effects models. Risk of Bias was graded using Risk of Bias 2.0 tool. From 171 eligible studies, 34 were selected for full-text analysis evaluating 69 different materials, and 17 studies-still evaluating 36 different materials-were included (3 in situ and 14 in vitro). Ten studies evaluated desensitizers; 8 adhesives; and 1 infiltration. Meta-analyses were possible for all 17 studies. Meta-analyses revealed that lesion depth after no treatment was significantly higher than after the application of single-step adhesives (MD[95%CI] = - 49.82[- 69.34; - 30.30]) and multi-step adhesives (MD[95%CI]=-60.09 [-92.65, -27.54]). No significant differences in the lesion depth increase between single- and multi-step adhesives could be observed (MD[95%CI]=30.13 [-21.14, 81.39]). Furthermore, compared to no treatment the increase of the lesion depth was significantly hampered using desensitizers (MD[95%CI] = - 38.02[- 51.74; - 24.31]). Furthermore, the included studies presented unclear or high risk. A physical diffusion barrier can significantly hamper the increase of lesion depth under cariogenic conditions. Furthermore, multi-step adhesives seem not to be more effective than single-step adhesives. However, this conclusion is based on only few in vitro and in situ studies.
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Krishnan L, Madankumar P. Oral health status of people with locomotor disability in India: A systematic review. SCIENTIFIC DENTAL JOURNAL 2021. [DOI: 10.4103/sdj.sdj_40_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Health issues in polyhandicapped patients according to age: Results of a large French cross-sectional study. Rev Neurol (Paris) 2020; 176:370-379. [DOI: 10.1016/j.neurol.2019.10.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Accepted: 10/24/2019] [Indexed: 11/20/2022]
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Braúna APVS, Abreu MHNGD, Resende VLS, Castilho LSD. Risk factors for dental caries in children with developmental disabilities. Braz Oral Res 2016; 30:S1806-83242016000100266. [PMID: 27305514 DOI: 10.1590/1807-3107bor-2016.vol30.0079] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2015] [Accepted: 03/23/2016] [Indexed: 01/05/2023] Open
Abstract
The aim of the present study was to investigate risk factors for dental caries in children with developmental disabilities who were treated at a clinical reference service for patients with special needs in Belo Horizonte, MG, Brazil. This is a retrospective cohort study that evaluated 401 dental charts of individuals without dental caries or restorations in their first dental appointment. The dependent variable was the time of occurrence of new dental caries or restorations and was measured in months. Gender, age, International Code of Diseases (ICD), mother´s education, sugar consumption, use of fluoride toothpaste, oral hygiene, mouth breathing, reports of xerostomia, gingival status, use of psychotropic or asthma drugs, and history of asthma were covariates. The Cox proportional hazards regression model was used to estimate the raw and adjusted hazard ratios and their respective 95% confidence intervals. The average time that individuals remained free of dental caries/restoration was equal to 107.46 months (95%CI 95.41 to 119.51), with a median of caries-free children up to 94 months. For each point increase in the scale of sucrose consumption, the increase in caries risk was 1.07 (95%CI 1.01 to 1.15). Sucrose consumption was the only risk factor for dental caries found in this group of individuals with developmental disabilities.
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Affiliation(s)
- Ana Paula Vasques Sales Braúna
- Universidade Federal de Minas Gerais, Universidade Federal de Minas Gerais, Department of Community and Preventive Dentistry, School of Dentistry, Belo Horizonte MG , Brazil, Universidade Federal de Minas Gerais - UFMG, Department of Community and Preventive Dentistry, School of Dentistry, Belo Horizonte, MG, Brazil
| | - Mauro Henrique Nogueira Guimarães de Abreu
- Universidade Federal de Minas Gerais, Universidade Federal de Minas Gerais, Department of Community and Preventive Dentistry, School of Dentistry, Belo Horizonte MG , Brazil, Universidade Federal de Minas Gerais - UFMG, Department of Community and Preventive Dentistry, School of Dentistry, Belo Horizonte, MG, Brazil
| | - Vera Lúcia Silva Resende
- Universidade Federal de Minas Gerais, Universidade Federal de Minas Gerais, Department of Operative Dentistry, School of Dentistry, Belo Horizonte MG , Brazil, Universidade Federal de Minas Gerais - UFMG, Department of Operative Dentistry, School of Dentistry, Belo Horizonte, MG, Brazil
| | - Lia Silva de Castilho
- Universidade Federal de Minas Gerais, Universidade Federal de Minas Gerais, Department of Operative Dentistry, School of Dentistry, Belo Horizonte MG , Brazil, Universidade Federal de Minas Gerais - UFMG, Department of Operative Dentistry, School of Dentistry, Belo Horizonte, MG, Brazil
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Chen MC, Kung PT, Su HP, Yen SM, Chiu LT, Tsai WC. Utilization of tooth filling services by people with disabilities in Taiwan. Int J Equity Health 2016; 15:58. [PMID: 27044476 PMCID: PMC4820987 DOI: 10.1186/s12939-016-0347-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2015] [Accepted: 04/01/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The oral condition of people with disabilities has considerable influence on their physical and mental health. However, nationwide surveys regarding this group have not been conducted. For this study, we used the National Health Insurance Research Database to explore the tooth filling utilization among people with disabilities. METHODS Using the database of the Ministry of the Interior in 2008 which included people with disabilities registered, we merged with the medical claims database in 2008 of the Bureau of National Health Insurance to calculate the tooth filling utilization and to analyze relative factors. We recruited 993,487 people with disabilities as the research sample. RESULTS The tooth filling utilization was 17.53 %. The multiple logistic regression result showed that the utilization rate of men was lower than that of women (OR = 0.78, 95 % CI = 0.77-0.79) and older people had lower utilization rates (aged over 75, OR = 0.22, 95 % CI = 0.22-0.23) compared to those under the age of 20. Other factors that significantly influenced the low tooth filling utilization included a low education level, living in less urbanized areas, low economic capacity, dementia, and severe disability. CONCLUSION We identified the factors that influence and decrease the tooth-filling service utilization rate: male sex, old age, low education level, being married, indigenous ethnicity, residing in a low urbanization area, low income, chronic circulatory system diseases, dementia, and severe disabilities. We suggest establishing proper medical care environments for high-risk groups to maintain their quality of life.
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Affiliation(s)
- Ming-Chuan Chen
- />Department of Public Health, China Medical University, Taichung, Taiwan R.O.C
- />Department of Health Services Administration, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402 Taiwan R.O.C
- />Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan R.O.C
| | - Pei-Tseng Kung
- />Department of Healthcare Administration, Asia University, Taichung, Taiwan R.O.C
| | - Hsun-Pi Su
- />Department of Dental Hygiene, China Medical University, Taichung, Taiwan R.O.C
| | - Suh-May Yen
- />Department of Chinese Medicine, Nantou Hospital, Nantou, Taiwan R.O.C
| | - Li-Ting Chiu
- />Department of Health Services Administration, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402 Taiwan R.O.C
| | - Wen-Chen Tsai
- />Department of Health Services Administration, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402 Taiwan R.O.C
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Rousseau MC, Mathieu S, Brisse C, Motawaj M, Grimont E, Auquier P, Billette de Villemeur T. Aetiologies, comorbidities and causes of death in a population of 133 patients with polyhandicaps cared for at specialist rehabilitation centres. Brain Inj 2015; 29:837-42. [DOI: 10.3109/02699052.2015.1004757] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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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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Is There Anything to Smile about? A Review of Oral Care for Individuals with Intellectual and Developmental Disabilities. Nurs Res Pract 2012; 2012:860692. [PMID: 22548164 PMCID: PMC3317070 DOI: 10.1155/2012/860692] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2011] [Revised: 12/16/2011] [Accepted: 12/21/2011] [Indexed: 11/18/2022] Open
Abstract
Individuals with intellectual and developmental disabilities (I/DD) are at risk for dental disease and face substantial challenges in accessing both routine and preventive dental services. In terms of unmet needs it ranks third, following residential services and employment opportunities for this particular group of people. Poorer oral health status negatively impacts overall health and one's quality of life. Factors contributing to this problem include significantly higher rates of dental caries, periodontal disease, poor oral hygiene, low expectations, fear of treatment, and lack of awareness among individuals and carers. Additional factors include problems accessing dental care or denial of services because of inadequate education and clinical training, inappropriate bias, or inadequate levels of compensation to providers. Strategies to improve service delivery include individualized and coordinated care services, education of individuals, carers, and providers, including both classroom and clinical experiences with special needs patients in dental programs.
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Manley G, Lane H, Carlsson A, Ahlborg B, Mårtensson Å, Nilsson MB, Simpson SA, Rae D. Guideline for oral healthcare of adults with Huntington’s disease. Neurodegener Dis Manag 2012. [DOI: 10.2217/nmt.11.68] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
SUMMARY These guidelines present an overall strategy for oral healthcare based on the principles of achieving a disease-free, pain-free and safe mouth. The standards of care referred to in the document seek to provide guidelines for the care and treatment that is no less a standard provided for an individual that does not have this condition. Such care and treatment will take into account the health and safety of each individual within the context of their condition. Particular emphasis is placed on dental professionals working within a multidisciplinary team, focusing on prevention of oral disease and providing treatment appropriate to the various stages of the progression of this condition. It is intended that by providing and subsequently promoting these guidelines, it will focus the dental professions work on this condition and the implementation of good care for people with Huntington’s disease.
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Affiliation(s)
| | - Helen Lane
- The Royal Hospital for Neurodisability, London, UK
| | | | | | | | | | - Sheila A Simpson
- Department of Clinical Genetics, NHS Grampian, Aberdeen, Scotland, UK
- University of Aberdeen, Aberdeen, AB25 2ZA Scotland, UK
| | - Daniela Rae
- Department of Clinical Genetics, NHS Grampian, Aberdeen, Scotland, UK
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Ferreira de Camargo MA, Frias AC, Antunes JLF. The incidence of dental caries in children and adolescents who have cerebral palsy and are participating in a dental program in Brazil. SPECIAL CARE IN DENTISTRY 2011; 31:210-5. [DOI: 10.1111/j.1754-4505.2011.00213.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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