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Sundaresan PD, Kruger E, Geachie JM, Tennant M. Special needs dentistry in multidisciplinary head and neck cancer management - characterizing scope and complexity of patient care. SPECIAL CARE IN DENTISTRY 2023; 43:579-587. [PMID: 36396444 DOI: 10.1111/scd.12801] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 10/26/2022] [Accepted: 11/01/2022] [Indexed: 11/19/2022]
Abstract
AIMS To describe the involvement and need for specialists in special needs dentistry (SND) in the multidisciplinary management of patients and to characterize the complexity of patients with special health care needs. METHODS Referrals for SND review from the Fiona Stanley Hospital head and neck cancer (HNC) multidisciplinary team between January 1 and December 31, 2019 were screened. Data recorded included demographic information, medical history, dental status, and dental treatment provided prior to HNC management. RESULTS In total 127 patients were referred to the SND clinic in 2019 of which 89.0% were males and 74.8% were aged 50-79. The mean waiting time for SND review was 19.6 days. On average patients had a decayed, missing, filled tooth (DMFT) score of 20.3. During the study period 407 extractions and 30 restorations were completed. Seventeen patients (13.4%) had all their teeth removed prior to HNC management. The majority of patients (79.6%) were categorized as either moderate or severe complexity. Increasing complexity was seen in older age groups. CONCLUSIONS Significant oral disease is seen in patients with HNC often requiring extensive dental treatment. Complexity is seen in patients requiring multidisciplinary care however characteristics that constitute complexity are varied given the spectrum encompassing 'special needs'.
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Affiliation(s)
- Pritam Daniel Sundaresan
- School of Human Sciences, The University of Western Australia, Perth, Australia
- Maxillofacial and Dental Surgery, Fiona Stanley Hospital, Murdoch, Australia
- Specialist Dental Unit, Waikato Hospital, Hamilton, New Zealand
| | - Estie Kruger
- School of Human Sciences, The University of Western Australia, Perth, Australia
| | - John Mc Geachie
- School of Human Sciences, The University of Western Australia, Perth, Australia
| | - Marc Tennant
- School of Human Sciences, The University of Western Australia, Perth, Australia
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Marinho MA, Ramos FCT, Cardoso AL, Silva-Junior GO, Faria MDB, Bastos LF, Dziedzic A, Picciani BLS. Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study. Healthcare (Basel) 2022; 10:healthcare10061147. [PMID: 35742197 PMCID: PMC9222989 DOI: 10.3390/healthcare10061147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Revised: 05/27/2022] [Accepted: 06/15/2022] [Indexed: 11/16/2022] Open
Abstract
In special care dentistry, general anesthesia (GA) is considered as an alternative option to facilitate treatment for uncooperative patients with special needs (PSN) who require invasive dental interventions. Objective: to evaluate the profile of dental treatment procedures performed and the characteristics of PSN who underwent dental treatment under GA, provided by private and public healthcare providers. Methods: A retrospective, observational study involving a sample of 100 PSN treated in hospital and specialist secondary care settings. Demographic data and clinical information were collected. The analysis of data was performed using descriptive analysis and frequency statistical tests. Results: out of 100 participants, 63% of the PSN who received care in the private sector and the remaining 37% of PSN registered with public-funded care providers, aged 6 to 80 years old, were treated under GA. Autistic spectrum disorder was the most common medical diagnosis recorded (33%). More than half (52%) of the PSN treated by private care providers sought specialist care in an outpatient setting prior to GA vs. 5% of the PSN treated by public-funded providers. The utilization of sedation prior to GA was more common in the private sector. A vast majority (86%) of all subjects underwent multiple dental extractions (86%) and restorations (62%). Conclusions: comprehensive dental care under GA, which composes an integral part of special care dentistry, can be safely provided in a hospital setting, in both private and public sectors. While early intervention using sedation and behavioral management partially mitigates the need for dental care under GA, the vast majority of PSN may require dental treatment under GA in future to facilitate complex dental care.
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Affiliation(s)
- Marcello Alves Marinho
- Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil; (M.A.M.); (A.L.C.); (G.O.S.-J.)
- Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
| | - Flávia Cristina Teixeira Ramos
- Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
| | - Andréa Lanzillotti Cardoso
- Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil; (M.A.M.); (A.L.C.); (G.O.S.-J.)
- Department of Preventive and Community Dentistry, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil
| | - Geraldo Oliveira Silva-Junior
- Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil; (M.A.M.); (A.L.C.); (G.O.S.-J.)
- Department of Diagnosis and 2Therapeutics, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil
| | - Marcelo Daniel Brito Faria
- Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
- Department of Diagnosis and 2Therapeutics, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil
| | - Luciana Freitas Bastos
- Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
- Department of Preventive and Community Dentistry, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil
| | - Arkadiusz Dziedzic
- Department of Conservative Dentistry with Endodontics, Medical University of Silesia, 40-551 Katowice, Poland
- Correspondence: (A.D.); (B.L.S.P.)
| | - Bruna Lavinas Sayed Picciani
- Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil; (M.A.M.); (A.L.C.); (G.O.S.-J.)
- Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
- Correspondence: (A.D.); (B.L.S.P.)
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Suresh S, Indiran M, Doraikannan S, Prabakar J, Balakrishnan S. Assessment of oral health status among intellectually and physically disabled population in Chennai. J Family Med Prim Care 2022; 11:526-530. [PMID: 35360759 PMCID: PMC8963658 DOI: 10.4103/jfmpc.jfmpc_1038_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 08/23/2021] [Accepted: 10/09/2021] [Indexed: 11/29/2022] Open
Abstract
Background: Oral health is an integral part of general health. In certain populations, especially among intellectually and physically disabled individuals, oral health is neglected. People with disabilities deserve the same opportunities for oral health and hygiene as those who are abled, but sadly dental care is the most common unmet health care need of the disabled people. Aim: The purpose of the study is to assess the oral health status and dental care utilization of people above 15 years with intellectual and physical disability in Chennai. Methodology: A descriptive cross-sectional study was carried out to assess the dental caries experience, gingival status, prevalence of fluorosis and lesion, and dental service utilization among 132 intellectually and physically disabled people in Chennai. After obtaining the caregivers consent of the participants, oral health was assessed using the World Health Organization (WHO) proforma, 2013. Statistical analysis was done using Statistical Package for the Social Sciences Version 23. Results: When DMFT indexes were examined with regard to sex, the mean DMFT was found to be higher for males with 1.453 ± 1.847 whereas females have 1.403 ± 1.73, and mean DMFT was found to be more for the 26–35 years age group with 2.3 ± 2.01. 81.8% of the population had no gingival bleeding whereas only 18.18% had gingival bleeding. Conclusion: With the obtained results, people with physical disability have a high mean DMFT compared with intellectual disability. The present study showed dental negligence among mentally disabled population where the parents, caretakers, and dentists are responsible.
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Role of Poor Oral Hygiene in Causation of Oral Cancer-a Review of Literature. Indian J Surg Oncol 2018; 10:184-195. [PMID: 30948897 DOI: 10.1007/s13193-018-0836-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Accepted: 11/20/2018] [Indexed: 12/24/2022] Open
Abstract
Oral squamous cell carcinomas (OSCC) are among the commonest cancers in South East Asia and more so in the Indian subcontinent. The role of tobacco and alcohol in the causation of these cancers is well-documented. Poor oral hygiene (POH) is often seen to co-exist in patients with OSCC. However, the role of poor oral hygiene in the etio-pathogenesis of these cancers is controversial. We decided to evaluate the available literature for evaluating the association of POH with OSCC. A thorough literature search of English-language articles in MEDLINE, PubMed, Cochrane Database of Systematic Reviews, and Web of Science databases was conducted, and 93 relevant articles were short-listed. We found that POH was strongly associated with oral cancers. It aids the carcinogenic potential of other known carcinogens like tobacco and alcohol. Even on adjusting for known confounding factors like tobacco, alcohol use, education, and socio-economic strata, presence of POH exhibits higher odds of developing oral cancer.
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Dental injury associated with anaesthesia: An 8-year database analysis of 592 claims from a major French insurance company. Anaesth Crit Care Pain Med 2017; 37:49-53. [PMID: 28838826 DOI: 10.1016/j.accpm.2017.04.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2016] [Revised: 01/25/2017] [Accepted: 04/13/2017] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Dental injury is the most common incident associated with anaesthesia. Regarding recent recommendations on informed consent and changes in airway management practices, a large series of claims related to dental injury has not been recently described. The aim of this study was to analyse a recent database in order to describe the characteristics of dental injury in France. METHODS A database that prospectively collected claims reported to Le Sou Médical-MACSF between January 2003 and December 2010, was analysed. Five hundred and ninety-two cases were reported. The following characteristics were analysed: number and type of teeth injured, mechanism of injury, anaesthetic procedure, risk factors and dental outcome after injury. RESULTS Amongst the 1514 claims related to anaesthesia, 592 (39.2%) were classified as dental damage. Preoperative informed consent concerning possible perioperative dental injury was documented in only 34.8% of patients. Only one tooth was affected in 65.2% of patients, dental bridge injury in 12.8% of cases and damage to two or more teeth in 14% of patients. Incisors were involved in 50% of cases. Fracture was the most common type of injury (64.2%). Poor dentition was the most common risk factor (23.1%) followed by difficult intubation (15.4%). Both risks were combined in only 7.6% of cases. Tracheal intubation was the highest risk procedure (41.6%). CONCLUSION Dental injury remains the most common anaesthesia-related claim. Dental examination and documentation in patient medical files requires improvement and better informed consent on dental injury risk needs to be provided to patients.
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Mohebbi SZ, Chinipardaz Z, Batebi A. Effectiveness of training senior dental students on oral health care for disabled patients. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2014; 18:214-221. [PMID: 24494772 DOI: 10.1111/eje.12090] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/20/2013] [Indexed: 06/03/2023]
Abstract
INTRODUCTION Studies in several countries have shown that dental students need an improved educational programme concerning management of disabled patients. We aimed to study the effect of providing a course entitled 'Oral health care of disabled patients' on knowledge and attitudes of senior dental students at Tehran University. MATERIALS AND METHODS A total number of 70 students (n=70) were asked to fill in a questionnaire regarding their background, knowledge and attitudes, before and after the programme. The intervention group of 36 students (n=36) received a four-session course consisting of lectures, group discussion, screening and fluoride varnish provision for disabled patients. Statistical analysis was performed using the Mann-Whitney U-test, the chi-square test and linear regression modelling. RESULTS Amongst all the participants, 36% had previously treated a disabled patient and 58% believed that merely specialists should treat disabled patients. Twenty-seven percentage of participants believed that hospital is the only proper facility for treating disabled patients. A considerable improvement in both knowledge and attitudes of students was observed following the intervention (P<0.05). CONCLUSIONS Our findings indicate that a short-term training programme on oral health care has an immense impact on students' adherence to treating disabled patients. These results provide evidence to support the necessity of enrichment of the dental curriculum regarding oral health care for disabled patients.
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Affiliation(s)
- S Z Mohebbi
- Department of Community Oral Health, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Drayton AL, O'Sullivan JJ, Walton G. Dental surveillance in the adult congenital heart disease population. Heart 2013; 99:1624. [DOI: 10.1136/heartjnl-2013-304509] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Avenali L, Guerra F, Cipriano L, Corridore D, Ottolenghi L. Disabled patients and oral health in Rome, Italy: long-term evaluation of educational initiatives. ANNALI DI STOMATOLOGIA 2011; 2:25-30. [PMID: 22545186 PMCID: PMC3314314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
UNLABELLED This study is concerned with the educational intervention layout proposed as a possible answer for the disparities in healthcare services for disabled persons. MATERIAL AND METHODS The data sampling was performed on individuals in Rome, affected by psychophysical disabilities, living in residential care facilities. Participants were randomly divided into two groups: Study and Control Group, consisting of patients who did or did not participate in the Educational Phase. All the caregivers participated in an educational course. Screening period: September 2008 - March 2009. Examinations were performed using Visible Plaque Index (VPI), Gingival Bleeding Index (GBI) and Microbiological Analysis. RESULTS The total number of patients utilized for the study was 36 (18 in each group). The final sample amounted to 70% (14/20) in the Study Group and to 75% (15/20) in the Control Group. In both examined groups Oral Hygiene, Gingival Health State and Microbiological Analysis show an overall improvement of the indices, compared with the initial status, mostly at a follow-up after 4 weeks. However, Study Group show a significantly better improvement. Conversely, after 6 months the overall clinical indices worsened again. CONCLUSION The difference in the significant improvements of the groups, even if only over a short-time evaluation, endorses that the participation of the patients as well as tutors in the educational phase is an effective strategy for the short-term.
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Affiliation(s)
| | | | | | - Denise Corridore
- Corresponding author: Dott. Denise Corridore, Department of Oral and Maxillofacial Sciences, Via Caserta, 6 - 00161 Rome, Italy, Phone: +390649976642, E-mail:
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Mello ALSFD, Erdmann AL, Brondani M. Oral health care in long-term care facilities for elderly people in southern Brazil: a conceptual framework. Gerodontology 2010; 27:41-6. [DOI: 10.1111/j.1741-2358.2009.00280.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Batista LRV, Moreira EAM, Rauen MS, Corso ACT, Fiates GMR. Oral health and nutritional status of semi-institutionalized persons with mental retardation in Brazil. RESEARCH IN DEVELOPMENTAL DISABILITIES 2009; 30:839-846. [PMID: 19062253 DOI: 10.1016/j.ridd.2008.10.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2008] [Revised: 10/08/2008] [Accepted: 10/09/2008] [Indexed: 05/27/2023]
Abstract
Association between oral health status and nutritional status was investigated in 200 semi-institutionalized persons with mental retardation aged 5-53 years, 45.5% female, in the cities of Florianópolis and São José, province of Santa Catarina, Brazil. In this cross-sectional study, clinical-odontological examination revealed a high percentage of individuals (68%) with heavily compromised dentition. The index of decayed, missing and filled deciduous and permanent teeth, which increased from 2.85+/-2.87 in children to 20.5+/-6.86 units in adults, was used to classify the individuals' oral health status. Anthropometric evaluation revealed the prevalence of suboptimal nutritional status in 52% of children and adolescents [22% underweight, 30% at risk of overweight or overweight], and in 60% of adults [7% underweight, 53% overweight or obese]. Significant association was found between unsatisfactory oral health status and overweight in children (chi(2)=4.627; p=0.031). Findings evidenced the existence of a relationship between oral health status and nutritional status in persons with mental retardation.
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Kabil N, ElAlfy MS, El Alfy M, Metwalli N. Evaluation of the oral health situation of a group of Egyptian haemophilic children and their re-evaluation following an oral hygiene and diet education programme. Haemophilia 2007; 13:287-92. [PMID: 17498078 DOI: 10.1111/j.1365-2516.2007.01440.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Haemophilic children in Egypt have received minimal dental intervention and their dental needs required assessment. The purpose of this study was to assess the oral health needs of a sample (n = 60) of Egyptian haemophilic children (6-12 years), so as to develop, implement and evaluate an oral hygiene education programme over an 8-month period on the experimental group (n = 30) vs. the control group (n = 30). The oral hygiene index simplified (OHI-S) index was used for baseline data and at the end of the study, while DMFS and defs were used to collect caries experience baseline data on each subject. The results showed that the DMFT and deft were significantly higher than those of the non-haemophilic population in Egypt and also higher than those of haemophilic children in developed countries and that the decayed component represented most of the index values. At phase I, the mean value of the OHI-S of experimental and the control groups was 2.67 +/- 0.45 and 2.53 +/- 0.53, respectively, but the difference was not significant (P > 0.05), both values were in the 'fair' category (1.3-3.0). At phase II, the end of the 8 months follow-up period and after the application of a strict oral care programme in the experimental group, there was a significant decrease from 2.67 to 1.20 (P < 0.001), a shift of values occurred from the 'fair' category to the 'good' category (0.1-1.2) while there was no significant difference in the control group. It can be concluded that professional plaque control, education and access to oral hygiene aids is paramount to improve oral health of these children.
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Affiliation(s)
- N Kabil
- Department of Paediatric Dentistry, University of Ain Shams, Cairo, Egypt.
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Salako NO, Rotimi V, Philip L, Haidar HA, Hamdan HM. The prevalence and antibiotic sensitivity of oral Viridans streptococci in healthy children and children with disabilities in Kuwait. SPECIAL CARE IN DENTISTRY 2007; 27:67-72. [PMID: 17539223 DOI: 10.1111/j.1754-4505.2007.tb00331.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The purpose of this study was to compare the antibiotic susceptibility profiles of Viridans streptococci (VS) isolated from the oral cavity of healthy children and children with disabilities in Kuwait. Plaque samples were collected from the tooth and tongue surfaces of 102 healthy children and 102 children who were intellectually disabled and institutionalized. The resistance to seven antibiotics (amoxicillin, cephalothin, clindamycin, erythromycin, penicillin G, tetracycline, and vancomycin) was tested. A total of 330 (44.5%) VS were isolated from the children who were healthy and 411 (55.5%) from children with disabilities. The most common isolates were S. salivarius (27.3%) in healthy children; S. sanguis (22.6%) was predominant among children who were disabled. S. mutans was found in 12.1% of the healthy children and in 16.5% of the children who were disabled. The combined percentage of resistant strains (healthy and disabled) was found to be highest with amoxicillin (43%) and lowest with vancomycin (12%). S. sanguis, S. mitis and S. oralis were more resistant in healthy children (45%, 56%, and 55% respectively) than in children with disabilities (40%, 47% and 47% respectively). S. mutans was the least resistant species to all antibiotics in both groups of children. About 56% of all streptococci isolated from both groups were resistant to at least one of the antibiotics tested. The data showed that there was a difference in the level of resistance of oral VS isolated from healthy children and children with disabilities to some antibiotics commonly used in dentistry.
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Affiliation(s)
- Nathanael O Salako
- Department of Developmental and Preventive Sciences, Faculty of Dentistry Kuwait University.
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Agbelusi G, Odukoya O, Otegbeye A. In vitro Screening of Chewing Stick Extracts and Sap on Oral Pathogens: Immune Compromised Infections. ACTA ACUST UNITED AC 2006. [DOI: 10.3923/biotech.2007.97.100] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Gill Y, Scully C. Attitudes and Awareness of Final-Year Predoctoral Dental and Medical Students to Medical Problems in Dentistry. J Dent Educ 2006. [DOI: 10.1002/j.0022-0337.2006.70.9.tb04170.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Yehuda Gill
- University of Witwatersrand; Johannesburg South Africa
- Eastman Dental Institute for Oral Health Care Sciences and International Centres for Excellence in Dentistry; WHO Collaborating Centre for Disability, Culture and Oral Health
- University College London, University of London
| | - Crispian Scully
- Eastman Dental Institute for Oral Health Care Sciences and International Centres for Excellence in Dentistry; WHO Collaborating Centre for Disability, Culture and Oral Health
- University College London, University of London
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Slavkin HC. The Surgeon General's Report and special-needs patients: a framework for action for children and their caregivers. SPECIAL CARE IN DENTISTRY 2001; 21:88-94. [PMID: 11507848 DOI: 10.1111/j.1754-4505.2001.tb00232.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The Surgeon General's Report, Oral Health in America, is the first comprehensive assessment of oral, dental, and craniofacial health in the history of our nation. The intent of this first-ever Report is to alert Americans to the full meaning of oral health and its importance to general health and well-being across the lifespan. Moreover, the Report has been released at a time in human history of enormous changes as well as opportunities. The convergence of public health policies, "quality of life" expectations, global informatics, a new century of biotechnology, the completion of the Human Genome Project, changes in the management of health care, and the acknowledgment of enormous health disparities herald a call to action. These profound dynamics particularly affect children and their caregivers and the multitude of social, economic, and health issues associated with special patients and developmental disabilities. This paper will highlight the issues, provide recommendations, and suggest a call to action.
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Affiliation(s)
- H C Slavkin
- Office of the Dean, Room 203, School of Dentistry, University of Southern California, 925 West 34th Street, Los Angeles, CA 90089-0641, USA.
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