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Singh I, Li X, Iafolla TJ, Boroumand S, Alraqiq H. Associations between disability type and untreated dental decay among community dwelling US adults. J Public Health Dent 2024. [PMID: 39253777 DOI: 10.1111/jphd.12644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Revised: 08/16/2024] [Accepted: 08/25/2024] [Indexed: 09/11/2024]
Abstract
OBJECTIVE Individuals with disabilities face elevated risks of adverse oral health outcomes compared with the general population, including worse periodontal health, increased edentulism, and untreated dental decay. Given the varied impacts of different disabilities on people's health and well-being, this study aims to investigate diverse associations between untreated decay and cognitive, physical, emotional, and sensory disabilities among US adults. METHODS This cross-sectional study analyzed questionnaire and clinical examination data on 7084 adults (≥20 years) from the 2015-18 National Health and Nutrition Examination Survey cycles. Sociodemographics, oral health behaviors, health conditions, and disability were all examined. The prevalence of tooth decay was calculated as the proportion of adults with untreated decay. Survey-weighted multivariable logistic regression was used to assess associations between disability and untreated decay. RESULTS In general, untreated decay was more than twice as prevalent in individuals with three or more disabilities as in those without any disabilities (34.5% vs. 13.2%, p < 0.001). After adjusting for confounders, lack of functional dentition was the most significant predictor of untreated decay prevalence (adjusted odds ratio: 2.97, 95% CI: 2.37-3.72). Other significant factors were younger age (20-44), non-Hispanic black race or ethnicity, low-income status, having an underlying chronic condition, not having a past-year dental visit, symptomatic dental visits, and current tobacco use. CONCLUSION No associations were found between disability type (cognitive, emotional, physical, and sensory) and untreated decay among community-dwelling US adults. Several health-related, social, and behavioral factors emerged as primary predictors of untreated decay. Further research is needed to explore disability types and dental caries determinants.
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Affiliation(s)
- Ishita Singh
- Dental Public Health Research Fellow at the National Institute of Dental, Oral and Craniofacial Research (NIDCR), National Institutes of Health (NIH), Bethesda, Maryland, USA
| | - Xiaobai Li
- Biostatistics and Clinical Epidemiology Unit, Office of Director, Clinical Research Center, National Institutes of Health (NIH), Bethesda, Maryland, USA
| | - Timothy J Iafolla
- Office of Science Policy and Analysis, National Institute of Dental, Oral and Craniofacial Research (NIDCR), National Institutes of Health (NIH), Bethesda, Maryland, USA
| | - Shahdokht Boroumand
- Dental Public Health and Research Fellowship within the Office of Science Policy and Analysis, National Institute of Dental, Oral and Craniofacial Research (NIDCR), National Institutes of Health (NIH), Bethesda, Maryland, USA
| | - Hosam Alraqiq
- Office of Science Policy and Analysis, National Institute of Dental, Oral and Craniofacial Research (NIDCR), National Institutes of Health (NIH), Bethesda, Maryland, USA
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Põld A, Kientega DF, Garé JV, Lorenz M. A qualitative exploration to inform an oral health training for disability care workers in Burkina Faso. Nurs Open 2024; 11:e2249. [PMID: 39166367 PMCID: PMC11336652 DOI: 10.1002/nop2.2249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Revised: 07/06/2024] [Accepted: 07/31/2024] [Indexed: 08/22/2024] Open
Abstract
AIM To explore enablers and barriers to the creation of an oral health training for care workers at specialized centres for children with disabilities in Ouagadougou. DESIGN This was a formative study informed by the Theoretical Domains Framework using qualitative methods. METHODS Qualitative observations and 14 semi-structured interviews were conducted with care workers from six specialized centres for disability. RESULTS Carer workers emphasized that a successful oral health training must account for available resources and competencies in each specific centre. Part of the training must be dedicated to oral hygiene targeted for people with disabilities and provide knowledge about risk factor management. Care workers must be empowered through the training with practical skills and tools to manage regular toothbrushing and identify oral health needs of their dependents. CONCLUSION This study gathered valuable and unique perspectives about the roles of care workers of children with disabilities in Ouagadougou and underscores the need for improving access to oral health and care services for children with disabilities in low-resourced settings. IMPLICATIONS FOR PATIENT CARE Teams planning oral health promotion activities in low resourced settings for vulnerable population groups can benefit from the methodology and results of this research for ensuring their interventions are appropriate and relevant. IMPACT This is a unique field study conducted in a scarcely researched area of caregiving practices for children with disabilities in a low-income country, Burkina Faso. Results from the disability centre observations and interviews with local caregivers are of great value to any team planning health projects in similar low-resourced settings. Psychiatric and mental health nursing practices are highly context-dependent, thus using proposed qualitative methods can help to ensure that planned interventions are appropriate and relevant. PATIENT OR PUBLIC CONTRIBUTION There was no patient contribution in this study.
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Affiliation(s)
- Ave Põld
- Section for Oral HealthHeidelberg Institute of Global Health, Heidelberg UniversityHeidelbergGermany
| | - Dan Filwendé Kientega
- Training and Research Unit in Health Sciences, Department of Public HealthJoseph KI‐ZERBO UniversityOuagadougouBurkina Faso
| | - Jocelyne Valérie Garé
- Training and Research Unit in Health Sciences, Department of Public HealthJoseph KI‐ZERBO UniversityOuagadougouBurkina Faso
| | - Michael Lorenz
- Section for Oral HealthHeidelberg Institute of Global Health, Heidelberg UniversityHeidelbergGermany
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Alzahrani AAH, Bhat N. An Observation Study of Caries Experience and Potential Risk Assessments among Disabled Individuals Living in an Institutional Rehabilitation Centre. Life (Basel) 2024; 14:605. [PMID: 38792626 PMCID: PMC11121974 DOI: 10.3390/life14050605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2024] [Revised: 04/30/2024] [Accepted: 05/02/2024] [Indexed: 05/26/2024] Open
Abstract
The aim of this study was to conduct salivary, microbiological, and caries risk assessments in relation to caries experience among individuals with intellectual disability in an institutional center in the Al-Baha region, Saudi Arabia. A cross-sectional study was conducted among 89 patients residing in special care homes in the Al-Baha region, Saudi Arabia, from October 2023 to February 2024. The demographic details of all participants were recorded. Clinical oral examinations were performed for the decayed, missing, or filled teeth (DMFT) and plaque indices. Salivary and microbiological assessments were also carried out. The mean age of the study sample was 30.11 ± 4.39 years, and the mean duration of years spent residing in the facility was 26.49 ± 4.66. There was no significant difference observed across plaque scores, S. mutans colony count, salivary rate, pH, DFMT, and caries experience when they were compared across the levels of severity of intellectual disability. Statistically significant differences were observed across diet score, circumstance score, and chances to avoid caries and were found to be correlated with the severity of intellectual disability (p = 0.001, p = 0.001, and p = 0.002), respectively. The cariogram revealed that participants in this study had poor oral health status, with participants with severe intellectual disability having higher diet scores, frequency scores, and susceptibility scores; hence lesser chances to avoid dental caries. Regular dental check-ups, including cleanings and other treatments if necessary, seem to be fundamental to prevent dental issues and maintain healthy teeth and gums for this group of people. Developing interventions that focus on improving oral health status among intellectually disabled individuals may be recommended to ensure the optimum level of support and reduce the burden of dental decay among those individuals.
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Affiliation(s)
- Abdullah Ali H. Alzahrani
- Dental Health Department, Faculty of Applied Medical Sciences, Al-Baha University, Al-Baha 65731, Saudi Arabia
| | - Nagesh Bhat
- Department of Preventive Dental Sciences, School of Dentistry, Al-Baha University, Al-Baha 65731, Saudi Arabia;
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Kim YR, Kim SR. Differences in Oral Health According to the Presence of Hearing Loss: Data from the 2021 Korea National Health and Nutrition Examination Survey. Noise Health 2024; 26:88-96. [PMID: 38904806 DOI: 10.4103/nah.nah_114_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Accepted: 03/01/2024] [Indexed: 06/22/2024] Open
Abstract
BACKGROUND The prevalence of hearing loss is increasing annually and has a strong relationship with oral health. However, existing research on hearing loss is limited to children, making it necessary to expand the analysis to adults. Therefore, this study aims to identify differences in oral health-related factors according to hearing loss in adults over 40 years of age using the Korea National Health and Nutrition Examination Survey. METHODS This study analyzed survey data from 2021. The study participants were divided into 1738 individuals in the nonhearing loss group and 1384 in the hearing loss group. Complex sample chi-square and complex sample independent t-tests were performed to determine differences in the sociodemographic characteristics, systemic diseases, hearing loss-related factors, and oral health status between the two groups. RESULTS Compared to the nonhearing loss group, the hearing loss group was older and had lower income and education levels. In terms of oral health, the hearing loss group had fewer existing natural teeth, poorer prosthesis conditions, and a higher number of implants than the nonhearing loss group. The hearing loss group also experienced comparatively more problems with chewing and speaking (P < 0.05). CONCLUSIONS Individuals with hearing loss exhibited poorer oral health status than those without hearing loss. Therefore, dental professionals in clinical practice should develop their communication skills to interact effectively with patients with hearing loss and strive to improve their oral health.
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Affiliation(s)
- Yu Rin Kim
- Department of Dental Hygiene, Silla University, Busan, Republic of Korea
| | - Seon Rye Kim
- Department of Healthcare Management, Youngsan University, Yangsan, Republic of Korea
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Zhang S, Huang Y, Wang X, Wang H. Health Disparities Among Family Decision-Makers in China: An Ordered Probit Analysis of the China Family Panel Studies. Risk Manag Healthc Policy 2024; 17:635-647. [PMID: 38528941 PMCID: PMC10961237 DOI: 10.2147/rmhp.s443930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 03/15/2024] [Indexed: 03/27/2024] Open
Abstract
Purpose The family decision-makers serve as the backbone of the family, and their health status warrants consideration. This study aims to explore how the health status of this group of people, namely the family decision-making group, is affected, and to delve into the mechanisms of influence based on this. The goal is to provide reliable evidence and strategies for the health management of the family decision-makers group, contributing to the achievement of the "Healthy China 2030" Planning Outline. Patients and Methods Drawing on data from the China Family Panel Studies (CFPS), this study utilizes an Ordered Probit Model to analyze and compare the health status of family decision-makers and non-decision-makers. Results The findings indicate that decision-makers tend to experience poorer health outcomes than other family members, with increased pressure related to decision-making identified as a significant contributor to their declining health. Heterogeneity analysis reveals that the negative effect is less pronounced in households with higher net worth but more pronounced in those with more significant housing, education, and medical spending pressures. Moreover, this study analysis highlights that enhancing individual or family socioeconomic status can alleviate the adverse health effects experienced by family decision-makers. Conclusion The study reveals the presence of certain health adverse effects among family decision-makers. The implications drawn from this research hold significance for the health management of this demographic, underscoring the necessity for tailored interventions aimed at addressing the distinctive challenges confronted by this group.
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Affiliation(s)
- Songbiao Zhang
- School of Business, Hunan University of Science and Technology, Xiangtan, Hunan Province, People’s Republic of China
| | - Yuxuan Huang
- School of Business, Hunan University of Science and Technology, Xiangtan, Hunan Province, People’s Republic of China
| | - Xining Wang
- School of Business, Hunan University of Science and Technology, Xiangtan, Hunan Province, People’s Republic of China
| | - Huilin Wang
- School of Business, Hunan University of Science and Technology, Xiangtan, Hunan Province, People’s Republic of China
- Moray House School of Education and Sport, The University of Edinburgh, Edinburgh, Scotland, UK
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Dalal J, Mitra S, James A, Rivas Velarde M. Links across disabilities: unveiling associations between functional domains. BMC Public Health 2024; 24:41. [PMID: 38166865 PMCID: PMC10763216 DOI: 10.1186/s12889-023-17523-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 12/18/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Persons with disabilities experience higher risks of mortality as well as poorer health as compared to the general population. The aim of this study is to estimate the correlations between functional difficulties across several domains in six countries. METHODS National census data with questions on disability from six countries (Mauritius, Morocco, Senegal, Myanmar, Vietnam, and Uruguay) was used in this study. We performed logistic regressions to assess the extent to which having a functional difficulty in one domain is correlated with having a functional difficulty in each of the other domains and report weighted odds ratios (ORs) overall and within age-groups ('18-44' years and '45+' years). Models adjust for age, sex, and location (rural or urban). Sensitivity analyses around different choices of predictors and response variables were conducted. FINDINGS For all countries, reporting a functional difficulty in one domain was consistently and significantly positively correlated with reporting a functional difficulty in other domains (overall) and for each of the two age-groups considered - '18-44' years and '45+' years. All ORs were greater than one. Cognition, mobility, and hearing were the domains that were the most correlated ones with other domains. The highest pairwise correlations were for i/ hearing and cognition; ii/ mobility and cognition. Results were robust to changing the severity thresholds for functional difficulties. Across countries, Uruguay, the only high-income country among the six countries under study, had the lowest correlations between functional domains. CONCLUSIONS There are consistent positive associations in the experience of functional difficulties in various domains in the six countries under study. Such correlations may reflect barriers to social services including healthcare services and resources (e.g. assistive devices) that may lead to an avoidable deterioration of functioning across domains. Further research is needed on the trajectories of functional difficulties and on structural barriers that people with functional difficulties may experience in their communities and in healthcare settings in particular. This is important as some functional difficulties may be preventable.
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Affiliation(s)
- J Dalal
- Geneva School of Health Science, University of Applied Sciences Geneva HES-SO, Geneva, Switzerland.
| | - S Mitra
- Department of Economics, Fordham University, Bronx, USA
| | - A James
- Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | - M Rivas Velarde
- Geneva School of Health Science, University of Applied Sciences Geneva HES-SO, Geneva, Switzerland
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Yoo SY, Kim HJ, Kim SK, Heo SJ, Koak JY, Park JM. Quality of life in patients in South Korea requiring special care after fixed implants: a retrospective analysis. BMC Oral Health 2023; 23:1002. [PMID: 38097978 PMCID: PMC10722671 DOI: 10.1186/s12903-023-03753-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 12/09/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND The study on oral health-related quality of life (OHRQoL) of disabled patients is rare but critical for welfare of patients. The aim of this study was to examine the effect of fixed implants in edentulous areas on OHRQoL in Korean disabled patients. METHODS The OHRQoL of 63 disabled individuals was evaluated using the Oral Health Impact Profile (OHIP)-14 questionnaires and studied by potential affecting variables such as age, sex, disability severity, and time of disability acquisition. Wilcoxon-signed rank tests were used to examine the OHIP-14 scores for those who had pre/post-fixed implants. Multiple linear regression analysis was used to examine the relationships between factors and OHIP-14 scores before and after implants. A partial correlation analysis was also performed to determine which variables influenced OHIP-14 scores before and after treatment. The Mann-Whitney test was employed for sex and time of disability acquisition analysis (α = 0.05). RESULTS Significant improvement was found in OHIP-14 post-implant treatment scores (P < .001). After implant treatment, the severity of disability produced significantly different results (P = .009). Pearson's correlation coefficient between severity of disability and pre/post-implant OHIP-14 scores was 0.265 (P = .030). After controlling for severity of disability, the results showed older patients had lower OHIP-14 scores (P = .032). No differences were found for sex or time of disability acquisition (congenital vs. acquired). CONCLUSIONS Fixed implant treatment improved OHRQoL for disabled patients, and the severity of disability was positively correlated with improvement of OHRQoL. For patients with a similar level of disability, the OHRQoL decreased with age.
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Affiliation(s)
- Soo-Yeon Yoo
- Department of Prosthodontics & Dental Research Institute, School of Dentistry, Seoul National University Dental Hospital, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea
| | | | - Seong-Kyun Kim
- Department of Prosthodontics & Dental Research Institute, School of Dentistry, Seoul National University Dental Hospital, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea.
| | - Seong-Joo Heo
- Department of Prosthodontics & Dental Research Institute, School of Dentistry, Seoul National University Dental Hospital, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea
| | - Jai-Young Koak
- Department of Prosthodontics & Dental Research Institute, School of Dentistry, Seoul National University Dental Hospital, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea
| | - Ji-Man Park
- Department of Prosthodontics & Dental Research Institute, School of Dentistry, Seoul National University Dental Hospital, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea
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Bracconi M, Michault A, Rey-Quinio C, Hvostoff C. Dental care of disabled people: Descriptive cross-sectional study of social and medico-social establishments. SANTE PUBLIQUE (VANDOEUVRE-LES-NANCY, FRANCE) 2023; 35:17-28. [PMID: 38040641 DOI: 10.3917/spub.hs1.2023.0017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/03/2023]
Abstract
The first objective of this study, concerning the intervention of a dentist in social and medico-social establishments (SMSE), was to diagnose the oral care needs of disabled people (DP). The second objective was to raise awareness of a prevention and follow-up protocol among caregiving staff. We carried out this descriptive cross-sectional study from October 2016 to October 2018, in twenty SMSEs in Essonne. It involved a cohort of 663 volunteer DP, i.e., over 81 percent of the DP accommodated in these establishments. We analyzed DP’s oral hygiene and health indicators, as well as changes in professional practices following simulation workshops, using Pearson’s Chi-square test and Cramer’s test to assess the existence of relationships between variables and their intensity, respectively. Of the 96 percent of DP who accepted a full screening, three-quarters had dental plaque and two-thirds had gingival inflammation, these pathologies being more frequent in the over-20s (p< 0.001 | Cramer’s V=0.26). Only 14 percent had good oral health. Six months later, seventeen SMSEs had recorded dental check-ups in their medical records, and eight SMSEs had introduced brushing after dinner and breakfast, compared with ten and seven respectively before the intervention. This study confirmed the need for SMSEs to carry out dental screening. The involvement of establishments in monitoring the oral hygiene of DP must be strengthened.
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Affiliation(s)
- Marianne Bracconi
- Association Appolline : chirurgien-dentiste. Croix-Rouge : chirurgien-dentiste
| | - Alain Michault
- Agence Régionale de santé, Paris, France : Chef de projet et Dataminer. Conservatoire National des Arts et Métiers, Paris, France : Enseignant-vacataire
| | - Catherine Rey-Quinio
- Agence Régionale de santé, Paris, France : Conseillère médicale Politique du handicap – Référente Maladies Rares
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Kim NH, Ryu JI. Is there a sexual difference in the relationship between sociodemographic information and the unmet dental care needs of disabled adults? An analysis from a national survey on persons with disabilities. BMC Oral Health 2023; 23:830. [PMID: 37924058 PMCID: PMC10625303 DOI: 10.1186/s12903-023-03576-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 10/25/2023] [Indexed: 11/06/2023] Open
Abstract
BACKGROUND Health status and health care utilization in people with disabilities are more likely to be poorer than those without disabilities. Previous studies showed that there were gaps in health-related conditions by sociodemographic information and gender but the association between these factors was not explained. This study aims to analyze the relationship between sociodemographic information and the unmet dental care needs of people with disabilities and explore the effect of sex within this relationship. METHODS The 2014 national survey on persons with disabilities was used, which separated unmet healthcare needs into medical and dental services. Unweighted samples included 6,824 people with disabilities in total and 6,555 (96.1% of the total, weighted as 6,583) people aged 20 years or older were selected as the study population. Frequency and chi-square tests were conducted to determine differences in the prevalence of unmet dental needs based on socioeconomic information, chronic diseases, and behavioral factors after applying weights. Logistic regressions were performed using an adjusted model with sociodemographic information, chronic diseases, and behavioral variables. All analyses were performed using IBM SPSS Statistics for Windows, version 26 (IBM Corp., Armonk, N.Y., USA). RESULTS Analysis of the sociodemographic factors related to unmet dental care revealed that they were higher in women and the elderly. In the fully adjusted logistic model, most of the sociodemographic information was significantly associated with unmet dental needs. The lowest group was 4.18 times more likely to have unmet dental care needs than the richest group, and females and middle-school graduates were almost twice as likely to experience unmet dental care needs than males and university graduates. Considering the interaction effect of age on unmet dental needs depending on sex differences, the odds ratio decreased for females with every annual increase in both models. Compared with the younger group, the older group showed a lower risk of having unmet dental needs, especially in females. CONCLUSIONS The factor most closely related to the unmet dental care needs of disabled people was socioeconomic problems. Its influence also differed by sex and age. Therefore, economic support measures and sexual differences are needed for long-term policy consideration to reduce the unmet dental care needs of disabled people.
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Affiliation(s)
- Na-Hyeon Kim
- Department of Dentistry, Kyung Hee University College of Dentistry, Seoul, Republic of Korea
| | - Jae-In Ryu
- Department of Preventive and Social Dentistry, Kyung Hee University College of Dentistry, Seoul, Republic of Korea.
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Auerbacher M, Gebetsberger L, Hickel R, Kaisarly D. Chairside oral prophylaxis for people with profound intellectual or multiple disabilities-a retrospective feasibility study. Clin Oral Investig 2023; 27:6747-6756. [PMID: 37878069 PMCID: PMC10630219 DOI: 10.1007/s00784-023-05287-6] [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: 04/29/2023] [Accepted: 09/27/2023] [Indexed: 10/26/2023]
Abstract
OBJECTIVES People with severe intellectual or multiple disabilities (PIMD) have been receiving dental care in a specialized unit offering special care dentistry. For most of these adult patients, the initial consultation is complaint driven. In addition, the limited ability to cooperate due to their disabilities often means that dental treatment for these patients is usually carried out under general anesthesia (GA). Chairside treatment attempts are the exception rather than the rule. This retrospective study evaluated whether consistent practice of behavioral management principles and techniques embedded in a specific dental environment enables successful dental treatment of PIMD. MATERIALS AND METHODS The feasibility of chairside dental prophylaxis in PIMD (n=36) was analyzed: specific behavioral management techniques were applied, and professional tooth cleaning (PTC) was performed in the dental chair. Clinical data obtained from medical records and a questionnaire were analyzed. RESULTS All patients had severe intellectual or multiple disabilities and had previously undergone at least one dental treatment under GA. Of these patients, 55.6% never had their teeth professionally cleaned before. Applying different behavioral techniques, all patients were compliant with receiving PTC in the dental chair. CONCLUSIONS An individualized and disability-specific treatment strategy using various noninvasive and nonpharmacological behavioral guidance techniques resulted in a higher compliance rate in PIMD, which allowed chairside PTC and reduced the need for treatment under GA. CLINICAL RELEVANCE Consistent implementation of various behavioral guidance techniques and communication strategies in a supportive environment enabled all patients to receive chairside PTC and be involved in a lifelong recall program.
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Affiliation(s)
- Marc Auerbacher
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethestr. 70, 80336, Munich, Germany.
| | - Lydia Gebetsberger
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethestr. 70, 80336, Munich, Germany
| | - Reinhard Hickel
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethestr. 70, 80336, Munich, Germany
| | - Dalia Kaisarly
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Goethestr. 70, 80336, Munich, Germany.
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Sasikala J, Sukhabogi JR, Doshi D, Susmitha TS, Billa AL. Correlation of dental pain and pain catastrophizing with oral health status among physically disabled. J Clin Exp Dent 2023; 15:e855-e860. [PMID: 37933400 PMCID: PMC10625677 DOI: 10.4317/jced.60816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 09/11/2023] [Indexed: 11/08/2023] Open
Abstract
Background Physical disability results in impaired mobility, leading to increased dependency on others and may also have a negative impact on ones general and oral health. Moreover, such individuals could be at a greater risk of being prone to chronic pain conditions. A person's ability to cope with pain is a consistent and one of the most important predictors of clinical outcome. Catastrophization is known to be a maladaptive coping behaviour that could negatively influence such outcomes. Material and Methods A cross-sectional study was conducted among 229 physically disabled individuals at Home for Disabled, Bansilalpet, Secunderabad. Extent of Physical disability was measured using Barthel index of Activities of Daily Living (ADL), type and severity of dental pain was assessed using the short form McGill Pain Questionnaire and catastrophizing using the Pain Catastrophizing Scale (PCS). Dentition status and periodontal status were assessed using the World Health Organization assessment form. Results Caries prevalence of the population was 39.7% with a mean DMFT score of 2.8±4.09. Pain catastrophizing showed positive significant (p<0.05) correlation with sensory pain(r=0.182), visual analog scale(r=0.168), pain severity(r=0.161) and DMFT (r=0.4). It had significant negative correlation with ADL and bleeding gums. Conclusions In this study it was apparent that irrespective of the dependency levels, dentition status had a significant effect on pain catastrophizing level of the individuals. Key words:Disability, Oral Health, Catastrophizing.
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Affiliation(s)
- Jummala Sasikala
- Department of Public Health Dentistry, Government Dental College & Hospital, Hyderabad, Afzalgunj Road, near police station, Hyderabad, Telangana, India
| | - Jagadeeswara-Rao Sukhabogi
- Department of Public Health Dentistry, Government Dental College & Hospital, Hyderabad, Afzalgunj Road, near police station, Hyderabad, Telangana, India
| | - Dolar Doshi
- Department of Public Health Dentistry, Government Dental College & Hospital, Hyderabad, Afzalgunj Road, near police station, Hyderabad, Telangana, India
| | - Turaga-Sai Susmitha
- Department of Public Health Dentistry, Government Dental College & Hospital, Hyderabad, Afzalgunj Road, near police station, Hyderabad, Telangana, India
| | - Aishwarya-Lakshmi Billa
- Department of Public Health Dentistry, Government Dental College & Hospital, Hyderabad, Afzalgunj Road, near police station, Hyderabad, Telangana, India
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Park BY, Cho HA, Shin H. Disparity in access for people with disabilities to outpatient dental care services: a retrospective cohort study. BMC Oral Health 2023; 23:213. [PMID: 37060034 PMCID: PMC10102694 DOI: 10.1186/s12903-023-02948-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 04/06/2023] [Indexed: 04/16/2023] Open
Abstract
BACKGROUND People with disabilities face difficulties in oral health management and gaining access to dental care. The availability of a regular source of dental care (RSDC) is an important factor that influences the access to health services and care management. The purpose of this study was to determine the effect of the availability of RSDC on the number of annual dental visits and dental expenses per visit among people with disabilities. METHODS Data of 7,896,251 patients with dental problems in South Korea were analyzed using the 2002-2018 National Health Insurance claims data. A generalized estimating equation was applied to analyze the repeated-measurement data, and the interaction effect between RSDC and the disability severity was evaluated. RESULTS The number of annual dental visits was higher among people with (2.62) than among those without (2.23) disabilities. Despite their increased dental needs, both annual dental visits and dental expenses per visit were low among older individuals (p < 0.001). The proportion and frequency of annual dental visits was lower among women than among men with disabilities. RSDC had differential effects on the severity of disability. Compared to people without disabilities, RSDC increased the number of annual dental visits (p = 0.067) and the dental expenses per visit (p < 0.05) among those with severe disabilities, but the effect on the number of annual dental visits was not significant among those with mild disabilities (p = 0.698). CONCLUSIONS Our results suggest a need for a special dental care system for people with disabilities, to ensure an RSDC, particularly for women and for older people with disabilities.
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Affiliation(s)
- Bo-Young Park
- Department of Dental Hygiene, Shinhan University, Uijeongbu-Si, Republic of Korea
| | - Han-A Cho
- Department of Dental Hygiene, Shinhan University, Uijeongbu-Si, Republic of Korea
| | - Hosung Shin
- Department of Social and Humanity in Dentistry, Wonkwang University School of Dentistry, 460 Iksan Dearo, Iksan, 54538, North Jula, Korea.
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Testa A, Diaz J, Ganson KT, Jackson DB, Nagata JM. Maternal disability and prenatal oral health experiences: Findings from Pregnancy Risk Assessment Monitoring System. J Am Dent Assoc 2023; 154:225-234.e7. [PMID: 36681551 DOI: 10.1016/j.adaj.2022.11.018] [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: 07/26/2022] [Revised: 11/20/2022] [Accepted: 11/21/2022] [Indexed: 01/21/2023]
Abstract
BACKGROUND Although disability has associations with poor health and reduced access to health care services, limited research exists on the connection between disability, oral health, and oral health care use. Moreover, to the authors' knowledge, no study has examined the association between disability and oral health around the time of pregnancy. This is an important gap in research, considering that both disability and oral health play a critical role in maternal and infant well-being. METHODS The authors obtained cross-sectional data from 15 states from 2019 and 2020 from the Pregnancy Risk Assessment Monitoring System (N = 20,189). The authors used multivariable logistic regression analyses to assess the relationship between cumulative disabilities and specific forms of disability (seeing, hearing, walking, remembering, self-care, and communicating) for 6 indicators of oral health experiences during pregnancy. RESULTS Women reporting multiple forms of disabilities around the time of pregnancy (especially ≥ 3 disabilities) reported lower levels of knowledge of appropriate oral health care during pregnancy, were less likely to undergo dental prophylaxis during pregnancy, were more likely to report needing care for dental health problems, and had more unmet oral health care needs than those without disabilities. CONCLUSIONS Maternal disability is a risk factor for poorer oral health outcomes and oral health care use during pregnancy. PRACTICAL IMPLICATIONS Given the potential harms of poor oral health to maternal and infant well-being, the findings of this study suggest the need for increased health promotion efforts to foster improved oral health for pregnant women living with disabilities.
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14
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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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15
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Veerasamy A, Lyons K, Crabtree I, Brunton P. Geriatric oral health care content and barriers to its incorporation in undergraduate nursing curricula: New Zealand survey. J Dent Educ 2023; 87:70-77. [PMID: 36052464 DOI: 10.1002/jdd.13088] [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: 01/29/2022] [Revised: 06/14/2022] [Accepted: 07/31/2022] [Indexed: 01/11/2023]
Abstract
INTRODUCTION An increasingly older population demands major remodeling of our health care system. Older adults are most likely to be affected by the oral-systemic connection due to their impairment in functional capacity and reduced ability to undertake routine oral care. An economic way to improve oral health outcomes in older populations is by involving nurses and caregivers in ensuring the maintenance of oral health for older adults. This study aimed to investigate the present educational content relevant to the oral health of older adults, the oral-systemic connection, and assessment methods in New Zealand nursing education. METHODS A cross-sectional survey was conducted among nursing educators to understand the extent of oral health care education. Quantitative descriptive data were analyzed using SPSS software and qualitative data were analyzed descriptively and presented as themes. RESULTS The results indicated that the majority of oral health topics were already incorporated into nursing education, however most important topics such as risk factors associated with dental caries, periodontal health, and risk factors are not taught in almost 40% of the schools. The four themes identified in qualitative analyses are "no barrier", "lack of expertise", "no space for more content" and oral health content "already included". CONCLUSION Educators reported that oral health topics are already incorporated into New Zealand undergraduate nursing curricula. However, the quantity and quality of oral health content relevant to older adults need to be improved and updated to suit the current oral health care needs of the growing older population.
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Affiliation(s)
- Arthi Veerasamy
- Oral rehabilitation, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Karl Lyons
- Oral rehabilitation, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Ian Crabtree
- Nursing, Midwifery, OT and Sports Institute at Otago Polytechnic, Dunedin, New Zealand
| | - Paul Brunton
- Deputy Vice-Chancellor, Academic, Curtin University, Curtin, Perth, Australia
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16
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Balkaran R, Esnard T, Perry M, Virtanen JI. Challenges experienced in the dental care of persons with special needs: a qualitative study among health professionals and caregivers. BMC Oral Health 2022; 22:116. [PMID: 35397582 PMCID: PMC8994058 DOI: 10.1186/s12903-022-02153-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Accepted: 03/31/2022] [Indexed: 12/05/2022] Open
Abstract
Background This study aimed to explore the challenges experienced in dental health care by professionals and caregivers of persons with special needs in Trinidad and Tobago. This research presented results from the first qualitative study which gained insight into the service component of dental care for people with special needs in this country. Methods This qualitative study was conducted between March and June 2021. Recruitment of participants used both purposive and snowball sampling. A semi-structured interview schedule was used in the interviews of dentists, (a dental assistant), physicians and caregivers of people with special needs. Narrative inquiry was used in data analysis. The transcripts were individually coded and a follow-up peer debriefing session to cross reference responses and increase the validity of the analysis was performed. Results Barriers related to the provision of dental care included readiness of health care professionals, the level of specialized care and the resources required for patient treatment. Caregivers encountered barriers such as cost and lack of accessible dental care for persons with special needs. Possible solutions were education of key stakeholders, policy intervention, advocacy and prevention strategies. Conclusions Caregivers and allied health care professions experience multiple barriers when treating patients with special needs. Study participants indicated a need change in the provision and access of dental services for people with special needs. Education of healthcare professionals, improved social policies and health promotion is warranted.
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Factors Associated with Tooth Loss in General Population of Bialystok, Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042369. [PMID: 35206557 PMCID: PMC8872086 DOI: 10.3390/ijerph19042369] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 02/13/2022] [Accepted: 02/15/2022] [Indexed: 01/23/2023]
Abstract
Background: The aim of this study was to assess risk factors for tooth loss in the population of the city of Bialystok, in north-eastern Poland, taking into account the entire population and different age groups. The study included 1138 subjects divided into three subgroups: 20–44 years, 45–64 years, and 65–79 years. Participants were classified according to the number of teeth lost (0–8 vs. 9–28). Socio-economic variables, smoking history, and dental habits were collected through a questionnaire. Medical examinations provided data on the body mass index and the fasting blood glucose level. Data were statistically analysed using Mann-Whitney U, Student’s t, chi2 tests, and binary logistic regression, p < 0.05. Results: For the general population, being female (OR 1.38, 1.07–1.79, p = 0.015), having secondary education (OR 4.18, Cl 2.97–5.87, p < 0.000), higher body mass index (OR 1.13, Cl 1.10–1.17, p < 0.000), higher fasting blood glucose level (OR 1.03 1.03–1.04, p < 0.000), being former smoker (OR 1.72, Cl 1.29–2.31, p < 0.000), ever smoker (OR 1.69, Cl 1.29–2.20, p < 0.000), current smoker (OR 1.62, Cl 1.15–2.29, p < 0.006), longer smoking period (OR 1.11, Cl 1.09–1.14, p < 0.000), last visit to the dentist over a year ago (OR 1.92, Cl 0.44–2.58, p < 0.000) and tooth brushing less than two times a day (OR 1.6, Cl 1.14–2.23, p < 0.006) were associated with losing more than 8 teeth. In the subgroup aged 20–44 years, only smoking duration was a risk factor for tooth loss (p = 0.02). For the middle-aged and oldest groups, education level (respectively p < 0.001, and p = 0.001), body mass index (respectively, p < 0.001, and p = 0.037), smoking status ever/former/current (respectively p < 0.001 and p = 0.002), smoking status never/ever (respectively p < 0.001 and p = 0.009), smoking duration (p < 0.001) were related to tooth loss. Additionally, in the elderly group, fasting blood glucose level (p = 0.044) and frequency of dental visits (p = 0.007) were related to tooth loss. We concluded that in the evaluated population, tooth loss was associated with socio-demographic, medical, and behavioural factors.
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18
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Alwattban RR, Alkhudhayr LS, Al-Haj Ali SN, Farah RI. Oral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs. J Clin Med 2021; 10:jcm10214811. [PMID: 34768328 PMCID: PMC8584947 DOI: 10.3390/jcm10214811] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 10/14/2021] [Accepted: 10/18/2021] [Indexed: 12/21/2022] Open
Abstract
This study aimed to assess the impact of dental caries’ severity, body mass index (BMI), and sociodemographic factors on oral health-related quality of life (OHRQoL) for special health care needs (SHCN) children and the suitability of their caregivers as proxies to determine OHRQoL. This cross-sectional study recruited 107 pairs of SHCN children and their caregivers and asked them to complete a questionnaire on sociodemographic issues as well as the Arabic version of the early childhood oral health impact scale (A-ECOHIS). This was followed by a dental examination. Dental caries was measured using the dmft/DMFT index, while caries’ severity was also determined. The children’s height and weight were measured, and BMI (kg/m2) was recorded. Data were analyzed statistically using t-test, one-way ANOVA, and Poisson regression models. Our results revealed that the A-ECOHIS score was 10.93, while the OHRQoL was affected in 95.3% of children. The most-reported item was ‘pain in the teeth, mouth, or jaws’ (48.7%). By regression analysis, caries-free children (Odds Ratio (OR): 0.650) or those who had moderate caries (OR: 0.551) were less likely to have a negative impact on their OHRQoL than those with severe caries. Additionally, those whose caregivers had a maximum primary education (OR: 0.656) or whose occupation was in the health sector (OR: 0.721) were less likely to have a negative impact on their OHRQoL. Those who were ≤ 6 years old (OR: 1.188) were more likely to have a negative impact. BMI did not have a significant impact on the OHRQoL of the children. Further, we detected a significant positive correlation between children’s dmft/DMFT scores and the A-ECOHIS scores reported by the mothers. Given these variables, which included dental caries’ severity, but not BMI, and caregivers’ education level and occupation, plus the child’s age group, we found a significant impact on the OHRQoL. However, we found that mothers were better proxies for their children’s OHRQoL.
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Affiliation(s)
- Rawan Rasheed Alwattban
- Dental Intern, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia; (R.R.A.); (L.S.A.)
| | - Lama Saleh Alkhudhayr
- Dental Intern, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia; (R.R.A.); (L.S.A.)
| | - Sanaa Najeh Al-Haj Ali
- Department of Orthodontic and Pediatric Dentistry, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia
- Correspondence: or ; Tel.: +966-504-603-339; Fax: +966-016-380-1762
| | - Ra’fat Ibrahim Farah
- Department of Prosthetic Dental Sciences, College of Dentistry, Qassim University, Qassim 51452, Saudi Arabia; or
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Von Held R, Castilho T, Antunes LAA, Tavares JDS, Pivetta Petinati MF, Winckler C, Neto ZCO, Scariot R, Küchler EC, Brancher JA, Antunes LS. Interleukin 1 alpha genetic polymorphisms as potential biomarkers for oral health-related quality of life in Para athletes. SPECIAL CARE IN DENTISTRY 2021; 41:679-687. [PMID: 34245174 DOI: 10.1111/scd.12627] [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: 05/28/2021] [Accepted: 06/14/2021] [Indexed: 12/23/2022]
Abstract
AIMS To assess the impact of dental caries on OHRQoL in Para athletes and to evaluate whether interleukin 1 alpha (IL1A) (rs17561, rs1304037), interleukin 10 (IL10) (rs1800871), and interleukin 1 receptor antagonist (IL1RN) (rs9005) genes are potential biomarkers for OHRQoL in Para athletes. MATERIALS AND METHODS A cross-sectional study consisting of 264 Para athletes (athletics, 143; powerlifting, 61; and swimming, 60) aged between 14 and 79 years was conducted. The decayed-missing-filled teeth index was used for the clinical evaluation. The Brazilian version of the Oral Health Impact Profile (OHIP-14) was used to measure the OHRQoL. Genomic DNA was extracted from the saliva. Genetic polymorphisms were analyzed by real-time polymerase chain reaction. Descriptive and bivariate analyses were performed. RESULTS The overall mean OHIP-14 score observed was 6.24 (standard deviation, 7.05) and 10.03 (standard deviation, 8.11) in Para athletes with no caries experience and with caries experience, respectively (p = .002). Para athletes with the A allele in the IL1A gene (rs17561), in a dominant model, had a significantly higher risk of poor psychological discomfort than those with the other allele (p = .03). CONCLUSION Dental caries affected the OHRQoL in Para athletes. IL1A genetic polymorphisms were the potential biomarkers for OHRQoL in Para athletes.
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Affiliation(s)
- Rodrigo Von Held
- Postgraduate Program in Dentistry of Niterói, School of Dentistry, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Thuanny Castilho
- Postgraduate Program in Dentistry of Niterói, School of Dentistry, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Lívia Azeredo Alves Antunes
- Postgraduate Program in Dentistry of Niterói, School of Dentistry, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.,Postgraduate Program in Dentistry of Nova Friburgo, School of Dentistry, Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil.,Department of Specific Formation of the Health Institute of Nova Friburgo (FFE-ISNF), Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
| | | | | | - Ciro Winckler
- Human Movement Sciences Department, São Paulo Federal University, Santos, Brazil.,CPB, Brazilian Paralympic Committee, Brasília, DF, Brazil
| | | | - Rafaela Scariot
- School of Health Science, Federal University of Paraná, Curitiba, Paraná, Brazil
| | | | | | - Leonardo Santos Antunes
- Postgraduate Program in Dentistry of Niterói, School of Dentistry, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.,Postgraduate Program in Dentistry of Nova Friburgo, School of Dentistry, Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil.,Department of Specific Formation of the Health Institute of Nova Friburgo (FFE-ISNF), Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil.,Clinical Research Unit, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
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Ahmad MS, Abuzar MA, Razak IA, Rahman SA, Borromeo GL. Oral health education in the undergraduate nursing curriculum of Australian and Malaysian institutions. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2021; 25:350-359. [PMID: 33021010 DOI: 10.1111/eje.12611] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 09/23/2020] [Accepted: 09/26/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION A high degree of training is necessary to prepare student nurses for their roles as oral healthcare partners that can promote a holistic approach to health in the community. This study aims to determine the extent of oral health education in Australian and Malaysian nursing institutions, as well as investigate educators' perceptions of education and practice in this area of care. METHODOLOGY An audio-recorded, semi-structured qualitative phone interview was conducted with the heads of 42 nursing schools across Australia (n = 35) and Malaysia (n = 7) during the 2015 academic year. Qualitative data were analysed via thematic analysis. Quantitative data, wherever appropriate, were measured for frequencies. RESULTS The response rate was 34.2% (n = 12) and 71.4% (n = 5) for the Australian and Malaysian subjects, respectively. Findings revealed that although all the nursing schools measured provided didactic and clinical training in oral health, curriculum content, expected learning outcomes, amount of clinical exposure and assessment approach lacked consistency. Most nursing educators across both countries perceived an overloaded curriculum as a barrier to providing oral health education. Whilst educators demonstrated their support for training in this area of care, they expressed the need for an established national guideline that highlights the educational requirement for future nurses in oral health maintenance and their scope of practice. CONCLUSION This study provides valuable information for further developing oral health education for nurses, to improve their competency and ultimately the health of the communities that they will serve.
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Affiliation(s)
- Mas S Ahmad
- Universiti Teknologi MARA, Selangor Branch, Sungai Buloh Campus, Sungai Buloh, Malaysia
| | | | | | - Sabariah A Rahman
- Universiti Teknologi MARA, Selangor Branch, Sungai Buloh Campus, Sungai Buloh, Malaysia
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21
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Macarevich Condessa A, Pilotto LM, Celeste RK, Hilgert JB. Use of dental services by disability status in Brazil in 2013. Community Dent Oral Epidemiol 2021; 49:471-477. [PMID: 33521999 DOI: 10.1111/cdoe.12623] [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: 10/25/2019] [Revised: 12/22/2020] [Accepted: 01/12/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To describe the prevalence and factors associated with the use of oral health services in people with and without disabilities in Brazil. METHODS A cross-sectional study was used with the secondary data of 60,202 individuals from the Brazilian National Health Survey of 2013. The main exposure variable was 'Disability', and the main outcome was 'Dental service use'. Independent variables were selected using the modified Andersen and Davidson model, according to four groups: exogenous variables, primary determinants of oral health, health behaviours and oral health conditions. The analysis was based on a hierarchical approach stratified by 'disability (yes/no)', with multiple logistic regression incorporating sampling design. Interaction terms between the disability variable and covariates were tested in logistic regression models. RESULTS A total of 45.5% of the people without disabilities and 34.1% of those with disabilities visited the dentist in the last year. In the crude model, the nondisabled group used dental services more (OR = 1.61, 95%CI = 1.45-1.79), but the difference was no longer significant (OR = 1.18, 95%CI = 0.93-1.51) when adjusted by the health behaviour and oral health condition blocks. Determinants of dental use were similar among people with and without a disability. CONCLUSIONS No difference in dental service use according to disability status was found after adjusting for oral health conditions. Although edentulism is more prevalent among disabled people, they do not go to the dentist as regularly as nondisabled people. Health services should actively schedule maintenance visits to ensure that the needs of disabled individuals are fully addressed.
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Affiliation(s)
- Aline Macarevich Condessa
- Department of Preventive and Social Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Luciane Maria Pilotto
- Department of Preventive and Social Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Roger Keller Celeste
- Department of Preventive and Social Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Juliana Balbinot Hilgert
- Department of Preventive and Social Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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22
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Lopez Silva CP, Singh A, Calache H, Derbi HA, Borromeo GL. Association between disability status and dental attendance in Australia-A population-based study. Community Dent Oral Epidemiol 2020; 49:33-39. [PMID: 32893344 DOI: 10.1111/cdoe.12571] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 06/24/2020] [Accepted: 07/30/2020] [Indexed: 12/23/2022]
Abstract
AIMS Disability is a key social determinant of health. The objective of this study was to test the association between disability status and irregular dental attendance among the Australian population, and to examine whether the observed association varied among adolescents. METHODS Data on 17 501 participants from The Household, Income and Labour Dynamics in Australia (HILDA) were analysed. The main outcome examined was irregular dental attendance (two or more years since last dental visit) with disability as the primary exposure. Multivariable logistic regression models were fitted to test the associations between disability and dental attendance pattern. Models were adjusted for age, gender, country of birth, region of residence, education and income. Analysis was repeated among adolescents (15- to 24-year-old) to examine for variations in observed association. RESULTS One in four participants reported having a disability. Unadjusted model showed that the odds for irregular dental attendance were 1.40 times greater (95%; CI, 1.30-1.51) in those with disability than those without disability. After adjusting for all covariates, participants with disability had 1.20 times higher odds (95%; CI 1.10-1.30) of irregular dental attendance than those without disability. Irregular dental attendance was 1.41 times greater (95%; CI 1.10-1.80) in those with disability aged 15-24 years than those without disability. CONCLUSIONS Australian individuals with disability are more likely to have irregular dental attendance than those without.
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Affiliation(s)
| | - Ankur Singh
- Melbourne Dental School, University of Melbourne, Melbourne, Vic., Australia.,Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Vic., Australia
| | - Hanny Calache
- Melbourne Dental School, University of Melbourne, Melbourne, Vic., Australia.,Centre for Population Health Research, Deakin University, Melbourne, Vic., Australia
| | - Hajer A Derbi
- Melbourne Dental School, University of Melbourne, Melbourne, Vic., Australia
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Guidance for dental treatment of patients with disabilities during COVID-19 pandemic. J Dent Sci 2020; 16:540-543. [PMID: 32837688 PMCID: PMC7425679 DOI: 10.1016/j.jds.2020.08.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 08/08/2020] [Indexed: 12/28/2022] Open
Abstract
People with disabilities are challenged managing their oral hygiene and more often burdened with oral diseases. They often require immediate dental treatment for severe pain and greater precautions are needed to cope with COVID-19. The potential for COVID-19 infection can be relatively high in patients with disabilities due to concomitant systemic diseases, unique individual circumstances, relationship with caregivers and the living conditions of long-term care facilities, which make them vulnerable to the virus. For behavior management, dental treatment is often provided under general anesthesia with meticulous preoperative evaluation and the use of high-quality viral filters. In response to COVID-19, additional considerations should be taken for dental procedures on patients with special needs. These recommendations for dental treatment of the disabled are based on 6 months of authors COVID-19 pandemic experience.
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Barriers in Access to Dental Services Hindering the Treatment of People with Disabilities: A Systematic Review. Int J Dent 2020; 2020:9074618. [PMID: 32774378 PMCID: PMC7396116 DOI: 10.1155/2020/9074618] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2020] [Accepted: 04/21/2020] [Indexed: 11/18/2022] Open
Abstract
Background People with disabilities tend to have greater oral health problems compared to those without disabilities. This may be due to barriers they come across in accessing dental services. Objectives The objective of this systematic review was to provide a critical digest of the scientific literature concerning barriers and facilitators of access to oral health services for people with disabilities. Methods The electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS), and Brazilian Library of Dentistry (BBO) were searched using keywords relevant to the subject. The search was not restricted to specific languages or years of publication; all relevant studies were translated and reviewed. Results Sixteen studies including 14 articles, a doctoral thesis, and a monograph were selected, and their quality was analysed using the Downs and Black assessment tool. Barriers to dental services were divided into physical or nonphysical based on the dentist's perspective, as per the perception of parents/guardians or by the persons with disabilities. The barriers that emerged included the dentist's lack of preparation to assist people with disabilities, structural problems of access to dental offices, communication difficulties, and lack of awareness regarding the need for dental treatment for the disabled person. Conclusion It is concluded that people with disabilities continue to run into complex physical, behavioural, or multidimensional barriers in accessing dental services. Improved training of dentists for the care of this population is hereby emphasized. The legal framework enabling access to dental care for people with disabilities must also be respected in each country.
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