Oral health of adults with intellectual disabilities: a systematic review

Journal of Intellectual Disability Research, Год журнала: 2019, Номер 63(11), С. 1359 - 1378

Опубликована: Май 23, 2019

Abstract Background There have been several past reports that adults with intellectual disabilities experience poor oral health (tooth loss, periodontal and untreated dental caries). Loss of a functional dentition has serious consequences, including problems chewing, swallowing, nutrition, speech, temporomandibular joint osteoarthritis pain systemic conditions. Poor is largely preventable through proactive care support. In recent years, social provision for changed, deinstitutionalisation home‐based personalised now being the typical in high income countries. Hence, inequalities might be reducing. However, there limited evidence‐synthesis on topic. We aimed to address this. Method PROSPERO registration number: CRD42018089880. conducted preferred reporting items systematic reviews meta‐analyses review publications since 2008. Four databases were searched clear search strategy, strict inclusion criteria selection papers, double scoring (two raters), data extraction quality appraisal included papers. Results A total 33/3958 retrieved articles included, which 14 drawn from service users 10 Special Olympic athletes, therefore not necessarily representative wider population disabilities. Despite this limitation, still shown health. High levels hygiene gingivitis found, many also affected by periodontitis decay. unmet need relating both (gum) tooth health, leading loss. Conclusions amongst disabilities, despite it preventable, remains burden This highlights raise awareness, polices effective daily care, appropriate provision. The importance its possible negative sequelae needs elevated carers professionals.

Язык: Английский

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Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review

BMC Public Health, Год журнала: 2019, Номер 19(1)

Опубликована: Ноя. 15, 2019

People with intellectual and developmental disability (IDD) have poor oral health need support to maintain optimal outcomes. Little is known about how, when where intervene for this population. Thus the aim of review was summarise existing evidence surrounding improving outcomes people IDD.A scoping literature conducted focusing on 'oral health' 'intellectual disability'. Systematic searches five electronic databases were in line study aims two authors independently examined all records relevance, consensus achieved by a third author.A small number approaches interventions identified IDD hygiene. Identified studies highlighted that caregivers play vital role provision support, emphasising effectiveness educational caregivers. However, there uncertainty regarding efficacy specific tooth brushing IDD. In cases more severe and/or dental-related behavioural problems, dental treatment under general anaesthesia often both necessary effective method care provision. The findings also outreach exclusive services as successful strategies increasing limited access services.A uniform approach supporting unlikely succeed. A system-based needed address diverse needs population IDD, their service context. Further high quality required confirm these findings.

Язык: Английский

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Oral health status of the disabled compared with that of the non-disabled in Korea: A propensity score matching analysis

PLoS ONE, Год журнала: 2019, Номер 14(1), С. e0208246 - e0208246

Опубликована: Янв. 14, 2019

Background There are many types of disabilities, and each type has a variety related to socioeconomic factors. Such factors affect health problems the disabled. However, surveys oral status disabled in Korea rare. Objective The purpose this study was estimate disparity through comparing non-disabled, adjusted for net effect disability on status. Methods A cross-sectional conducted among urban suburban areas from June September 2016. People with physical, mental, multiple disabilities took part survey. clinical examinations were carried out by trained dentists. Statistical analysis performed quantify association between after restricting using propensity score matching method. Results had more DMFT, DT, MT, fewer FT, teeth than non-disabled based entire groups (P<0.01). No difference ratio periodontitis observed. subjects mental (MD) scored 3.09 (95% CI, 1.07–8.97), those 4.37 1.16–16.37) edentulous MD an odds 1.34 1.03–1.74), 1.75 1.11–2.76) DMFT index. Conclusions These results represent poor compared non-disabled. Consequentially, we can verify that not only existence but also decisive condition. This comparison is necessary widen our approach evaluate actual condition

Язык: Английский

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Gingival health and oral hygiene practices among high school children in Saudi Arabia

Annals of Saudi Medicine, Год журнала: 2020, Номер 40(2), С. 126 - 135

Опубликована: Март 1, 2020

BACKGROUND: Gingivitis is a site-specific inflammatory condition initiated by dental biofilm accumulation.The accumulation of plaque on the gingival margin triggers effects that can become chronic.In addition to its local effect, inflammation has recently been suggested have an impact general health.OBJECTIVE: Determine prevalence gingivitis and relationship oral hygiene practices in high school children Saudi Arabia.DESIGN: Cross-sectional.SETTING: High schools from different regions Arabia.PATIENTS AND METHODS: Periodontal examinations were conducted randomly selected sample between ages 15 19 years.Gingival indices, probing depth, clinical attachment level, sociodemographic characteristics recorded.Data analyzed using descriptive statistics, chi-square independent t test.MAIN OUTCOME MEASURE: Prevalence as defined mean index.SAMPLE SIZE: 2435 students.RESULTS: Twenty-one percent had slight gingivitis, 42.3% moderate, 1.8% severe.Gender, toothbrushing, tongue brushing, index, percentage pocket depth (PD) ≥4 mm showed significant with severity gingivitis.Almost 39.3% females healthy periodontal status when compared males (30.7%).Thirty-five (35.5%) students who brushed their teeth periodontium 26.9% did not brush.The index was significantly higher severe (2.4 vs. 0.79, respectively).CONCLUSION: Western countries nationally representative Arabia influenced practices.LIMITATIONS: The half-mouth study design may underestimate disease prevalence.Data self-reported thus affected social desirability bias.

Язык: Английский

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Changes in the oral health-related quality of life in adult patients with intellectual disabilities after dental treatment under general anesthesia

Clinical Oral Investigations, Год журнала: 2019, Номер 23(10), С. 3895 - 3903

Опубликована: Фев. 1, 2019

Язык: Английский

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OPERATIONALIZING ORAL HEALTH OUTCOME MEASURES TO IMPROVE THE ORAL HEALTH OF PERSONS WITH INTELLECTUAL DISABILITIES

Journal of Evidence Based Dental Practice, Год журнала: 2022, Номер 23(1), С. 101790 - 101790

Опубликована: Окт. 17, 2022

Individuals with intellectual disability (ID) face significant challenges in preventing oral diseases. They also lack access to high-quality health care professional settings. To understand the effects of conditions on their lives and health, it is necessary assess outcome measures. For those mild ID, who possess adequate linguistic cognitive abilities, accessibility features should be incorporated dental patient reported (dPRO) But many other individuals often ability self-report through dPRO While self-reported measures are preferable, requiring dPROs this population would result a high amount missing data inability interventions for improving health. Thus, there need use proxy-reported (ProxRO) measures, observer (ObsRO) clinician (ClinRO) among ID. This common approach taken by specialties that work closely where activities daily living adaptive behavior reporting caregivers. ProxRO dentistry were created infants young children provide structure appropriate adaptations creation relevant Including input from intensely multidisciplinary teams supports ID key creating

Язык: Английский

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Empirically supported psychological treatments: The challenges of comorbid psychiatric and behavioral disorders in people with intellectual disability

World Journal of Psychiatry, Год журнала: 2021, Номер 11(11), С. 1039 - 1052

Опубликована: Ноя. 16, 2021

This paper reviews the current state of knowledge on psychological interventions with empirical evidence efficacy in treating common psychiatric and behavioral disorders people intellectual disability (ID) at all stages their life. We begin a brief presentation what is meant by this population, along an explanation some factors that contribute to increased psychosocial vulnerability group present these problems. then conduct review empirically supported therapies used treat ID. The structured around three generations therapies: Applied behavior analysis (e.g., positive support), cognitive mindfulness-based therapy), contextual dialectical therapy). conclude recommendations for professional practice fields ID psychiatry.

Язык: Английский

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Education/Training Interventions to Improve Oral Health of Adults with Intellectual Disability

Healthcare, Год журнала: 2022, Номер 10(10), С. 2061 - 2061

Опубликована: Окт. 17, 2022

People with intellectual disability have poorer oral health outcomes and experience greater difficulties accessing dental services than the rest of community. Interdisciplinary educational programs for those involved in decision making people aim to improve their health. This scoping review explored education/training interventions related adults disability. Interventions targeted non-dental professionals, disability, paid unpaid supporters. Six electronic databases were searched using PRISMA guidelines Crowes critical appraisal tool. The search strategy, plus application inclusion exclusion criteria, presented body manuscript, led selection 20 papers into this review. quality undergraduate tuition relating was reported be poor, but students professionals expressed interest expanding knowledge area. Disability-support workers primary carers improved attitude, status they supported not impacted. No research found that perspectives professionals. Oral training/education contributes systemic barriers general health, wellbeing, social Revision disability-related dentistry courses longitudinal impact is needed.

Язык: Английский

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Oral health care and service utilisation in individuals with Rett syndrome: an international cross‐sectional study

Journal of Intellectual Disability Research, Год журнала: 2021, Номер 65(6), С. 561 - 576

Опубликована: Март 25, 2021

Abstract Background There is a dearth of literature available on the comparative oral health status those with Rett syndrome (RTT) despite diurnal bruxism being supportive diagnostic criterion for disorder. This study was designed to investigate dental experiences individuals RTT in terms perceived at‐home and professional care. Methods Using data InterRett database, provided by English‐speaking families confirmed MECP2 genetic mutation, investigated relationships between problems, care, child factors including use gastrostomy, socioeconomic indicators. The also explored presentations socioeconomic, child, family‐related factors. Results Individuals exhibiting were more likely access treatment. Those who had full feeding higher incidence rate treatment than tube feeding. A conservative (under) estimation overall caries progression revealed that this may be similar normal population. Conclusions Drivers include as well caries. have experience maternal education level confer protective effect outcomes RTT. Nevertheless, generally tended value importance reported difficulties day‐to‐day mouth

Язык: Английский

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Enablers and barriers in dental attendance in Rett syndrome: an international observational study

Special Care in Dentistry, Год журнала: 2022, Номер 42(6), С. 565 - 574

Опубликована: Март 15, 2022

Abstract Aims Intellectual and developmental disabilities are heterogeneous in aetiology presentation, one cannot make assumptions about the oral health barriers of those with Rett syndrome (RTT) based on findings from generic studies. This study investigated caregivers’ perceptions regarding access to dental care for (RTT), associations treatments received by RTT their perceived value perception own as well daughter's anxiety. Methods results Retrospective observational data a subset individuals confirmed MECP2 mutations InterRett database ( n = 216) were used explore caregiver‐related factors relationships longitudinal service utilisation, using negative binomial regression. The main reported primarily dentist‐related nature, regardless history. Those nonattendance older age. Increasing levels caregiver‐reported fear associated less frequent check‐ups or any appointments affected individuals. Conclusions Dentist‐related anxiety may both adversely affect attendance RTT. Future research should beliefs literacy.

Язык: Английский

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