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Clinical Oral Investigations

Published in:

01-11-2013 | Original Article

Objective and subjective oral health care needs among adults with various disabilities

Authors: Roos Leroy, Dominique Declerck

Published in: Clinical Oral Investigations | Issue 8/2013

Abstract

Objectives

The present study explored the objective and subjective oral health care needs and the association between both among Belgian adults with disabilities.

Materials and methods

A two-stage sampling methodology was used to select a sample of adults (22–65 years old) with disabilities, from various types of residential settings, day care centers, and sheltered workplaces and spread over the ten provinces. Oral screenings were performed by 28 trained dentists; subjective oral health care needs were collected through questionnaires.

Results

Seven hundred seven adults with disabilities were recruited; from 656 (93 %), permission was obtained for an oral examination. In 467 (78 %) and 407 (68 %) participants, dental plaque and calculus, respectively, were observed. In 343 (56 %) participants, untreated caries lesions (into dentine) were recorded; 203 (33 %) participants had 20 or less teeth. The prosthetic replacement of missing teeth was poor. Exactly 228 (40 %) participants stated that they had a problem in the oral region, and 264 (48 %) indicated that they were in need of an appointment with a dentist. Barriers to consult a dentist were reported by 244 (42 %); fear (n = 87; 37 %), followed by financial and transportation problems (both, n = 68; 29 %), was the most frequently reported barrier.

Conclusions

The preventive as well as curative oral care needs in Belgian adults with various forms of disabilities are very high.

Clinical relevance

Efforts to tackle these vast oral health care needs should take into account the differences in needs and demands between subgroups and should comprise the improvement of access to proper care.

Ouellette-Kuntz H (2005) Understanding health disparities and inequities faced by individuals with intellectual disabilities. J Appl Res Intellect Disabil 18:113–121CrossRef

Armour BS, Swanson M, Waldman HB, Perlman SP (2008) A profile of state-level differences in the oral health of people with and without disabilities, in the U.S., in 2004. Public Health Rep 123:67–75PubMed

Hennequin M, Moysan V, Jourdan D, Dorin M, Nicolas E (2008) Inequalities in oral health for children with disabilities: a French national survey in special schools. PLoS One 3:e2564PubMedCrossRef

van Schrojenstein Lantman-de Valk HM, Walsh PN (2008) Managing health problems in people with intellectual disabilities. BMJ 337:a2507. doi:10.1136/bmj.a2507 PubMedCrossRef

Anders PL, Davis EL (2010) Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist 30:110–117PubMedCrossRef

Cooper SA, Melville C, Morrison J (2004) People with intellectual disabilities. BMJ 329:414–415PubMedCrossRef

Lennox N, Bain C, Rey-Conde T, Purdie D, Bush R, Pandeya N (2007) Effects of a comprehensive health assessment programme for Australian adults with intellectual disability: a cluster randomized trial. Int J Epidemiol 36:139–146PubMedCrossRef

Stiefel DJ, Truelove EL, Menard TW, Anderson VK, Doyle PE, Mandel LS (1990) A comparison of the oral health of persons with and without chronic mental illness in community settings. Spec Care Dentist 10:6–12PubMedCrossRef

Lewis C, Robertson AS, Phelps S (2005) Unmet dental care needs among children with special health care needs: implications for the medical home. Pediatrics 116:e426–e431PubMedCrossRef

10.

Leroy R, Declerck D, Marks L (2012) The oral health status of Special Olympics athletes in Belgium. Community Dent Health 29:68–73PubMed

11.

Reid BC, Chenette R, Macek MD (2003) Special Olympics: the oral health status of U.S. athletes compared with international athletes. Spec Care Dentist 23:230–233PubMedCrossRef

12.

WHO (1997) Oral health surveys: basic methods, 4th edn. World Health Organisation, Geneva

13.

Silness D, Löe H (1964) Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal condition Acta Odont Scand 22:121–135CrossRef

14.

Savage A, Eaton KA, Moles DR, Needleman I (2009) A systematic review of definitions of periodontitis and the methods that have been used to identify this disease. J Clin Periodontol 36:458–467PubMedCrossRef

15.

Leroy R, Eaton KA, Savage A (2010) Methodological issues in epidemiological studies of periodontitis—how can it be improved? BMC Oral Health 10:8PubMedCrossRef

16.

van der Velden U (2009) The Dutch periodontal screening index validation and its application in The Netherlands. J Clin Periodontol 36:1018–1024PubMedCrossRef

17.

Kendall NP (1991) Oral health of a group of non-institutionalised mentally handicapped adults in the UK. Community Dent Oral Epidemiol 19:357–359PubMedCrossRef

18.

Cumella S, Ransford N, Lyons J, Burnham H (2000) Needs for oral care among people with intellectual disability not in contact with Community Dental Services. J Intellect Disabil Res 44:45–52PubMedCrossRef

19.

Tiller S, Wilson KI, Gallagher JE (2001) Oral health status and dental service use of adults with learning disabilities living in residential institutions and in the community. Community Dent Health 18:167–171PubMed

20.

Collado V, Faulks D, Hennequin M (2008) A survey of the difficulties encountered during routine hygiene and health care by persons with special needs. Disabil Rehabil 30:1047–1054PubMedCrossRef

21.

Bottenberg P, Carvalho J, Declerck D, Declerck K, De Vos E, Vanden Abbeele A et al. (2011) Data registration and evaluation of the oral health of the Belgian population 2008–2010, final report. Available at: http://riziv.fgov.be/information/nl/studies/study53/pdf/rapport.pdf

22.

Pieper K, Dirks B, Kessler P (1986) Caries, oral hygiene and periodontal disease in handicapped adults. Community Dent Oral Epidemiol 14:28–30PubMedCrossRef

23.

Dougall A, Fiske J (2008) Access to special care dentistry, part 1. Access Br Dent J 204:605–616CrossRef

24.

Rapalo DM, Davis JL, Burtner P, Bouldin ED (2010) Cost as a barrier to dental care among people with disabilities: a report from the Florida behavioral risk factor surveillance system. Spec Care Dentist 30:133–139PubMed

25.

Yuen HK, Wolf BJ, Bandyopadhyay D, Magruder KM, Selassie AW, Salinas CF (2010) Factors that limit access to dental care for adults with spinal cord injury. Spec Care Dentist 30:151–156PubMed

26.

Augustyns N, Adams M, Vriesacker B, Janssens H, Van Hal G (2010) Handicap, inkomen en toegang tot de gezondheidszorg. Final report

27.

Gabre P, Sjoquist K (2002) Experience and assessment of pain in individuals with cognitive impairments. Spec Care Dentist 22:174–180PubMedCrossRef

Title: Objective and subjective oral health care needs among adults with various disabilities
Authors: Roos Leroy
Dominique Declerck
Publication date: 01-11-2013
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 8/2013
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-012-0879-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Objective and subjective oral health care needs among adults with various disabilities

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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