Skip to main content
Top
Published in: Clinical Oral Investigations 4/2018

Open Access 01-05-2018 | Original Article

Global oral health status of athletes with intellectual disabilities

Authors: Luc Marks, Allen Wong, Steven Perlman, Amy Shellard, Carla Fernandez

Published in: Clinical Oral Investigations | Issue 4/2018

Login to get access

Abstract

Background

The aim of this study is to identify the oral health status and treatment needs of Special Olympics athletes with intellectual disabilities from 181 countries by the assessment of oral health parameters and differences between world regions.

Material and methods

Data were collected through interview and oral examinations within the Healthy Athletes Screening. These data were analysed with descriptive statistics of oral health parameters of athletes from Africa, Asia Pacific, East Asia, Europe/Eurasia, Latin America, Middle East North Africa (MENA) and North America. Mean differences of untreated visible dental caries, gingival signs and missing teeth were tested between regions by one-way ANOVA test and between age groups (8–11, 12–18, 19–39 and 40+) by chi-square tests for multiple comparisons with Hochberg-adjusted p value. The level of significance for all tests was set at a p value < 0.05.

Results

A total of 149,272 athletes with intellectual disabilities were screened. More than 80% of the athletes reported that they cleaned their mouths at least once a day. Athletes in Europe/Eurasia, Latin America, and MENA presented higher rates of signs of gingival disease than other regions. The prevalence of untreated dental caries was significantly higher in Latin America and the group of 8–11-year-olds from Latin America, Europe/Eurasia and Asia Pacific.

Conclusions

The data provided by this study demonstrate that continuous efforts for preventive and restorative oral health care are needed for the oral health of these athletes with ID especially in Latin America, MENA and Europe/Eurasia regions.
Literature
1.
go back to reference Horwitz SM, Kerker BD, Owens PL, Zigler E (2000) The health status and needs of individuals with mental retardation. Department of Epidemiology and Public Health. Yale University, New Haven Horwitz SM, Kerker BD, Owens PL, Zigler E (2000) The health status and needs of individuals with mental retardation. Department of Epidemiology and Public Health. Yale University, New Haven
2.
go back to reference Petersen PE (2003) The World Oral Health Report 2003: continuous improvement of oral health in the 21st century—the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 31:3–24CrossRefPubMed Petersen PE (2003) The World Oral Health Report 2003: continuous improvement of oral health in the 21st century—the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 31:3–24CrossRefPubMed
3.
go back to reference Kandelman D, Petersen PE, Ueda H (2008) Oral health, general health, and quality of life in older people. Spec Care Dentist 28:224–236CrossRefPubMed Kandelman D, Petersen PE, Ueda H (2008) Oral health, general health, and quality of life in older people. Spec Care Dentist 28:224–236CrossRefPubMed
4.
go back to reference Marcenes W, Kassebaum NJ, Bernabe E, Flaxman A, Naghavi M, Lopez A et al (2013) Global burden of oral conditions in 1990-2010: a systematic analysis. J Dent Res 92:592–597CrossRefPubMedPubMedCentral Marcenes W, Kassebaum NJ, Bernabe E, Flaxman A, Naghavi M, Lopez A et al (2013) Global burden of oral conditions in 1990-2010: a systematic analysis. J Dent Res 92:592–597CrossRefPubMedPubMedCentral
5.
go back to reference Anders PL, Davis EL (2010) Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist. 30:110–117CrossRefPubMed Anders PL, Davis EL (2010) Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist. 30:110–117CrossRefPubMed
6.
go back to reference Scott A, March L, Stokes ML (1998) A survey of oral health in a population of adults with developmental disabilities: comparison with a national oral health survey of the general population. Aust Dent J 43:257–261CrossRefPubMed Scott A, March L, Stokes ML (1998) A survey of oral health in a population of adults with developmental disabilities: comparison with a national oral health survey of the general population. Aust Dent J 43:257–261CrossRefPubMed
7.
go back to reference Owens PL, Kerker BD, Zigler E, Horwitz SM (2006) Vision and oral health needs of individuals with intellectual disability. Ment Retard Dev Disabil Res Rev 12:28–40CrossRefPubMed Owens PL, Kerker BD, Zigler E, Horwitz SM (2006) Vision and oral health needs of individuals with intellectual disability. Ment Retard Dev Disabil Res Rev 12:28–40CrossRefPubMed
8.
go back to reference 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:e2564CrossRefPubMedPubMedCentral 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:e2564CrossRefPubMedPubMedCentral
9.
go back to reference Tesini DA, Fenton SJ (1994) Oral health needs of persons with physical or mental disabilities. Dent Clin N Am 38:483–498PubMed Tesini DA, Fenton SJ (1994) Oral health needs of persons with physical or mental disabilities. Dent Clin N Am 38:483–498PubMed
10.
go back to reference Reid BC, Chenette R, Macek MD (2001) Prevalence and predictors of untreated caries and oral pain among Special Olympic athletes. Spec Care Dentist. 23:139–142CrossRef Reid BC, Chenette R, Macek MD (2001) Prevalence and predictors of untreated caries and oral pain among Special Olympic athletes. Spec Care Dentist. 23:139–142CrossRef
11.
go back to reference Ozgul O, Dursun E, Ozgul B, Kartal Y, Coskunses F, Kocigyt I (2014) The impact of handicap severity on oral and periodontal status of patients with mental retardation. J Contemp Dent Pr 15:218–222CrossRef Ozgul O, Dursun E, Ozgul B, Kartal Y, Coskunses F, Kocigyt I (2014) The impact of handicap severity on oral and periodontal status of patients with mental retardation. J Contemp Dent Pr 15:218–222CrossRef
12.
go back to reference Hennequin M, Faulks D, Roux D (2000) Accuracy of estimation of dental treatment need in special care patients. J Dent 28:131–136CrossRefPubMed Hennequin M, Faulks D, Roux D (2000) Accuracy of estimation of dental treatment need in special care patients. J Dent 28:131–136CrossRefPubMed
13.
go back to reference Vignehsa H, Soh G, Lo GL, Chellappah NK (1991) Dental health of disabled children in Singapore. Aust Dent J 36:151–156CrossRefPubMed Vignehsa H, Soh G, Lo GL, Chellappah NK (1991) Dental health of disabled children in Singapore. Aust Dent J 36:151–156CrossRefPubMed
14.
go back to reference 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 44:45–52CrossRefPubMed 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 44:45–52CrossRefPubMed
17.
go back to reference Sakellari D, Arapostathis KN, Konstantinidis A (2005) Periodontal conditions and subgingival microflora in Down syndrome patients. A case-control study. J Clin Periodontol 32:684–690CrossRefPubMed Sakellari D, Arapostathis KN, Konstantinidis A (2005) Periodontal conditions and subgingival microflora in Down syndrome patients. A case-control study. J Clin Periodontol 32:684–690CrossRefPubMed
18.
go back to reference Khocht A, Janal M, Turner B (2010) Periodontal health in Down syndrome: contributions of mental disability, personal and professional dental care. Spec Care Dentist. 30:118–123CrossRefPubMed Khocht A, Janal M, Turner B (2010) Periodontal health in Down syndrome: contributions of mental disability, personal and professional dental care. Spec Care Dentist. 30:118–123CrossRefPubMed
19.
go back to reference Petersen PE, Ogawa H (2012) The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontol 60:15–39CrossRef Petersen PE, Ogawa H (2012) The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontol 60:15–39CrossRef
21.
go back to reference Feldman CA, Giniger M, Sanders M, Saporito R, Zohn HK, Perlman SP (1997) Special Olympics, special smiles: assessing the feasibility of epidemiologic data collection. J Am Dent Assoc 128:1687–1696CrossRefPubMed Feldman CA, Giniger M, Sanders M, Saporito R, Zohn HK, Perlman SP (1997) Special Olympics, special smiles: assessing the feasibility of epidemiologic data collection. J Am Dent Assoc 128:1687–1696CrossRefPubMed
22.
24.
go back to reference Palmer CA, Gilbert JA (2012) Position of the academy of nutrition and dietetics: the impact of fluoride on health. J Acad Nutr Diet 112:1443–1453CrossRefPubMed Palmer CA, Gilbert JA (2012) Position of the academy of nutrition and dietetics: the impact of fluoride on health. J Acad Nutr Diet 112:1443–1453CrossRefPubMed
25.
go back to reference Jones S, Burt BA, Petersen PE, Lennon MA (2005) The effective use of fluorides in public health. Bulletin of the World Health Organization. Bull World Health Organ 83(9):670–676PubMedPubMedCentral Jones S, Burt BA, Petersen PE, Lennon MA (2005) The effective use of fluorides in public health. Bulletin of the World Health Organization. Bull World Health Organ 83(9):670–676PubMedPubMedCentral
26.
go back to reference Kargul B, Caglar E, Tanboga I (2003) History of water fluoridation. J Clin Pediatr Dent 27:213–217CrossRefPubMed Kargul B, Caglar E, Tanboga I (2003) History of water fluoridation. J Clin Pediatr Dent 27:213–217CrossRefPubMed
27.
go back to reference Pizzo G, Piscopo MR, Pizzo I, Giuliana G (2007) Community water fluoridation and caries prevention: a critical review. Clin Oral Investig 11:189–193CrossRefPubMed Pizzo G, Piscopo MR, Pizzo I, Giuliana G (2007) Community water fluoridation and caries prevention: a critical review. Clin Oral Investig 11:189–193CrossRefPubMed
29.
go back to reference Thorpe S (2006) Oral health issues in the African region: current situation and future perspectives. J Dent Educ 70:8–15 Thorpe S (2006) Oral health issues in the African region: current situation and future perspectives. J Dent Educ 70:8–15
31.
go back to reference Turner S, Sweeney M, Kennedy C, Macpherson L (2008) The oral health of people with intellectual disability participating in the UK Special Olympics. J Intellect Disabil Res 52:29–36CrossRefPubMed Turner S, Sweeney M, Kennedy C, Macpherson L (2008) The oral health of people with intellectual disability participating in the UK Special Olympics. J Intellect Disabil Res 52:29–36CrossRefPubMed
32.
go back to reference Trihandini I, Wiradidjaja Adiwoso A, E rri Astoeti T, Marks L (2013) Oral health condition and treatment needs among young athletes with intellectual disabilities in Indonesia. International J Paediatr Dent 23:408–414 Trihandini I, Wiradidjaja Adiwoso A, E rri Astoeti T, Marks L (2013) Oral health condition and treatment needs among young athletes with intellectual disabilities in Indonesia. International J Paediatr Dent 23:408–414
33.
go back to reference Oredugba FA, Perlman SP (2010) Oral health condition and treatment needs of Special Olympics athletes in Nigeria. Spec Care Dentist. 30:211–217CrossRefPubMed Oredugba FA, Perlman SP (2010) Oral health condition and treatment needs of Special Olympics athletes in Nigeria. Spec Care Dentist. 30:211–217CrossRefPubMed
Metadata
Title
Global oral health status of athletes with intellectual disabilities
Authors
Luc Marks
Allen Wong
Steven Perlman
Amy Shellard
Carla Fernandez
Publication date
01-05-2018
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 4/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-017-2258-0

Other articles of this Issue 4/2018

Clinical Oral Investigations 4/2018 Go to the issue