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1.
West Afr J Med ; 37(1): 13-18, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32030706

RESUMO

OBJECTIVES: To assess and compare caries prevalence among institutionalized visually impaired and sighted 10dash;19 year old children in Lagos State, Nigeria. METHODS: A cross sectional study of institutionalized visually impaired and sighted 10-19-year-old adolescents was carried out using the World Health Organisation (WHO) Basic Oral Methods caries diagnostic criteria. A random sample of 10-19-year-old visually impaired and sighted institutionalised children was carried out. The mean decayed, missing, filled teeth (dmft/DMFT) and significant caries (SiC) indices of both groups were obtained and compared with Chi-square test using SPSS version 20. RESULTS: Mean age of visually impaired participants was 16 years while that of sighted was 12.5 years. The male to female ratio was 1:1 among the visually impaired participants and 1:1.5 among the sighted. Caries prevalence of 28.8% (64/222), mean dmft/DMFT 1.98±1.25 and 27.5% (63/229), mean dmft/DMFT 1.90±1.28 were obtained for the sighted and visually impaired 10dash;19 years old children respectively. The significant caries (SiC) indices for both groups were 3.3. CONCLUSION: Caries prevalence among the visually impaired and sighted adolescents in this study was considerable with no significant differences between them. Both populations had significant caries experiences. There is therefore need for oral health promotion among both sighted and visually impaired institutionalized adolescents in this environment.


Assuntos
Adolescente Institucionalizado , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Cárie Dentária/epidemiologia , Pessoas com Deficiência Visual , Adolescente , Adulto , Cegueira/complicações , Criança , Estudos Transversais , Cárie Dentária/complicações , Feminino , Humanos , Masculino , Nigéria/epidemiologia , Prevalência , Adulto Jovem
2.
Orv Hetil ; 160(35): 1380-1386, 2019 Sep.
Artigo em Húngaro | MEDLINE | ID: mdl-31448643

RESUMO

Introduction: Dental care for mentally disabled people poses a growing challenge for healthcare. In Hungary, the number of mentally disabled people needing special dental care is ca. 100 000. Aim: The aim of our retrospective analysis is to provide a summary of the demographic data and the treatment outcomes of patients with mental disorders treated at the Department of the Oral and Maxillofacial Surgery of the Semmelweis University in the past five years. Method: Dental care for patients with a severe level of mental disability can be carried out in general anaesthesia only. At Semmelweis University, in the Oral and Maxillofacial Department, 1717 mentally disabled adults received dental care during the past five years. (Patients included people with a mild, medium or severe level of mental disability, patients with Down's syndrome, autism, epilepsy or panic disorder.) Results: The single biggest achievement seems to be the fact that the issue of acute dental care and oral surgery has basically been settled. A workable relationship has been forged with foundations and organizations dealing with the problems of these patients. It has been realized, however, that in the case of mentally disabled patients there is an enormous need for prevention and ongoing care. Conclusions: Up to now no survey has been carried out in Hungary with the aim of objectively revealing the dental care needs of these patients. Internationally, however, several surveys have been published. It can be stated on the basis of these that both caries frequency and the presence of parodontal diseases increase in correlation with age and the level of disability. Oral hygiene is insufficient, patients or their caretakers do not get proper information, only a few of them receive adequate training and they are not motivated to keep up oral health. Dental care, except for tending acute cases, is not satisfactory. For the sake of prevention, cooperation is needed with non-governmental organizations, foundations, special education teachers and psychiatrists specialized in this field. Orv Hetil. 2019; 160(35): 1380-1386.


Assuntos
Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Cárie Dentária/cirurgia , Pessoas com Deficiência Mental/estatística & dados numéricos , Doenças Periodontais/cirurgia , Cirurgia Bucal/estatística & dados numéricos , Adulto , Assistência Odontológica para Pessoas com Deficiências/tendências , Cárie Dentária/epidemiologia , Humanos , Hungria/epidemiologia , Doenças Periodontais/epidemiologia , Estudos Retrospectivos , Cirurgia Bucal/tendências
3.
Spec Care Dentist ; 38(5): 281-290, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29944189

RESUMO

AIMS: The aim of this study to examine the level of access to dental care in Michigan for individuals with DD and explore the dentists' practices, attitudes, and perceived barriers to providing care to this vulnerable population. METHODS AND RESULTS: A survey was mailed to a random sample of 1250 general dental practitioners with an active license in the State of Michigan. The survey included questions related to dentists' demographic information, opinion about willingness, barriers, and training needs associated with delivering care to children and adults with developmental disabilities. Descriptive statistics were computed and chi-squared tests and logistic regression models analyzed the association between predictor and key outcome variables. Results show that most dentists treated individuals with developmental disabilities (80.3%). Respondents who indicated that they currently do not treat these patients identified behavior management of patient (67.9%), inadequate training and experiences (52.4%) and severity of patient's condition (41.7%) as the most common reasons for not providing care to individuals with developmental disabilities. CONCLUSION: A majority of Michigan general dentists treat patients with developmental disabilities. Addressing barriers like training and improved reimbursements might help in increasing the number of dentists willing to treat patients with developmental disabilities.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Deficiências do Desenvolvimento , Odontologia Geral/estatística & dados numéricos , Padrões de Prática Odontológica/estatística & dados numéricos , Feminino , Acesso aos Serviços de Saúde , Humanos , Masculino , Michigan , Inquéritos e Questionários , Populações Vulneráveis
4.
Res Dev Disabil ; 74: 1-13, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29355670

RESUMO

BACKGROUND: Children with Intellectual and Developmental Disabilities (IDD) face considerable challenges in participating in dental services. These challenges include resource constraints and inadequate skills of health service providers to work with this population. AIM: The aim was to scope published studies that addressed access to dental services for children with IDD in order to determine the extent to which various barriers have been researched, using an access framework derived from the literature. Access was defined to include the six dimensions of accessibility, availability, affordability, accommodation, acceptability, and appropriateness. METHOD: Arksey and O'Malley's scoping review framework was used. Relevant databases (e.g., Medline) were searched for all empirical studies conducted from January 2000 to February 2017 that met inclusion criteria. Data were extracted along the six dimensions of the access framework. RESULTS: Sixteen international studies were identified which indicated common key barriers to dental service use: the difficulties of physical inaccessibility, lack of access to information among carers, lack of knowledge of disability issues, and low experience and skills in caring for children with IDD among dental practitioners. CONCLUSIONS: Key recommendations made were exploring dental practitioners' understanding of disability legislation and developing training for practitioners to expand on issues specific to IDD.


Assuntos
Competência Clínica , Assistência Odontológica para Pessoas com Deficiências , Deficiências do Desenvolvimento/terapia , Acesso aos Serviços de Saúde , Deficiência Intelectual/terapia , Criança , Assistência Odontológica para Pessoas com Deficiências/normas , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Humanos , Desenvolvimento de Pessoal
5.
Sante Publique ; 30(6): 821-827, 2018.
Artigo em Francês | MEDLINE | ID: mdl-30990270

RESUMO

Upper Normandy has several disadvantages in terms of access to dental health care for disabled people: an insufficient medical population, a lack of dental schools and dental care networks.A cross-sectional epidemiological investigation, using a questionnaire form, was carried out between November 2014 and February 2015 with a cohort of dentists in this region.The topics on this form focused firstly on accessibility and compliance with standards of dental offices and the influencing factors which are hampering their accessibility implementation, and secondly on the oral care of disabled patients by practitioners of this region : the impact of incentives, influencing factors which are complicating the dental care and the usage of private and public structures.If the care of disability concerns most practitioners, an apprehension is observed in the adaptation of these doctors' treatment protocols for these specific patients. The expectations of dentists concerning disability are multiple : the creation of specific care networks, better coordination of medical and social actors, and specific training programs concerning the dental care of disabled patients.


Assuntos
Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Odontólogos/psicologia , Pessoas com Deficiência/psicologia , Acesso aos Serviços de Saúde/estatística & dados numéricos , Estudos Transversais , Assistência Odontológica , Humanos , Padrões de Prática Odontológica
6.
J Indian Soc Pedod Prev Dent ; 35(4): 284-290, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28914238

RESUMO

CONTEXT: The magnitude and severity of oral health problems in visually impaired population are worse than in general population, and they tend to have more untreated dental diseases and more problems accessing dental care. AIMS: The aim of this study is to assess dentition status and treatment needs, oral hygiene status, and traumatic dental injuries among institutionalized children attending special schools for the visually impaired in eastern Odisha. SETTINGS AND DESIGN: A descriptive, cross-sectional study was conducted using a universal sampling protocol. SUBJECTS AND METHODS: American Dental Association Type III clinical examination was carried out using plane mouth mirrors and community periodontal index probes under adequate natural illumination by a single examiner assisted by a trained recording assistant. After completion of the study, all participants were provided with basic oral health care through outreach programs. STATISTICAL ANALYSIS: Comparisons were done using Student's t-test, analysis of variance, and Chi-square test. RESULTS: Caries prevalence for primary and permanent dentition was 15% and 46%, respectively. Mean oral hygiene index-simplified (OHI-S) was 2.43 ± 1.03. The prevalence of traumatic dental injuries was 11%. A statistically significant difference in mean decayed, missing, and filled teeth (DMFT/dmft) was observed in children consuming liquid sugar as compared to solid and those consuming sticky sugars as compared to nonsticky. A statistically significant difference in mean OHI-S scores was observed when compared with frequency of changing toothbrush. CONCLUSIONS: This sample of visually impaired children has a high prevalence of dental caries, traumatic dental injuries, and poor oral hygiene. Unmet needs for dental caries were found to be high indicating very poor accessibility and availability of oral health care.


Assuntos
Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Cárie Dentária/epidemiologia , Índice de Higiene Oral , Higiene Bucal , Adolescente , Cegueira/complicações , Criança , Pré-Escolar , Cárie Dentária/complicações , Feminino , Humanos , Índia , Masculino , Adulto Jovem
7.
J Pak Med Assoc ; 67(2): 305-307, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28138190

RESUMO

This study evaluated the differences in dental conditions and treatment modalities between disabled and non-cooperative healthy children under general anaesthesia. The data were collected from paediatric patients between 3 and 15 years of age who received dental treatment under general anaesthesia. Patients with at least one mental/physical disturbance (group 1) and other healthy non-cooperative patients (group 2) were compared with regard to gender, age, weight, and treatment time-type. The statistical analyses were performed using Fisher's exact and Mann-Whitney U tests. No significant differences were observed between the groups with regard to gender, weight and treatment-time (p>0.05). The numbers of treated teeth (p<0.01) and extractions (p<0.001) were higher in group 1 than in group 2, whereas the frequency of advanced restorative procedures for group 1 was lower than that for group 2, including preventive-resin-restoration (p<0.001), glass-ionomer-cement (p<0.05), root-canal (p<0.001) and stainless-steel-crowns (p<0.001). This study supports the hypothesis that the general condition of the patients may alter the type of treatment provided and confirms the necessity of performing preventive procedures.


Assuntos
Anestesia Geral , Assistência Odontológica para Crianças , Assistência Odontológica para Pessoas com Deficiências , Procedimentos Cirúrgicos Bucais , Adolescente , Anestesia Geral/métodos , Anestesia Geral/estatística & dados numéricos , Criança , Pré-Escolar , Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Crianças/estatística & dados numéricos , Assistência Odontológica para Pessoas com Deficiências/métodos , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Crianças com Deficiência , Humanos , Procedimentos Cirúrgicos Bucais/métodos , Procedimentos Cirúrgicos Bucais/estatística & dados numéricos , Estudos Retrospectivos , Resultado do Tratamento , Turquia
8.
Spec Care Dentist ; 37(3): 126-133, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28140479

RESUMO

OBJECTIVE: The main purpose of this study was to investigate factors affecting dental care utilization among nursing home residents in Jordan. METHODS: A total of 221 subjects with a mean age of 62.4 years (121 males and 100 females) taken from among nursing home residents across Jordan were recruited and composed a convenience sample for this study. The Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Tinetti Assessment Battery for gait and balance (TAB), Disability of Arm, Shoulder, and Hand test (DASH) were administered and oral health status was assessed for all subjects and examined as expected correlates of dental care utilization among nursing home residents. RESULTS: The response rate was about 88%. One-third of residents suffered from total edentulism and most of the remaining dentate residents exhibited periodontal disease (90%). Of the dentate sample, 90% of residents had bleeding upon probing, 85% were diagnosed with tooth mobility, 88% had presence of dental calculus, and 30% were diagnosed with root caries. Of the denture wearers, 59.1 % reported having soreness with their dentures and 32% of denture wearers reported having poor quality dentures. MMSE score, suffering from tooth sensitivity and having diabetes mellitus were identified to be indicators for utilization of dental care services among the study population. CONCLUSION: Regular oral care, assessments, and rehabilitation services are considered to be limited for nursing home residents in Jordan. Based upon these findings, future interventions should address oral health among nursing home residents in Jordan.


Assuntos
Transtornos Cognitivos/epidemiologia , Assistência Odontológica para Idosos/estatística & dados numéricos , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Pessoas com Deficiência , Transtornos Mentais/epidemiologia , Casas de Saúde , Idoso , Estudos Transversais , Avaliação da Deficiência , Pessoas com Deficiência/psicologia , Feminino , Humanos , Jordânia/epidemiologia , Masculino , Pessoa de Meia-Idade , Saúde Bucal
9.
Sante Publique ; 29(5): 677-684, 2017 Dec 05.
Artigo em Francês | MEDLINE | ID: mdl-29384301

RESUMO

CONTEXT: Patients with disabilities represent a population with special needs whose dental care management constitutes a public health problem. This article describes dental care of disabled people in a hospital dental care unit to highlight the difficulties encountered and propose ways to improve this care. METHODS: A retrospective descriptive study was carried out on patients followed between 2010 and 2016 as part of the partnership between the Albert Chenevier Hospital odontology department and the RHAPSOD'IF network. The data collected by means of ?follow-up sheets? described the procedures performed and any medication used. These anonymised records were analysed by Excel software. RESULTS: Dental care sessions for the 434 disabled persons consisted of visits (42 to 57%), restorations and scalings each represented 1/6 of all procedures performed (14 to 19% and 14 to 18%), and surgery and radiography each represented 1/8 of procedures (4 to 12% and 6 to 11%). There were almost no dental prostheses (0 to 1%). Most dental care sessions were performed without premedication (61 to 76%). CONCLUSION: This type of dental care requires training of families and caregivers, a good interpersonal approach and time to build a relationship of trust. Participation in a network is important to help, support, and advise the practitioner and to provide financial support.


Assuntos
Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Assistência Odontológica para Pessoas com Deficiências/organização & administração , França , Humanos , Pessoa de Meia-Idade , Saúde Pública , Estudos Retrospectivos , Adulto Jovem
10.
J Oral Rehabil ; 44(2): 96-104, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27862171

RESUMO

The aim of this study was to evaluate the longevity of teeth with single-visit endodontic and restorative treatment under general anaesthesia (GA) for special needs patients and to investigate factors associated with survival and success. Data were collected from 381 teeth in 203 patients [mean (s.d.) age = 27·0 (14·1)]. All endodontic and restorative procedures were performed during a single GA session except for cementation of crowns in the cases requiring crown restoration (38%). A total of 267 teeth (70·6%) were followed-up for 6-81 months [mean (s.d.): 32·7 (20·0)]. Patients and teeth with and without follow-up were compared. Kaplan-Meier analysis with generalised Wilcoxon test was used to compare the mean survival and success period. Cox proportion hazard regression model was applied for multivariate analysis. At the end of the observation period, 10 teeth had a crown fracture (5-year survival rate = 89·8%), and an additional 10 teeth had primary or secondary caries (5-year success rate = 86·4%). Risk factors associated with survival were age (>40), non-parental caregiver, cooperation level and periodontal disease. A soft diet was an additional risk factor against the success of teeth. Single-visit endodontic and restorative treatment under GA showed favourable outcomes, suggesting a promising treatment option for special needs patients. Patient- and dental-specific circumstances need to be carefully considered to enhance the longevity of reconstructed teeth.


Assuntos
Anestesia Geral , Assistência Odontológica para Pessoas com Deficiências , Falha de Restauração Dentária/estatística & dados numéricos , Restauração Dentária Permanente/métodos , Dieta/estatística & dados numéricos , Visita a Consultório Médico/estatística & dados numéricos , Higiene Bucal/normas , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anestesia Geral/métodos , Cuidadores , Criança , Assistência Odontológica para Pessoas com Deficiências/métodos , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Consultórios Odontológicos , Restauração Dentária Permanente/estatística & dados numéricos , Dieta/efeitos adversos , Feminino , Seguimentos , Humanos , Estimativa de Kaplan-Meier , Masculino , Pessoa de Meia-Idade , Prognóstico , República da Coreia , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
11.
Matern Child Health J ; 20(12): 2573-2580, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27465058

RESUMO

Objective The purpose of this study is to examine the burdens of caregivers on perception of the need and receipt of preventive dental care for a subset of children with special health care needs-children with Autism Spectrum disorder, developmental disability and/or mental health conditions (CASD/DD/MHC). Methods The authors used the 2009-2010 National Survey of CSHCN. The survey included questions addressing preventive dental care and caregivers' financial, employment, and time-related burdens. The associations of these burdens on perceptions and receipt of preventive dental care use were analyzed with bivariate Chi square analyses and multinomial logistic regressions for CASD/DD/MHC (N = 16,323). Results Overall, 16.3 % of CASD/DD/MHC had an unmet preventive dental care need. There were 40.0 % of caregivers who reported financial burden, 20.3 % who reported employment burden, and 10.8 % who reported time burden. A higher percentage of caregivers with financial burden, employment burden, and time-related burden reported that their CASD/DD/MHC did not receive needed preventive dental care (14.1, 16.5, 17.7 % respectively) compared to caregivers without financial, employment, or time burdens (9.0, 9.6 %, 11.0 % respectively). Caregivers with financial burden (adjusted multinomial odds ratio, 1.38 [95 % CI 1.02, 1.86] and employment burden (adjusted multinomial odds ratio, 1.45 [95 % CI 1.02, 2.06] were more likely to report that their child did not receive preventive dental care despite perceived need compared to caregivers without financial or employment burdens. Conclusions for practice Unmet needs for preventive dental care were associated with employment and financial burdens of the caregivers of CASD/DD/MHC.


Assuntos
Cuidadores/psicologia , Assistência Odontológica para Crianças/estatística & dados numéricos , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Crianças com Deficiência/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Adolescente , Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/epidemiologia , Cuidadores/estatística & dados numéricos , Criança , Pré-Escolar , Deficiências do Desenvolvimento/diagnóstico , Deficiências do Desenvolvimento/epidemiologia , Deficiências do Desenvolvimento/psicologia , Feminino , Pesquisas sobre Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Transtornos Mentais/diagnóstico , Saúde Bucal , Odontologia Preventiva , Fatores Socioeconômicos , Estados Unidos/epidemiologia
12.
Community Dent Health ; 33(1): 6-8, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27149766
13.
J N J Dent Assoc ; 87(2): 17-19, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30290089

RESUMO

The dual needs of 1) providing increasing oral healthcare for individuals with special needs, and 2) improving the economics of dental practice, are explored in a review of the State of New Jersey and its counties.


Assuntos
Assistência Odontológica para Pessoas com Deficiências/economia , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Adolescente , Adulto , Idoso , Humanos , Pessoa de Meia-Idade , New Jersey/epidemiologia , Fatores Socioeconômicos , Estados Unidos/epidemiologia , Adulto Jovem
14.
J Appl Res Intellect Disabil ; 29(2): 139-45, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25754132

RESUMO

BACKGROUND: A patient's with disability everyday life is rife with many limitations such as architectural, transport, information as well as medical, psychological, legal, economic and social barriers. The aim of this study was to evaluate access to dental health care of special-care schoolchildren with intellectual disability on the basis of their parents' opinion. MATERIAL AND METHOD: A questionnaire survey was carried out among 264 parents/caregivers of children from eight special-care schools in Poznan (Poland). Close-ended questions concerned children's barriers in access to dental care and parents' satisfaction with their children's dental care. RESULTS: Only 31.8% parents/caregivers did not have any problems with access to dental care and the most commonly reported barrier to obtaining dental care was protracted waiting time for a visit (36.7%). Most commonly, children were treated in dental surgery conditions (90.1%). Only 42.1% respondents were satisfied with their children's dental care. CONCLUSIONS: The research revealed that there is a need to improve the access of children with disability to dental care. Hence, it seems to be beneficial to set up specialist dental surgeries in special-care schools which would improve the access of children with disability to prophylaxis as well as dental treatment.


Assuntos
Assistência Odontológica para Crianças/normas , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Crianças com Deficiência/estatística & dados numéricos , Acesso aos Serviços de Saúde/normas , Deficiência Intelectual , Adolescente , Criança , Assistência Odontológica para Crianças/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Saúde Bucal , Pais/psicologia , Satisfação Pessoal , Polônia , Inquéritos e Questionários , Tempo para o Tratamento
15.
Int Dent J ; 66(2): 113-9, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26601920

RESUMO

OBJECTIVES: The aims of this study were to evaluate the oral condition and treatment needs of Special Olympics (SO) athletes from Poland, Romania and Slovenia. METHODS: A cross-sectional study was performed with data collected through standardised oral screening of athletes who participated in the annual SO events held in Poland, Romania and Slovenia, between 2011 and 2012. The data were compiled and transferred to an SPSS data file for analysis using descriptive statistics. RESULTS: A total of 3,545 athletes participated in the study. Among the main findings, the prevalence of untreated decay was 41% in Poland and 61% in Slovenia, whilst 70% of the Romanian athletes had signs of gingival disease and only 3.8% presented molar fissure sealants. In addition, 47% of Polish athletes were in need of urgent treatment. CONCLUSIONS: Analysis of the results obtained following screening showed comparable oral health needs of athletes with intellectual disability among countries. Exploration of the oral health systems of the countries revealed similar significant co-payments and lack of incentive for dentists to treat patients with special needs. The results from Romania, Poland and Slovenia demonstrated the need for a structured system in which a special population is a target for oral-health-related education programmes and system-included preventive, restorative and maintenance interventions.


Assuntos
Necessidades e Demandas de Serviços de Saúde , Deficiência Intelectual , Saúde Bucal , Esportes , Adulto , Estudos Transversais , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Cárie Dentária/epidemiologia , Restauração Dentária Permanente/estatística & dados numéricos , Feminino , Fluorose Dentária/epidemiologia , Doenças da Gengiva/epidemiologia , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Boca Edêntula/epidemiologia , Saúde Bucal/estatística & dados numéricos , Selantes de Fossas e Fissuras/uso terapêutico , Polônia/epidemiologia , Prevalência , Romênia/epidemiologia , Eslovênia/epidemiologia , Traumatismos Dentários/epidemiologia , Perda de Dente/epidemiologia , Odontalgia/epidemiologia , Escovação Dentária/estatística & dados numéricos , Adulto Jovem
16.
Belo Horizonte; s.n; 2016. 72 p.
Tese em Português | BBO - Odontologia | ID: biblio-911500

RESUMO

O objetivo do presente estudo foi investigar fatores de risco para cárie dentária em crianças com deficiências de desenvolvimento que foram tratados em um serviço de referência para cientes com necessidades especiais, Belo Horizonte, MG, Brasil. Esta é uma coorte retrospectiva que avaliou 401 prontuários de indivíduos sem experiência de cárie dentária na primeira consulta odontológica. A variável dependente foi a ocorrência de uma nova lesão de cárie dentária ou restauração. O tempo para a ocorrência de uma nova lesão de cárie ou restauração foi medido em meses. Sexo, idade, Código Internacional de Doenças (CID), escolaridade da mãe, o consumo de açúcar, o uso de creme dental com flúor, higiene oral, respiração bucal, relato de xerostomia, condição gengival, uso de drogas psicotrópicas, utilização de medicamentos para a asma, história pregressa de asma foram as covariáveis estudadas. O modelo de regressão de Cox de riscos proporcionais foi utilizado para estimar as taxas de risco bruto e ajustado com seus respectivos intervalos de confiança de 95%. O tempo médio que os indivíduos permaneceram livres de cárie dental restauração foi igual a 107,46 meses (IC 95% 95,41-119,51), com mediana de 94 meses. Para cada aumento de um ponto na escala de consumo de sacarose, houve um aumento do risco de cáries em 1,07 (IC de 95% 1,01- 1,15). O consumo de sacarose foi o único fator de risco significativo para cárie neste grupo de indivíduos com deficiências do desenvolvimento


Assuntos
Humanos , Masculino , Feminino , Criança , Paralisia Cerebral/complicações , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Cárie Dentária/congênito , Deficiências do Desenvolvimento/complicações , Fatores de Risco , Análise de Sobrevida
17.
Prim Dent J ; 4(2): 61-6, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-26556260

RESUMO

UNLABELLED: The General Dental Council recognised special care dentistry (SCD) as a speciality in 2008 and local service reviews have been carried out in order to develop SCD services. A needs assessment was completed to inform the implementation of recommendations from a 2010 review of SCD in Wales. AIM: The aim of this paper is to outline the process, findings and learning from the needs assessment and the implications for SCD. METHOD: A focused needs assessment approach was used. Stakeholder consultations were used to develop a working definition for the needs assessment. Data were collected from existing health and social care sources and analysed using descriptives and geographic information system (GIS) mapping. RESULTS: Data sources for needs assessment were limited. Analysis showed that health conditions were common in the population and increased with age. The majority of people who reported seeing a dentist were seen in general dental practice. Older people with health conditions were less likely to report seeing a dentist. Patients often needed to travel for specialist care services. CONCLUSION: General dental practice teams have a significant role in caring for SCD patients. Careful planning of specialist care, joint working and enhancing skills across the general practice team will reduce the burden of care and enhance patient safety. Improvements in data for assessment of SCD needs are required to help this process.


Assuntos
Assistência Odontológica para Doentes Crônicos , Assistência Odontológica para Pessoas com Deficiências , Determinação de Necessidades de Cuidados de Saúde , Adolescente , Adulto , Fatores Etários , Idoso , Serviços de Saúde Comunitária/estatística & dados numéricos , Coleta de Dados , Assistência Odontológica para Doentes Crônicos/estatística & dados numéricos , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Cuidado Periódico , Odontologia Geral/estatística & dados numéricos , Sistemas de Informação Geográfica , Mapeamento Geográfico , Acesso aos Serviços de Saúde , Humanos , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Serviço Social/estatística & dados numéricos , Populações Vulneráveis , País de Gales , Adulto Jovem
18.
J Dent Educ ; 79(8): 934-9, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26246532

RESUMO

The aim of this study was to investigate the contribution of a tiered predoctoral pediatric dentistry clinical education model to competency achievement by dental students over a two-year clinical education. Retrospective data were obtained for academic years 2012-13 and 2013-14 from three sources: a campus-based, dental school-housed clinic; division-directed clinics in community-based pediatric and special needs clinics (DDC); and clinics affiliated with the dental college's community-based dental education (CBDE) program, the OHIO Project (OP). A fourth dataset was obtained for the same two-year period from a biannual clinic event held at the college in conjunction with Give Kids a Smile Day (GKAS). Procedures considered essential to the care of children were sorted by 12 dental codes from all services for patients 18 years of age and younger. The dental school clinic provided 11,060 procedures; the DDC, 28,462; the OP, 17,863; and GKAS, 2,028. The two-year total was 59,433 procedures. Numbers of diagnostic and preventive procedures were 19,441, restorative procedures were 13,958, and pulp and surgical procedures were 7,392. Site contribution ranged from 52.2 to 144.9 procedures per attending student, with the DDC yielding the highest per student average for each year (126.4 and 144.9) and the dental school clinic the lowest (52.2 and 53.1). This study found that a combination of school-based, community-based, and philanthropic pediatric dental experiences offered a large number of essential pediatric dentistry experiences for predoctoral dental students, with CBDE opportunities offering the largest contribution.


Assuntos
Assistência Odontológica para Crianças , Educação em Odontologia , Odontopediatria/educação , Preceptoria , Faculdades de Odontologia , Cuidados de Saúde não Remunerados , Adolescente , Criança , Odontologia Comunitária/educação , Centros Comunitários de Saúde/estatística & dados numéricos , Assistência Odontológica para Crianças/estatística & dados numéricos , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Clínicas Odontológicas/estatística & dados numéricos , Humanos , Unidades Móveis de Saúde/estatística & dados numéricos , Ohio , Estudos Retrospectivos , Cuidados de Saúde não Remunerados/estatística & dados numéricos
19.
BMC Oral Health ; 15: 35, 2015 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-25887657

RESUMO

BACKGROUND: According to the World Health Organization, one in every 10 people has a disability, and more than two-thirds of them do not receive any type of oral dental care. The Brazilian Constitution of 1988 guarantees all civilians including disabled people the right to healthcare, shaping the guidelines of the Brazilian National Health Care System (Sistema Único de Saúde--SUS). However, there is limited information about the true accessibility of dental services. This study evaluated the accessibility of public dental services to persons with disabilities in Fortaleza, Ceará, which has the third highest disability rate in Brazil. METHODS: A cross-sectional quantitative study using structured questionnaires was administered to dentists (n = 89) and people with disabilities (n = 204) to evaluate the geographical, architectural, and organizational accessibility of health facilities, the communication between professionals and patients with disabilities, the demand for dental services, and factors influencing the use of dental services by people with motor, visual, and hearing impairments. RESULTS: 43.1% of people with disabilities do not recognize their service as a priority of Basic Health Units (BHU), 52.5% do not usually seek dental care, and of those who do (n = 97), 76.3% find it difficult to receive care and 84.5% only seek care on an emergency basis. Forty-five percent are unaware of the services offered in the BHU. Of the dentists, 56.2% reported difficulty in communicating with deaf patients, and 97.8% desired interpreters stationed in the BHU. People with disabilities gave better accessibility ratings than dentists (p = 0.001). 37.3% of the patients and 43.8% of dentists reported inadequate physical access infrastructure (including doors, hallways, waiting rooms, and offices). Dentists (60%) reported unsafe environments and transportation difficulties as geographical barriers, while most people with disabilities did not report noticing these barriers. CONCLUSIONS: While access to dental services has increased in Fortaleza, the lack of accessibility of health units and their surroundings does not promote the treatment of people with disabilities. Cultural, organizational, architectural, geographical, and communication barriers constrain the demand for and use of oral dental care services by this social segment.


Assuntos
Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Acessibilidade Arquitetônica/estatística & dados numéricos , Brasil , Criança , Pré-Escolar , Barreiras de Comunicação , Estudos Transversais , Cultura , Arquitetura de Instituições de Saúde/estatística & dados numéricos , Feminino , Administração de Instituições de Saúde/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Pessoas com Deficiência Auditiva/estatística & dados numéricos , Relações Profissional-Paciente , Pessoas com Deficiência Visual/estatística & dados numéricos , Adulto Jovem
20.
Spec Care Dentist ; 35(4): 190-6, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25891784

RESUMO

BACKGROUND: The number of adults with developmental and acquired disabilities is growing and there are not enough general dentists treating special needs patients to meet the increased demand. In Oakland County, there are 140,160 persons registered with a developmental or acquired disability and only 36 dentists in the county that are indicated for treating patients with special needs. METHODS: A survey was sent to 385 students, ages 3 to 26, at six special education schools and developmental centers in Oakland County. There were 117 responses. RESULTS: The most difficult barrier to oral healthcare that adult patients with special needs, encounter is finding a dentist willing to treat these complex patients. 20% of the surveyed population currently does not have a dentist. There is a correlation between decreased dental access and lower median income. CONCLUSIONS: There is a significant need for improving special care dentistry training and increasing the number of general dentists that are able and willing to treat adults with special needs. Adequate resources and a database can help caregivers, parents, and medical professionals locate dentists who treat special needs patients. Increased experience for general dentists through residency training and continuing education courses will help to increase confidence and knowledge in practice special care dentistry.


Assuntos
Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Acesso aos Serviços de Saúde , Padrões de Prática Odontológica/estatística & dados numéricos , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Michigan
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