scholarly journals Barriers in Access to Dental Services Hindering the Treatment of People with Disabilities: A Systematic Review

2020 ◽  
Vol 2020 ◽  
pp. 1-17
Author(s):  
Saulo V. da Rosa ◽  
Samuel J. Moysés ◽  
Laís C. Theis ◽  
Renata C. Soares ◽  
Simone T. Moysés ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Latin American ◽  
Assessment Tool ◽  
Dental Treatment ◽  
People With Disabilities ◽  
Legal Framework ◽  
Dental Services ◽  
Persons With Disabilities ◽  
Structural Problems

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.

scholarly journals Measurement properties of oral health assessments for non-dental healthcare professionals in older people: a systematic review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Babette Everaars ◽  
Linet F. Weening-Verbree ◽  
Katarina Jerković-Ćosić ◽  
Linda Schoonmade ◽  
Nienke Bleijenberg ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Methodological Quality ◽  
Healthcare Professionals ◽  
Assessment Tool ◽  
Quality Criteria ◽  
Measurement Properties ◽  
Measurement Property ◽  
Oral Assessment ◽  
Health Assessments

Abstract Background Regular inspection of the oral cavity is required for prevention, early diagnosis and risk reduction of oral- and general health-related problems. Assessments to inspect the oral cavity have been designed for non-dental healthcare professionals, like nurses. The purpose of this systematic review was to evaluate the content and the measurement properties of oral health assessments for use by non-dental healthcare professionals in assessing older peoples’ oral health, in order to provide recommendations for practice, policy, and research. Methods A systematic search in PubMed, EMBASE.com, and Cinahl (via Ebsco) has been performed. Search terms referring to ‘oral health assessments’, ‘non-dental healthcare professionals’ and ‘older people (60+)’ were used. Two reviewers individually performed title/abstract, and full-text screening for eligibility. The included studies have investigated at least one measurement property (validity/reliability) and were evaluated on their methodological quality using “The Consensus-based Standards for the selection of health Measurement Instruments” (COSMIN) checklist. The measurement properties were then scored using quality criteria (positive/negative/indeterminate). Results Out of 879 hits, 18 studies were included in this review. Five studies showed good methodological quality on at least one measurement property and 14 studies showed poor methodological quality on some of their measurement properties. None of the studies assessed all measurement properties of the COSMIN. In total eight oral health assessments were found: the Revised Oral Assessment Guide (ROAG); the Minimum Data Set (MDS), with oral health component; the Oral Health Assessment Tool (OHAT); The Holistic Reliable Oral Assessment Tool (THROAT); Dental Hygiene Registration (DHR); Mucosal Plaque Score (MPS); The Brief Oral Health Screening Examination (BOHSE) and the Oral Assessment Sheet (OAS). Most frequently assessed items were: lips, mucosa membrane, tongue, gums, teeth, denture, saliva, and oral hygiene. Conclusion Taken into account the scarce evidence of the proposed assessments, the OHAT and ROAG are most complete in their included oral health items and are of best methodological quality in combination with positive quality criteria on their measurement properties. Non-dental healthcare professionals, policymakers and researchers should be aware of the methodological limitations of the available oral health assessments and realize that the quality of the measurement properties remains uncertain.

scholarly journals Dental treatment of the elderly people with disabilities

2018 ◽  
Vol 71 (11-12) ◽  
pp. 383-388
Author(s):  
Aleksandra Popovac ◽  
Ivica Stancic ◽  
Ana Vukovic ◽  
Nebojsa Despotovic
Keyword(s):  
Oral Health ◽  
Elderly People ◽  
Preventive Measures ◽  
Treatment Guidelines ◽  
Dental Treatment ◽  
Functional Dependence ◽  
People With Disabilities ◽  
The Elderly ◽  
Health Problems ◽  
Assessment And Treatment

Introduction. The growing population of the elderly people and a proportional increase in the number of the elderly with different types of disabilities, necessitates a multidisciplinary approach to the assessment of their oral health and dental treatment. The ultimate aim is to retain a pain-free functional dentition and decrease the risk of future disease. Material and Methods. A PubMed search was performed and the authors contributed their experience in implementing preventive and therapeutic measures. Oral health problems of the elderly with disabilities. Two main factors influence the oral health: multimorbidity and polypharmacy. Oral health problems expected in this population are teeth abrasion, teeth fractures, root caries, periodontitis and problems with wearing dentures due to stomatitis caused by Candida albicans. Oral health assessment and treatment guidelines. This article provides guidelines for assessment and treatment planning, taking into consideration multimorbidity, polypharmacy, dementia and capacity of caregivers. Preventive measures. Preventive measures are crucial for long-term oral health of this population, and this paper provides guidelines for preventive treatment depending on the degree of functional dependence. Prosthetic treatment. Although some elderly with disabilities are suitable for conventional prosthetic treatment, often there are contraindications and specific considerations that must be taken into account. Conclusion. Oral health needs of the elderly people with disabilities should not be neglected and the success of treatment depends on the education of dental professionals and cooperation with other health professionals of the medical team.

Systematic review of Latin American national oral health surveys in adults

2018 ◽  
Vol 46 (4) ◽  
pp. 328-335
Author(s):  
Doris Duran ◽  
Maria Jose Monsalves ◽  
Josefina Aubert ◽  
Victor Zarate ◽  
Iris Espinoza
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Latin American ◽  
Health Surveys

scholarly journals Concerns on oral health care services for adults with cognitive and intellectual disabilities

2020 ◽  
Vol 16 (12) ◽  
pp. 974-982
Author(s):  
Meignana Arumugham Indiran ◽  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Intellectual Disabilities ◽  
Health Care Services ◽  
Dental Treatment ◽  
People With Disabilities ◽  
Oral Health Care ◽  
Level Of Evidence ◽  
Care Services ◽  
Dental Staff

It is of interest to document data on oral health care services for adults with cognitive and intellectual disabilities. Hence, a study protocol was registered at the International Prospective Register of Systematic Reviews (PROSPERO) with registration number: CRD42020150759. We used PubMed, Science Direct, LILACS and SCIELO to collect data from known literature using keywords containing MESH (Medical Subject Headings) terms. The risk of bias rating for the collected data was calculated using the Newcastle-Ottawa assessment Scale. The AHRQ (Agency for Healthcare, Research and Quality) was used for classifying the level of evidence in the collected data. Analysis of available data shows that there is a lack of dentists with adequate skills to treat people with disabilities resulting in high cost for dental treatment. Thus, we conclude that inconvenient location of dental clinic, lack of dentists willing to treat people with disabilities and attitude of dental staff towards people with learning disabilities were considered as barriers and challenges faced for dental health service utilization in this context.

scholarly journals Validity and reliability of the Brazilian Primary Care Assessment Tool: Oral Health of Adults

2020 ◽  
Vol 23 ◽  
Author(s):  
Débora Deus Cardozo ◽  
Caroline Stein ◽  
Lisiane Hauser ◽  
Liége Teixeira Fontanive ◽  
Erno Harzheim ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Assessment Tool ◽  
Validity And Reliability ◽  
Dental Services ◽  
Primary Health ◽  
Care Assessment ◽  
Primary Care Assessment Tool

ABSTRACT: Objective: To test the factorial validity and reliability of the Primary Care Assessment Tool adapted to Oral Health, adult patient version, an instrument used to verify the presence and extent of attributes in Primary Health Care services. Methods: Population-based cross-sectional study using conglomerate random sample carried out in Primary Health Care Dental services in Porto Alegre between 2011 and 2013. We interviewed 407 adult patients who used Primary Health Care Dental services. Construct validity was tested through factorial validity and reliability of the Primary Care Assessment Tool, that comprises 81 items distributed throughout Primary Health Care attributes. Equamax orthogonal rotation method was used in the factorial analysis; and, in order to assess reliability of each component, we used the item-total correlation and the ratio of success of the scale. Results: In the factorial analysis, 10 factors were retained, explaining 53.3% of the total variation. This result demonstrates the multidimensional structure of the instrument. The reliability assessment showed Cronbach’s alpha values ranging from 0.39 to 0.89. For the success of the scale most of the results (eight of nine attributes) were greater than 85%. Conclusions: The instrument is valid for the assessment of oral health services in Primary Health Care from the perspective of adult patients, as well as for monitoring and evaluation of oral health services in Primary Health Care attributes and comparative studies.

scholarly journals Determinants of Dental Care Attendance during Pregnancy: A Systematic Review

2018 ◽  
Vol 52 (1-2) ◽  
pp. 139-152 ◽  
Author(s):  
Juliana Schaia Rocha ◽  
Letícia Yumi Arima ◽  
Renata Iani Werneck ◽  
Samuel Jorge Moysés ◽  
Márcia Helena Baldani
Keyword(s):  
Oral Health ◽  
Latin American ◽  
Dental Care ◽  
Dental Service ◽  
Behavioral Factors ◽  
Service Usage ◽  
Dental Services ◽  
Perceived Need ◽  
Utilization Of Dental Services ◽  
Year 2000

Despite the fact that dental care attendance during pregnancy has been recommended by guidelines and institutions, the demand for dental services is still low among pregnant women. The aim of this study was to identify and analyze the determinants of dental care attendance during pregnancy. We performed a systematic literature search in the electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Brazilian Library in Dentistry, Cumulative Index to Nursing and Allied Health Literature, and Medline using relevant keywords. Studies were filtered by publication year (2000-2016) and language (English, Portuguese, Spanish, and French). The included studies were assessed for quality. Their characteristics and statistically significant factors were reported. Fourteen papers were included in the review. The prevalence of dental service usage during pregnancy ranged from 16 to 83%. Demographic factors included women's age, marital status, parity, and nationality. The socioeconomic factors were income, educational level, and type of health insurance. Many psychological and behavioral factors played a role, including oral health practices, oral health and pregnancy beliefs, and health care maintenance. Referred symptoms of gingivitis, dental pain, or dental problems were perceived need. Demographic, socioeconomic, psychological, behavioral factors and perceived need were associated with the utilization of dental services during pregnancy. More well-designed studies with reliable outcomes are required to confirm the framework described in this review.

scholarly journals Propuesta de política de inclusión para personas con discapacidad en la administración tributaria, Desde una perspectiva de responsabilidad social. / Inclusion policy proposal for people with disabilities in the tax administration, From a social responsib

2021 ◽  
Vol 2 (3) ◽  
pp. 3973-3987
Author(s):  
Francisco Cortés González ◽  
Maritza Gutiérrez Aguirre
Keyword(s):  
Social Responsibility ◽  
Latin American ◽  
Social Inclusion ◽  
People With Disabilities ◽  
Tax Administration ◽  
State Agencies ◽  
Persons With Disabilities ◽  
Policy Proposal ◽  
Latin American And Caribbean

RESUMEN La temática de la inclusión social y laboral para personas con discapacidad abarca la atención actualmente en Chile y en países de Latino América y el Caribe. Los organismos del Estado no están ajeno al tratamiento de estas temáticas, más aún cuando son los encargados de fiscalizar y velar por el cumplimiento de leyes que aportan a esta temática. En este contexto se presenta una propuesta de Política de Inclusión para Personas con Discapacidad desde una perspectiva de Responsabilidad Social. Con lo anterior, se muestran las principales líneas de acción para la realización de la propuesta.   ABSTRACT The issue of social and labor inclusion for people with disabilities is currently in the spotlight in Chile and in Latin American and Caribbean countries. State agencies are not oblivious to the treatment of these issues, especially when they are responsible for monitoring and ensuring compliance with laws that contribute to this issue. In this context, a proposal for an Inclusion Policy for Persons with Disabilities is presented from a Social Responsibility perspective. With the above, the main lines of action for the realization of the proposal are shown.  

scholarly journals Research Confirms Effectiveness of Oral Health Preventive Practices

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 251-251
Author(s):  
Michael Dodds
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Oral Health ◽  
Meta Analysis ◽  
Dental Services ◽  
Recent Systematic Review ◽  
Preventive Practices ◽  
Caries Increment ◽  
Dental Offices

Abstract Lack of insurance or funds for dental services, lack of access to dental offices, fear of dentists, and avoidance of dental offices during COVID can lead to oral health problems in older adults. Brushing, flossing, and drinking fluoridated water can protect teeth when dentists are unavailable. Limiting intake frequency of carbohydrates and chewing sugarfree gum after eating add protection. A recent systematic review and meta-analysis confirmed the effectiveness of sugarfree gum in reducing caries, in children and adults who chewed sugarfree gum compared with those who did not chew. Chewing sugarfree gum significantly reduced caries increment, with a prevented fraction of 28 percent, roughly equivalent to the prevented fractions for fluoride toothpastes and supplements. A follow-up systematic review provides further evidence that chewing sugarfree gum reduces the numbers of Streptococcus mutans in the oral cavity. Finally, chewing sugarfree gum could alleviate symptoms of xerostomia and may reduce caries.

Dental care during the COVID-19 Pandemic: An Arabic tweets analysis (Preprint)

2020 ◽  
Author(s):  
Khalifa S. Al-Khalifa ◽  
Rasha AlSheikh ◽  
Yasser A. Alsahafi ◽  
Atheer Alkhalifa ◽  
Shazia Sadaf ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Descriptive Analysis ◽  
World Health ◽  
Dental Services ◽  
The Public ◽  
Related Information ◽  
Obvious Association ◽  
Health Related ◽  
Health Organization

BACKGROUND Twitter is a powerful platform which could be used to improvise the demand and supply of dental services during a pandemic. OBJECTIVE The aim of this study was to examine the nature and dissemination of COVID-19 information related to dentistry on Twitter platform Arabic database. METHODS One hundred and fifty independent searches with a combination of keywords for both COVID-19 and dentistry from a preselected Arabic keyword were carried out for the period from the 2nd of March to the 6th of July 2020. Tweets were filtered to remove duplicate and unrelated tweets. The suitable tweets were 1,150. After calibration, two examiners coded the tweets following two main themes: COVID-19 and oral health-related information. Tweets were then compared with COVID-19 daily events in the Arab counties as reported by the World Health Organization (WHO). Descriptive analysis was performed to present the overview of the findings using Microsoft Excel. RESULTS There was no obvious association between time distribution of the tweets to the distribution of new COVID-19 cases and deaths during the period from March 2, 2020 to July 6, 2020. The most retweeted information was the help with urgent consultation or emergency dental treatment during COVID-19 tweeted by a dentist. There were 673 retweets and 1116 likes of this tweet. The most common tweets related to oral health was needs of dental treatment (n=462, 39.5%) of which, toothaches or wisdom tooth problems constituted 48% of the related tweets. CONCLUSIONS Twitter is a platform reflecting the public interest and concerns, based on the finding tweets tend to increase with major events and news and thus help navigate the proper action needed to address public concern.

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