Abstract
References
- 1. Largent BA. The American Academy of Pediatric Dentistry and the specialty of pediatric dentistry. J Am Coll Dent 2009 Spring;76(1):18-22.
- 2. van Dyck PC, Kogan MD, McPherson MG, Weissman GR, Newacheck PW. Prevalence and characteristics of children with special health care needs. Arch Pediatr Adolesc Med 2004 Sep;158(9):884-90.
- 3. Jain M, Mathur A, Kumar S, Dagli RJ, Duraiswamy P, Kulkarni S. Dentition status and treatment needs among children with impaired hearing attending a special school for the deaf and mute in Udaipur, India. J Oral Sci 2008 Jun;50(2):161-5.
- 4. Mayo-Ortega L, LeBlanc JM. Inclusion across the life span for people with different abilities. In: Timmins V, Walsh P, editors. A Long Walk to School, Global Perspectives on Inclusive Education. Rotterdam, Boston, Taipei: Sense Publishers; 2003. p. 27-39.
- 5. World Health Organization. World report on disabilities. [Internet] 2018 [cited 21 Jun 2020]. Available at: https://www.who.int/news-room/fact-sheets/detail/disability-and-health.
- 6. Faulks D, Hennequin M. Defining the population requiring special care dentistry using the International Classification of Functioning, Disability and Health - a personal view. J Disabil Oral Health 2006;7:143–52.
- 7. Anders PL, Davis EL. Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist 2010 May-Jun;30(3):110-7.
- 8. Matevosyan NR. Oral health of adults with serious mental illnesses: a review. Community Ment Health J 2010 Dec;46(6):553-62.
- 9. Faulks D, Freedman L, Thompson S, Sagheri D, Dougall A. The value of education in special care dentistry as a means of reducing inequalities in oral health. Eur J Dent Educ 2012 Nov;16(4):195-201.
- 10. Morgan JP, Minihan PM, Stark PC, Finkelman MD, Yantsides KE, Park A, et al. The oral health status of 4,732 adults with intellectual and developmental disabilities. J Am Dent Assoc 2012 Aug;143(8):838-46.
- 11. Crall JJ. Improving oral health for individuals with special health care needs. Pediatr Dent 2007 Mar-Apr;29(2):98-104.
- 12. Sigal A, Sigal MJ. Overview of a hospital based dental programme for persons with special needs. J Disabil Oral Health 2006;7:176-84.
- 13. Salles PS, Tannure PN, Oliveira CA, Souza IP, Portela MB, Castro GF. Dental needs and management of children with special health care needs according to type of disability. J Dent Child (Chic) 2012 Sep-Dec;79(3):165-9.
- 14. Gabre P, Martinsson T, Gahnberg L. Incidence of, and reasons for, tooth mortality among mentally retarded adults during a 10-year period. Acta Odontol Scand 1999 Feb;57(1):55-61.
- 15. Pradhan A, Slade GD, Spencer AJ. Factors influencing caries experience among adults with physical and intellectual disabilities. Community Dent Oral Epidemiol 2009 Apr;37(2):143-54.
- 16. The medical home. Medical Home Initiatives for Children with Special Needs Project Advisory Committee. American Academy of Pediatrics Pediatrics 2002;110(1 Pt 1):184-6.
- 17. Blaizot A, Catteau C, Delfosse C, Hamel O, Trentesaux T. Obstacles to comprehensive dental care in patients with sustained limitations of their decision-making abilities: findings from a Delphi study. Eur J Oral Sci 2018 Jun;126(3):222-233.
- 18. Lewis D, Fiske J, Dougall A. Access to special care dentistry, part 7. Special care dentistry services: seamless care for people in their middle years--part 1. Br Dent J 2008 Sep 27;205(6):305-17.
- 19. Wolff AJ, Waldman HB, Milano M, Perlman SP. Dental students' experiences with and attitudes toward people with mental retardation. J Am Dent Assoc 2004 Mar;135(3):353-7.
- 20. Mayo-Ortega L, LeBlanc JM. South America. A service example from Lima, Peru. In: Rubin IL, Merrick J, Greydanus DE, Patel DR, editors. Health Care for people with intellectual and developmental disabilities across the lifespan. 3rd ed. Dordrecht, Netherlands: Springer International Publishing Switzerland; 2016. p. 517-528.
Abstract
AIM: To determine predictive indicators for dental health management of patients with different abilities, according to a new screening protocol.
MATERIALS AND METHODS: This was an observational, analytical, retrospective, cross-sectional study. The sample consisted of all patients with different abilities, diagnosed with autism, Down syndrome, cognitive deficit, cerebral palsy and others, who received care between 1999 and 2019 at the Oral Health Service of the Centro Ann Sullivan del Peru and met the inclusion criteria. Data were obtained from the clinical histories to determine the predictive indicators for managing dental care in these patients. A multivariate statistical analysis was performed using binary logistic regression test. The research project was evaluated by the Research Project Reviewing Committee and then referred to the Human Ethics Committee from a university, securing the relevant approvals.
RESULTS: Of the 589 cases evaluated, mean age was 14.5 years, 67.9% were male; systemic diagnosis of different abilities was autism in 62%, the most frequent treatment was caries (52.1%); and final management of these patients was conscious in 96.4% of the cases. With regard to type of classification and horizon, 67.1% of the cases corresponded to classification A, with 35.95% of these in horizon I. With regard to diagnosis of different abilities, autism presented 40.2% of the cases in classification A and horizon I. A predictive equation of 97.1% probability of whether or not sedation was used was obtained. Regression analysis showed that this model has high sensitivity (100%) and low specificity (15%).
CONCLUSION: Results show that the type of management for dental care was conscious in nearly all the cases dealt with. This was significantly influenced by the Classification and Horizon Screening Protocol indicator, which established the best predictive model for whether or not to use sedation. The model adequately classifies patients who do not require sedation.
References
- 1. Largent BA. The American Academy of Pediatric Dentistry and the specialty of pediatric dentistry. J Am Coll Dent 2009 Spring;76(1):18-22.
- 2. van Dyck PC, Kogan MD, McPherson MG, Weissman GR, Newacheck PW. Prevalence and characteristics of children with special health care needs. Arch Pediatr Adolesc Med 2004 Sep;158(9):884-90.
- 3. Jain M, Mathur A, Kumar S, Dagli RJ, Duraiswamy P, Kulkarni S. Dentition status and treatment needs among children with impaired hearing attending a special school for the deaf and mute in Udaipur, India. J Oral Sci 2008 Jun;50(2):161-5.
- 4. Mayo-Ortega L, LeBlanc JM. Inclusion across the life span for people with different abilities. In: Timmins V, Walsh P, editors. A Long Walk to School, Global Perspectives on Inclusive Education. Rotterdam, Boston, Taipei: Sense Publishers; 2003. p. 27-39.
- 5. World Health Organization. World report on disabilities. [Internet] 2018 [cited 21 Jun 2020]. Available at: https://www.who.int/news-room/fact-sheets/detail/disability-and-health.
- 6. Faulks D, Hennequin M. Defining the population requiring special care dentistry using the International Classification of Functioning, Disability and Health - a personal view. J Disabil Oral Health 2006;7:143–52.
- 7. Anders PL, Davis EL. Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist 2010 May-Jun;30(3):110-7.
- 8. Matevosyan NR. Oral health of adults with serious mental illnesses: a review. Community Ment Health J 2010 Dec;46(6):553-62.
- 9. Faulks D, Freedman L, Thompson S, Sagheri D, Dougall A. The value of education in special care dentistry as a means of reducing inequalities in oral health. Eur J Dent Educ 2012 Nov;16(4):195-201.
- 10. Morgan JP, Minihan PM, Stark PC, Finkelman MD, Yantsides KE, Park A, et al. The oral health status of 4,732 adults with intellectual and developmental disabilities. J Am Dent Assoc 2012 Aug;143(8):838-46.
- 11. Crall JJ. Improving oral health for individuals with special health care needs. Pediatr Dent 2007 Mar-Apr;29(2):98-104.
- 12. Sigal A, Sigal MJ. Overview of a hospital based dental programme for persons with special needs. J Disabil Oral Health 2006;7:176-84.
- 13. Salles PS, Tannure PN, Oliveira CA, Souza IP, Portela MB, Castro GF. Dental needs and management of children with special health care needs according to type of disability. J Dent Child (Chic) 2012 Sep-Dec;79(3):165-9.
- 14. Gabre P, Martinsson T, Gahnberg L. Incidence of, and reasons for, tooth mortality among mentally retarded adults during a 10-year period. Acta Odontol Scand 1999 Feb;57(1):55-61.
- 15. Pradhan A, Slade GD, Spencer AJ. Factors influencing caries experience among adults with physical and intellectual disabilities. Community Dent Oral Epidemiol 2009 Apr;37(2):143-54.
- 16. The medical home. Medical Home Initiatives for Children with Special Needs Project Advisory Committee. American Academy of Pediatrics Pediatrics 2002;110(1 Pt 1):184-6.
- 17. Blaizot A, Catteau C, Delfosse C, Hamel O, Trentesaux T. Obstacles to comprehensive dental care in patients with sustained limitations of their decision-making abilities: findings from a Delphi study. Eur J Oral Sci 2018 Jun;126(3):222-233.
- 18. Lewis D, Fiske J, Dougall A. Access to special care dentistry, part 7. Special care dentistry services: seamless care for people in their middle years--part 1. Br Dent J 2008 Sep 27;205(6):305-17.
- 19. Wolff AJ, Waldman HB, Milano M, Perlman SP. Dental students' experiences with and attitudes toward people with mental retardation. J Am Dent Assoc 2004 Mar;135(3):353-7.
- 20. Mayo-Ortega L, LeBlanc JM. South America. A service example from Lima, Peru. In: Rubin IL, Merrick J, Greydanus DE, Patel DR, editors. Health Care for people with intellectual and developmental disabilities across the lifespan. 3rd ed. Dordrecht, Netherlands: Springer International Publishing Switzerland; 2016. p. 517-528.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | December 31, 2020 |
| Submission Date | August 4, 2020 |
| Published in Issue | Year 2020Volume: 23 Issue: 4 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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