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The oral health status of 4,732 adults with intellectual and developmental disabilities

Identifieur interne : 002675 ( Pmc/Corpus ); précédent : 002674; suivant : 002676

The oral health status of 4,732 adults with intellectual and developmental disabilities

Auteurs : John P. Morgan ; Paula M. Minihan ; Paul C. Stark ; Matthew D. Finkelman ; Konstantina E. Yantsides ; Angel Park ; Carrie J. Nobles ; Wen Tao ; Aviva Must

Source :

RBID : PMC:4527687

Abstract

Background

Two reports by the U.S. surgeon general noted the disproportionate impact of oral disease on and lack of oral health information regarding people with disabilities.

Methods

In this retrospective study, the authors used clinical and demographic data (from April 1, 2009, through March 31, 2010) from electronic dental records of 4,732 adults with intellectual and developmental disabilities (IDDs) who were receiving dental care through a state-supported system of dental clinics. The authors used these data to investigate the oral health status of, and associated risk factors for, adults with IDD.

Results

The prevalence of untreated caries in the study population was 32.2 percent, of periodontitis was 80.3 percent and of edentulism was 10.9 percent. The mean (standard deviation) numbers of decayed teeth; missing teeth; and decayed, missing and filled teeth were 1.0 (2.2), 6.7 (7.0) and 13.9 (7.7), respectively.

Conclusions

Management of oral health presents significant challenges in adults with IDD. Age, ability to cooperate with dental treatment and type of residence are important considerations in identifying preventive strategies.

Clinical Implications

The study population demonstrated a high burden of dental disease. Further research is required to identify effective interventions to improve oral health in adults with IDD.


Url:
PubMed: 22855898
PubMed Central: 4527687

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PMC:4527687

Le document en format XML

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<name sortKey="Morgan, John P" sort="Morgan, John P" uniqKey="Morgan J" first="John P." last="Morgan">John P. Morgan</name>
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<name sortKey="Yantsides, Konstantina E" sort="Yantsides, Konstantina E" uniqKey="Yantsides K" first="Konstantina E." last="Yantsides">Konstantina E. Yantsides</name>
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<name sortKey="Park, Angel" sort="Park, Angel" uniqKey="Park A" first="Angel" last="Park">Angel Park</name>
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<name sortKey="Nobles, Carrie J" sort="Nobles, Carrie J" uniqKey="Nobles C" first="Carrie J." last="Nobles">Carrie J. Nobles</name>
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<title>Background</title>
<p id="P1">Two reports by the U.S. surgeon general noted the disproportionate impact of oral disease on and lack of oral health information regarding people with disabilities.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">In this retrospective study, the authors used clinical and demographic data (from April 1, 2009, through March 31, 2010) from electronic dental records of 4,732 adults with intellectual and developmental disabilities (IDDs) who were receiving dental care through a state-supported system of dental clinics. The authors used these data to investigate the oral health status of, and associated risk factors for, adults with IDD.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The prevalence of untreated caries in the study population was 32.2 percent, of periodontitis was 80.3 percent and of edentulism was 10.9 percent. The mean (standard deviation) numbers of decayed teeth; missing teeth; and decayed, missing and filled teeth were 1.0 (2.2), 6.7 (7.0) and 13.9 (7.7), respectively.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Management of oral health presents significant challenges in adults with IDD. Age, ability to cooperate with dental treatment and type of residence are important considerations in identifying preventive strategies.</p>
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<sec id="S5">
<title>Clinical Implications</title>
<p id="P5">The study population demonstrated a high burden of dental disease. Further research is required to identify effective interventions to improve oral health in adults with IDD.</p>
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<aff id="A1">Associate professor, Department of Public Health and Community Service, Tufts University School of Dental Medicine, 1 Kneeland St., 1534 F, Boston, Mass. 02111</aff>
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<contrib contrib-type="author">
<name>
<surname>Minihan</surname>
<given-names>Paula M.</given-names>
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<degrees>PhD, MPH</degrees>
<aff id="A2">Assistant professor, Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston</aff>
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<name>
<surname>Stark</surname>
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<aff id="A3">Professor, Department of Research Administration, Tufts University School of Dental Medicine, Boston</aff>
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<surname>Finkelman</surname>
<given-names>Matthew D.</given-names>
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<name>
<surname>Park</surname>
<given-names>Angel</given-names>
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<degrees>MS, MPH</degrees>
<aff id="A6">Research analyst, Department of Research Administration, Tufts University School of Dental Medicine, Boston</aff>
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<name>
<surname>Nobles</surname>
<given-names>Carrie J.</given-names>
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<degrees>MPH</degrees>
<aff id="A7">Research assistant, Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston</aff>
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<given-names>Aviva</given-names>
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<aff id="A9">Professor, Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston</aff>
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<author-notes>
<corresp id="FN1">Address reprint requests to Dr. Morgan.
<email>john.morgan@tufts.edu</email>
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<pub-date pub-type="nihms-submitted">
<day>30</day>
<month>7</month>
<year>2015</year>
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<month>8</month>
<year>2012</year>
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<pub-date pub-type="pmc-release">
<day>06</day>
<month>8</month>
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<license-p>Reproduction or republication strictly prohibited without prior written permission of the American Dental Association.</license-p>
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<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">Two reports by the U.S. surgeon general noted the disproportionate impact of oral disease on and lack of oral health information regarding people with disabilities.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">In this retrospective study, the authors used clinical and demographic data (from April 1, 2009, through March 31, 2010) from electronic dental records of 4,732 adults with intellectual and developmental disabilities (IDDs) who were receiving dental care through a state-supported system of dental clinics. The authors used these data to investigate the oral health status of, and associated risk factors for, adults with IDD.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The prevalence of untreated caries in the study population was 32.2 percent, of periodontitis was 80.3 percent and of edentulism was 10.9 percent. The mean (standard deviation) numbers of decayed teeth; missing teeth; and decayed, missing and filled teeth were 1.0 (2.2), 6.7 (7.0) and 13.9 (7.7), respectively.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Management of oral health presents significant challenges in adults with IDD. Age, ability to cooperate with dental treatment and type of residence are important considerations in identifying preventive strategies.</p>
</sec>
<sec id="S5">
<title>Clinical Implications</title>
<p id="P5">The study population demonstrated a high burden of dental disease. Further research is required to identify effective interventions to improve oral health in adults with IDD.</p>
</sec>
</abstract>
<kwd-group>
<kwd>People with disabilities</kwd>
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