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Oral health of patients with intellectual disabilities: A systematic review
Author(s) -
Anders Patrick L.,
Davis Elaine L.
Publication year - 2010
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/j.1754-4505.2010.00136.x
Subject(s) - medicine , oral hygiene , intellectual disability , oral health , inclusion (mineral) , population , oral health care , family medicine , health care , periodontal disease , medline , preventive care , gerontology , dentistry , environmental health , psychiatry , gender studies , sociology , political science , law , economics , economic growth
A systematic review of original studies was conducted to determine if differences in oral health exist between adults who have intellectual disabilities (ID) and the general population. Electronic searching identified 27 studies that met the inclusion criteria. These studies were assessed for strength of evidence. People with ID have poorer oral hygiene and higher prevalence and greater severity of periodontal disease. Caries rates in people with ID are the same as or lower than the general population. However, the rates of untreated caries are consistently higher in people with ID. Two subgroups at especially high risk for oral health problems are people with Down syndrome and people unable to cooperate for routine dental care. Evidence supports the need to develop strategies to increase patient acceptance for routine care, additional training for dentists to provide this care, and the development of more effective preventive strategies to minimize the need for this care.