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Dental attendance, restoration and extractions in adults with intellectual disabilities compared with the general population: a record linkage study.
Ward, L M; Cooper, S-A; McSkimming, P; Greenlaw, N; Pacitti, C; Gibson, J; Henderson, A; Stanley, B; Pell, J; Kinnear, D.
Afiliación
  • Ward LM; Institute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.
  • Cooper SA; Institute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.
  • McSkimming P; Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.
  • Greenlaw N; Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.
  • Pacitti C; Leverndale Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK.
  • Gibson J; School of Medicine, Dentistry & Nursing, Glasgow Dental Hospital and School, Glasgow, UK.
  • Henderson A; Institute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.
  • Stanley B; Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.
  • Pell J; Institute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.
  • Kinnear D; Institute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.
J Intellect Disabil Res ; 64(12): 980-986, 2020 12.
Article en En | MEDLINE | ID: mdl-32996662
BACKGROUND: Oral health may be poorer in adults with intellectual disabilities (IDs) who rely on carer support and medications with increased dental risks. METHODS: Record linkage study of dental outcomes, and associations with anticholinergic (e.g. antipsychotics) and sugar-containing liquid medication, in adults with IDs compared with age-sex-neighbourhood deprivation-matched general population controls. RESULTS: A total of 2933/4305 (68.1%) with IDs and 7761/12 915 (60.1%) without IDs attended dental care: odds ratio (OR) = 1.42 [1.32, 1.53]; 1359 (31.6%) with IDs versus 5233 (40.5%) without IDs had restorations: OR = 0.68 [0.63, 0.73]; and 567 (13.2%) with IDs versus 2048 (15.9%) without IDs had dental extractions: OR = 0.80 [0.73, 0.89]. Group differences for attendance were greatest in younger ages, and restoration/extractions differences were greatest in older ages. Adults with IDs were more likely prescribed with anticholinergics (2493 (57.9%) vs. 6235 (48.3%): OR = 1.49 [1.39, 1.59]) and sugar-containing liquids (1641 (38.1%) vs. 2315 (17.9%): OR = 2.89 [2.67, 3.12]). CONCLUSION: Carers support dental appointments, but dentists may be less likely to restore teeth, possibly extracting multiple teeth at individual appointments instead.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Extracción Dental / Atención Odontológica / Reparación de Restauración Dental / Accesibilidad a los Servicios de Salud / Discapacidad Intelectual Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: J Intellect Disabil Res Asunto de la revista: TRANSTORNOS MENTAIS Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Extracción Dental / Atención Odontológica / Reparación de Restauración Dental / Accesibilidad a los Servicios de Salud / Discapacidad Intelectual Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: J Intellect Disabil Res Asunto de la revista: TRANSTORNOS MENTAIS Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido