Navigation Links
Adults with special needs see gains, challenges with long term oral care
Date:7/9/2014

BOSTON (July 9, 2014) A retrospective study conducted by researchers at Tufts University School of Dental Medicine and colleagues reports that among adults with intellectual and developmental disabilities, the likelihood of having cavities decreased as the number of years receiving dental care increased. The findings, published in the July/August issue of Special Care in Dentistry, may help improve interventions designed to address the oral health of individuals in this population.

The researchers reviewed the dental records of 107 patients at one of the eight clinics of the Tufts Dental Facilities Serving Persons with Special Needs (TDF) to determine how selected oral health outcomes changed over a treatment period of approximately 10 years. Established in 1976, TDF is a network of Tufts dental clinics that provides comprehensive oral health care to individuals with disabilities across Massachusetts. Recognized by the Association of State & Territorial Dental Directors as a national model, the Tufts program serves approximately 7,000 patients at eight clinics throughout the state.

"There are only limited data about the results of dental treatment for individuals with intellectual and developmental disabilities in the United States. The goal of this study was to help fill the gap in knowledge that is necessary to develop prevention and treatment protocols for adults with special needs," said statistician and first author Matthew Finkelman, Ph.D., associate professor at Tufts University School of Dental Medicine (TUSDM).

Finkelman and colleagues reviewed dental records to determine the presence of cavities, gum disease, dental pain, infection, cooperation level during dental exams, and dental hygiene for each individual at three times: the initial visit, midpoint visit, and most recent visit to the Tufts dental facility. The average duration of time in treatment was 12 years.

Overall, there was a statistically significant trend for cavity rates to decline over the course of treatment. At the first visit, the rate of cavities was greater than 60 percent; at subsequent time periods (less than 3 years, 3 to 10 years, greater than 10 years), it was lower than 45 percent.

This benefit did not extend to risk of gum disease. Overall, there was a statistically significant trend for gum disease to increase over time in treatment. The researchers note that this increase is consistent with the progression of the disease in an aging adult population.

"Based on these results, patients had a significant decrease in cavities. Dental pain, infection, cooperation level, and hygiene also tended to improve over time; however, results for these outcomes were not statistically significant," said Finkelman.

"Our findings suggest that even among patients who receive routine dental care, significant oral health problems remain. The challenge now is to determine how we can find effective solutions to these problems," said senior author John Morgan, D.D.S., associate professor in the department of public health and community service at TUSDM.

A 2012 landmark study conducted by Morgan with colleagues at Tufts' School of Dental Medicine and in public health at Tufts University School of Medicine determined that access to care alone is not effective in preventing oral health disease among adults with intellectual and developmental disabilities.

The Tufts Dental Facilities Serving Persons with Special Needs provides patients with dental care including examinations, dental cleanings, restorative dentistry, periodontal care, endodontic care, prosthetic dentistry, and tooth extraction. It also provides support for patients who require advanced behavioral or anxiety techniques such as sedation or general anesthesia for treatment.

The program operates eight clinics across the state of Massachusetts, located in Baldwinville, Canton, Hathorne, Groton, Taunton, West Springfield, Worcester, and Wrentham, seven of which are made possible by a contractual partnership between TUSDM and the state's Department of Developmental Services and Department of Public Health. Tufts University School of Dental Medicine's general practice residency program includes training in the oral health care of special needs patients and provides post-graduate students with clinical experience treating individuals with disabilities in the TDF clinics under the guidance and supervision of experienced faculty members trained in special care dentistry.


'/>"/>

Contact: Siobhan E. Gallagher
siobhan.gallagher@tufts.edu
617-636-6586
Tufts University, Health Sciences Campus
Source:Eurekalert

Related medicine news :

1. Study finds kidney donation safe for healthy older adults
2. Adults can undo heart disease risk
3. Miriam Hospital researchers develop app focused on making obese adults less sedentary
4. Study offers evidence that sunscreen use in childhood prevents melanoma in adults
5. Study finds difference in way bipolar disorder affects brains of children versus adults
6. Common blood pressure medication may pose risk to older adults
7. Bionic pancreas outperforms insulin pump in adults, youth
8. Why arent product designers considering activity trackers for older adults?
9. CPAP rapidly improves blood pressure and arterial tone in adults with sleep apnea
10. Negative social interactions increase hypertension risk in older adults
11. Cost-saving, coordinated brain care model for older adults attracting nationwide interest
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... , ... June 24, 2016 , ... Those who have ... these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as ... Michigan, has released tools for healthy coping following a traumatic event. , Trauma sufferers ...
(Date:6/24/2016)... ... ... in a crisis. Her son James, eight, was out of control. Prone to extreme mood ... something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was a ... children and say he was going to kill them. If we were driving on ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Global law firm ... 2016 Legal Elite. The attorneys chosen by their peers for this recognition are considered ... Seven Greenberg Traurig Shareholders received special honors as members of this year’s Legal Elite ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... Comfort Keepers® ... American Cancer Society and the Road To Recovery® program to drive cancer patients to ... and other adults to ensure the highest quality of life and ongoing independence. ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening their pencils ... an essay contest in which patients and their families pay tribute to a genetic ... 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016   Bay ... Rehabilitation Network,s Dean Center for Tick Borne ... Medicine and Rehabilitation, MIT Hacking Medicine, University of ... Innovation, today announced the five finalists of ... Lyme disease.  More than 100 scientists, clinicians, researchers, ...
(Date:6/24/2016)... June 24, 2016 Research ... "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" ... In-Mold Electronics, Smart Skin, Structural Health ... Structural electronics involves electronic and/or electrical ... structures, replacing dumb structures such as vehicle bodies ...
(Date:6/24/2016)... , June 24, 2016 Dehaier Medical ... the "Company"), which develops, markets and sells medical devices ... , signed a strategic cooperation agreement with Hongyuan ... "Hongyuan Supply Chain") on June 20, 2016, to develop ... the strategic cooperation agreement, Dehaier will leverage Hongyuan Supply ...
Breaking Medicine Technology: