Oral health education and promotion in special needs children: Systematic review and meta-analysis.

Autor: Lai YYL; School of Dentistry, The University of Queensland, UQ Oral Health Centre, Brisbane, Australia.; Telethon Kids Institute, University of Western Australia, Perth, Western, Australia., Zafar S; School of Dentistry, The University of Queensland, UQ Oral Health Centre, Brisbane, Australia., Leonard HM; Telethon Kids Institute, University of Western Australia, Perth, Western, Australia., Walsh LJ; School of Dentistry, The University of Queensland, UQ Oral Health Centre, Brisbane, Australia., Downs JA; Telethon Kids Institute, University of Western Australia, Perth, Western, Australia.; School of Physiotherapy, Exercise Science, Curtin University, Perth, Western, Australia.
Jazyk: angličtina
Zdroj: Oral diseases [Oral Dis] 2022 Jan; Vol. 28 (1), pp. 66-75. Date of Electronic Publication: 2020 Dec 02.
DOI: 10.1111/odi.13731
Abstrakt: Objective: To review the effectiveness of oral health education and oral health promotion interventions for children and adolescents with intellectual and developmental disabilities (IDD), in ensuring optimal gingival health, caries experience and oral health-related quality of life, compared to no interventions or alternative interventions.
Methods: A systematic review was conducted to identify published studies from four databases (Medline, PsycINFO, CINAHL and ERIC). Randomised or quasi-randomised controlled trials were included. Two independent reviewers performed risk of bias and qualitative analysis. Meta-analysis was performed as appropriate.
Results: Eight treatment comparisons were identified. There was low certainty evidence that fluoride interventions provided long-term reductions in caries in those with IDD; and there was some evidence that chlorhexidine albeit with low certainty provided short-term and long-term reductions in plaque and gingivitis. There was moderate certainty evidence for short-term reductions in dental plaque from the use of modified toothbrushes, but not compelling evidence for powered toothbrushes.
Conclusions: Most studies provided a low quality of evidence, and so any adaptations made to oral health practices of individuals with IDD need to consider their individual needs. PROSPERO registration: CRD42019145784.
(© 2020 Wiley Periodicals LLC.)
Databáze: MEDLINE
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