Actitud de odontopediatras y ortodoncistas ante el tratamiento ortodóncico de pacientes con necesidades especiales.

  1. Vivero Couto, Lara 1
  2. Hernández Juyol, Miguel 2
  3. Beltri Orta, Paola 1
  4. Vidal Lekuona, Elena 3
  5. Planells del Pozo, Paloma 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

  2. 2 Universitat de Barcelona
    info

    Universitat de Barcelona

    Barcelona, España

    ROR https://ror.org/021018s57

  3. 3 Práctica privada en San Sebastián, España
Montrer des affiliations +
Revue:
Revista de Odontopediatría Latinoamericana

ISSN: 2174-0798

Année de publication: 2024

Volumen: 14

Número: 0

Type: Article

DOI: 10.47990/1HQR0B29 DIALNET GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Revista de Odontopediatría Latinoamericana

Résumé

Introduction: Patients with special needs often experience a high incidence and severity of malocclusions, which can negatively impact their quality of life. They also frequently encounter challenges in accessing orthodontic treatments. Objectives: This study evaluates the attitudes of pediatric dentists and orthodontists towards providing orthodontic treatment to patients with special needs and analyzes the main challenges faced in treating these patients. Materials and Methods: A survey was conducted among 38 dentists with postgraduate training in pediatric dentistry, orthodontics, or both. The survey included 9 questions about their experiences and perceptions regarding the dental and orthodontic treatment of patients with special needs, as well as their professional attitudes. Results: The sample included 38 participants, with 39.57% men and 60.53% women. Most had 5-10 years (36.8%) or 10-20 years (23.7%) of experience. Training was divided equally among orthodontics (34.21%), pediatric dentistry (34.21%), and both fields (31.57%). Of the respondents, 68.4% infrequently treated patients with special needs, and 71.1% provided occasional treatment. None refused orthodontic treatment; 65.8% would attempt it if necessary. The primary challenges were lack of patient cooperation and low demand for such treatments. A majority (73.7%) believed the benefits of treatment outweighed the drawbacks, and 81.6% expressed willingness to treat these patients with additional training. Conclusions: Enhanced training for both professionals and the families of patients with special needs is crucial for improving access to orthodontic care, which is significantly beneficial for these patients' quality of life

Références bibliographiques

  • (1) Akinwonmi BA, Kolawole KA, Folayan MO, Adesunloye AM. Orthodontic treatment need of children and adolescents with special healthcare needs resident in Ile-Ife, Nigeria. Eur Arch Paediatr Dent 2020 Jun;21(3):355-362.
  • (2) Rada R, Bakhsh HH, Evans C. Orthodontic care for the behavior-challenged special needs patient. Spec Care Dentist 2015;35(3):138-142.
  • (3) Kragt L, Jaddoe V, Wolvius E, Ongkosuwito E. The association of subjective orthodontic treatment need with oral health-related quality of life. Community Dent Oral Epidemiol 2017 Aug;45(4):365-371.
  • (4) Dimberg L, Arnrup K, Bondemark L. The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod 2015 Jun;37(3):238-247.
  • (5) Antonarakis GS, Kiliaridis S. Orthodontic treatment of patients with special needs in Switzerland. Swiss Dent J 2021 Mar 8;131(3):220-227.
  • (6) Cabrita JP, Bizarra MdF, Graça SR. Prevalence of malocclusion in individuals with and without intellectual disability: A comparative study. Spec Care Dentist 2017 Jul;37(4):181-186.
  • (7) Alkhadra T. Characteristic of Malocclusion among Saudi Special Need Group Children. J Contemp Dent Pract 2017 Oct 1;18(10):959-963.
  • (8) Meuffels SA, Kuijpers-Jagtman AM, Tjoa STH, Bonifacio CC, Carvajal Monroy PL. Malocclusion complexity and orthodontic treatment need in children with autism spectrum disorder. Clin Oral Investig 2022 Oct;26(10):6265-6273.
  • (9) Abraham S, Yeroshalmi F, Margulis KS, Badner V. Attitude and willingness of pediatric dentists regarding dental care for children with developmental and intellectual disabilities. Spec Care Dentist 2019 Jan;39(1):20-27.
  • (10) Ferrando-Magraner E, García-Sanz V, Bellot-Arcís C, Montiel-Company J, Almerich-Silla J, Paredes-Gallardo V. Oral health-related quality of life of adolescents after orthodontic treatment. A systematic review. J Clin Exp Dent 2019 Feb 1;11(2):e194-e202.
  • (11) Altalibi M, Saltaji H, Roduta Roberts M, Major MP, MacLean J, Major PW. Developing an index for the orthodontic treatment need in paediatric patients with obstructive sleep apnoea: a protocol for a novel communication tool between physicians and orthodontists. BMJ Open 2014 Sep 18;4(9):e005680-005680.
  • (12) Abeleira MT, Pazos E, Limeres J, Outumuro M, Diniz M, Diz P. Fixed multibracket dental therapy has challenges but can be successfully performed in young persons with Down syndrome. Disabil Rehabil 2016 Jul;38(14):1391-1396.
  • (13) Taddei M, D'Alessandro G, Amunni F, Piana G. Orthodontic treatment of a particular subgroup of children with special health care needs, children with craniofacial anomalies: An analysis of treatment length and clinical outcome. Angle Orthod 2016 Jan;86(1):115-120.
  • (14) Chavis SE, Roth E, Dababnah S, Tepper V, Badawi DG, Mullins CD. Qualitative inquiry from multiple perspectives of barriers and facilitators of oral health care for adults with disabilities. Spec Care Dentist 2023 Jan;43(1):47-55.
  • (15) Casamassimo PS, Seale NS, Ruehs K. General dentists' perceptions of educational and treatment issues affecting access to care for children with special health care needs. J Dent Educ 2004 Jan;68(1):23-28.
La source de données: Dialnet