In the realm of dentistry, significant strides have been made towards ensuring that individuals with disabilities receive the oral care they deserve. In the UK, it is estimated that 90% of people requiring Special Care Dentistry (SCD) should be able to access treatment within a local, primary care setting. Achieving this, however, hinges on the education and training of dental professionals.
Historically, many dentists have struggled to access the necessary education and support to confidently provide dental treatment for individuals with physical and intellectual disabilities.
Recognising this gap, Oral-B has supported the creation of resources in coordination with the International Association for Disability and Oral Health (IADH) and Wiley Education Hub, such as comprehensive learning courses focused on treating patients with special healthcare needs.
These courses offer practical education, guidance, and tools to help diagnose, treat, and manage these patients effectively. They also provide valuable insights on assisting caregivers in maintaining oral health between dental appointments.
Understanding the challenges
Individuals with disabilities often face unique challenges that can impede their oral health. These challenges include difficulties in holding a toothbrush, understanding the importance of oral hygiene, or tolerating the sensory experience of brushing. Such impediments require tailored solutions and a compassionate understanding from dental professionals.
By equipping dentists with knowledge about special needs requirements, we are setting many patients up for success in their dental health. Educating dental professionals is just one part of the solution, but it is a critical step towards achieving equality in dentistry. It is hoped that dental professionals will seize this opportunity and utilise all available resources to ensure a brighter future for everyone.
Innovative solutions for improved care
Various adaptive tools and techniques can significantly enhance the oral health of individuals with special needs. For those with physical impairments, toothbrushes with wider, easier-to-hold handles can make a considerable difference. Electric toothbrushes can also be beneficial, as they require less manual dexterity and can provide a thorough clean, provided the user can tolerate the vibrations.
We need to use oral health products that best serve our individual needs. Whether it’s a toothbrush with a longer neck or a bigger handle, the right tools can make a significant impact. Dental professionals and caregivers should engage in open conversations and understand the critical importance of dental health for everyone, including those with special needs.
The role of education in reducing inequalities
Education is a powerful tool in reducing inequalities in oral health. A study published in the European Journal of Dental Education highlights the value of education in Special Care Dentistry as a means to bridge the gap in oral health care for individuals with disabilities. By providing dental professionals with the knowledge and skills necessary to treat these patients, we can create a more inclusive and equitable dental care system.
The impact of specialised education is profound. Research shows that adults with intellectual and developmental disabilities often face significant oral health challenges. A study conducted by Morgan et al. (2012) revealed that the oral health status of this population is considerably worse compared to the general population. Factors such as limited access to care, lack of awareness, and physical and cognitive barriers contribute to this disparity. Education and training programs tailored to the needs of these individuals can significantly improve their oral health outcomes.
Practical recommendations for dental professionals
To better serve patients with disabilities, dental professionals can adopt several practical approaches:
Adaptive tools: Utilise toothbrushes with larger handles, longer necks, or electric variants to accommodate physical limitations.
Sensory accommodations: Be mindful of sensory sensitivities and make necessary adjustments, such as using softer toothbrushes or non-foaming toothpaste.
Communication strategies: Employ clear, simple communication and visual aids to enhance understanding and cooperation from patients with intellectual disabilities.
Caregiver collaboration: Work closely with caregivers, providing them with guidance and tools to maintain oral health at home.
Looking forward
The collaboration between IADH, and Wiley Education Hub, supported by Oral-B represents a significant step forward in Special Needs Dentistry. By fostering a deeper understanding and equipping dental professionals with the right tools and knowledge, we can ensure a brighter future for individuals with disabilities.
This initiative not only enhances the quality of care but also promotes equality and inclusion within the dental profession.
For more information about these resources, visit www.oralhealth.knowledgehub.wiley.com/special-healthcare-needs
Sources
- Faulks D, Freedman L, Thompson S, Sagheri D, Dougall A. The value of education in special care dentistry as a means of reducing inequalities in oral health. Eur J Dent Educ. 2012 Nov;16(4):195-201. doi: 10.1111/j.1600-0579.2012.00736.x. Epub 2012 Feb 1. PMID: 23050499.
- Morgan JP, Minihan PM, Stark PC, Finkelman MD, Yantsides KE, Park, A., et al. (2012). The oral health status of 4,732 adults with intellectual and developmental disabilities. The Journal of the American Dental Association.
- Chadwick D, Chapman M, Davies G. (2018) Factors affecting access to daily oral and dental care among adults with intellectual disabilities. J Appl Res Intellect Disabil. 2018 May;31(3):379-394. doi: 10.1111/jar.12415.
About the author
Karen Coates, Oral Health Content Specialist at the Oral Health Foundation, and RDN.
