scholarly journals Homeless adults' access to dental services and strategies to improve their oral health: a systematic literature review

2018 ◽  
Vol 24 (4) ◽  
pp. 287 ◽  
Author(s):  
Jacqueline Goode ◽  
Ha Hoang ◽  
Leonard Crocombe
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Service Providers ◽  
Homeless People ◽  
Developed Countries ◽  
Inclusion Criteria ◽  
Treatment Needs ◽  
Dental Services ◽  
Homeless Adults ◽  
Dental Staff

Homeless people have poor oral health and high treatment needs, yet tend to make problem-based dental visits. This review aimed to determine how and where homeless adults receive oral health care, the barriers that prevent homeless adults accessing dental care and find strategies to promote oral health to homeless adults. The databases MEDLINE via OvidSP, PubMed, CINAHL and Scopus were searched using the keywords: homeless, roofless, houseless, rough sleeper, couch surfer, shelter, hostel, dental and oral health. The inclusion criteria were: participants over the age of 17 years, studies written in English, based in developed countries and published after 2003. Selected articles were assessed using the Mixed Methods Appraisal Tool and data extracted were thematically analysed. Twenty-two studies met the inclusion criteria. Five main themes were found: how homeless people accessed dental care; factors affecting the uptake of care; strategies used to improve access to care; the effect of non-dental staff on dental care; and challenges with providing care to homeless people. Dental care for homeless adults was affected by numerous factors. Improving their access to dental services requires collaboration between support service providers, dental care to be near homeless populations and flexibility by dental services.

Strategies to improve access to and uptake of dental care by people experiencing homelessness in Australia: a grey literature review

2020 ◽  
Vol 44 (2) ◽  
pp. 297
Author(s):  
Jacqueline Goode ◽  
Ha Hoang ◽  
Leonard Crocombe
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Service Providers ◽  
Grey Literature ◽  
Homeless People ◽  
Dental Service ◽  
Dental Services ◽  
Free Care ◽  
Improve Access

Objectives The poor oral health of Australians experiencing homelessness negatively affects their quality of life. Better oral health is associated with having annual dental check-ups. Because there is limited peer-reviewed literature describing strategies that improve access to and uptake of dental care by homeless people, in this study we searched the grey literature to discover what strategies are used. Methods The Informit database and Google and Bing search engines were searched using the keywords ‘homeless and oral and dental services’. Bing and Google were searched unrestricted by site and Google was searched for sites ending in ‘org.au’. Searches were restricted to Australia from June 2008 to June 2018. The first 300 websites were read, and those describing or linking to pages describing a strategy that improved access to or uptake of dental care were included in the study. The content of the webpages was evaluated and summarised, with common strategies reported as a narrative description. Results Nineteen programs were described. Common strategies were providing free care, in-reach care, outreach care and the need to work closely with support organisations. Conclusions To improve access to and uptake of dental care by people experiencing homelessness, dental services need to be free and organised in collaboration with support organisations. What is known about the topic? The peer-reviewed literature describing strategies used to improve access to and uptake of dental care by people experiencing homelessness in Australia is limited. The authors could only locate two such studies, one based in Melbourne and one in Brisbane. Both programs had a similar aim, but used different strategies to achieve it, suggesting a lack of consensus about the best way to encourage dental visiting by people experiencing homelessness. What does this paper add? This paper used the grey literature to describe common strategies used in Australia to improve access to and uptake of dental care by people experiencing homelessness. What are the implications for practitioners? Dental service providers aiming to increase access to and uptake of dental care by people experiencing homelessness need to work collaboratively with support organisations and provide care free of charge.

Dental Services Use and Barriers to Dental Care for Individuals with Autism Spectrum Disorder in Jordan: Case-Control Study

2019 ◽  
Author(s):  
SABHA ALSHATRAT ◽  
Isra ALBakri ◽  
Wael ALOmari
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Case Control Study ◽  
Autism Spectrum ◽  
Case Control ◽  
Oral Diseases ◽  
Dental Services ◽  
Dental Staff ◽  
Significant Difference ◽  
Control Study

Abstract Background Oral health is acknowledged as an integral component of general health and plays an essential role in establishing a desired level of quality of life. Individuals with disabilities are at a higher risk for oral diseases due to underlying congenital anomalies and inability to receive the needed care to maintain oral health . Regular dental care is essential to maintaining optimal oral health. However, to date, there are no studies conducted in Jordan addressing the dental challenges and barriers to oral care faced by individuals with autism. The objectives of this study were to examine the use of dental services for individuals with autism and identify barriers that affect their access to dental care in comparison with healthy individuals in Jordan.Methods A case-control study was conducted. Participants included 296 Caregivers of individuals with autism and healthy developing individuals who completed a self-designed questionnaire that assessed access and barriers to dental services.Results The majority of the participants in the current study in both the control and the ASD groups have visited the dentist within the last year prior to completing the present survey. The main reason for visiting dental services was toothache (43%) while the least was routine checkup (11.6%) with significant difference ( P <0.05) between the groups. Barriers like; embarrassment (43.5%), lack of specialized dental staff (28.6%), lack of knowledge of how to treat disabled dental patients (26.6%), and inadequate facilities (34%) were significantly (P<0.05) higher among patients with ASD than the control.Conclusion Knowing and understanding the barriers for accessing dental care might improve overall health for individuals with autism. Furthermore, recognizing the challenges to accessing dental care for this population might help the oral health professionals to minimize these difficulties.

scholarly journals 1013. Enhanced Oral Health Care Services for PLWHA - Midlands Region, South Carolina

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S535-S536
Author(s):  
Christina M Baello ◽  
Divya Ahuja ◽  
Norlica Finkley ◽  
Rajee Rao
Keyword(s):  
Health Care ◽  
South Carolina ◽  
Oral Health ◽  
Dental Care ◽  
Care Program ◽  
Oral Health Care ◽  
Care Patient ◽  
Inclusion Criteria ◽  
Dental Services ◽  
Health Care Program

Abstract Background An estimated 58- 64 % of people living with HIV/AIDS (PLWHA) do not receive regular dental care and this gap may be attributed to barriers related to cost, access to dental care, logistical issues, indifference to or fear of dental care.1,2 The Immunology Center at Prisma- University of South Carolina, School of Medicine is a Ryan White funded Part B Program that provides care to &gt; 2400 PLWHA. Based on the perceived barriers, an enhanced oral health care program was implemented in 2018, wherein patients in need of dental care and meeting inclusion criteria are referred to contracted local general dentistry and specialty practices. Enhancements Dedicated Dental Services Coordinator (DSC) Facilitated transport to and from the dental clinic Annual budget of $2700 per patient Access to dental specialties (oral and maxillofacial surgery) Restorative services (crowns, dentures and root canals) Program Goals The ultimate goal of the oral health care program is to provide biannual dental prophylaxis and expanded restorative services to PLWHA. Inclusion criteria for referrals 1 Virological suppression over 6 months. (HIV Viral Load &lt; 200 c/mL) 2 Adherence with HIV clinic appointments. Midlands Region, South Carolina Methods The DSC completes the following: monitoring of referrals, patient compliance to program inclusion criteria, linkage to dental care, payments for dental services, and coordination with case management. Results Between 2018 and 2019, 535 patients were referred to the oral health care program. Almost 75% 399 completed at least one dental clinic visit. The average number of visits for patients from their enrollment date (2018-2019 to December 2019 was 1.56, with an average of 8.08 services, and 1.13 prophylaxis visits with their oral health care provider. Patients were predominantly African American and male but were spread across a wide age spectrum and 8 counties. Nearly 94% of patients remained virologically suppressed during their oral health care treatment. Table 1: 2018-2019 Program Summary of Oral Health Care Table 2 & Figure 1: Oral Health Care Patients by Age Group, Figure 2: Oral Health Care Patient by Gender Table 3 & Figure 3: Oral Health Care Patients by Race and Ethnicity, Table 4 & Figure 4: Oral Health Care Patient by County Conclusion PLWHA have high rates of unmet oral health care needs and low utilization of oral health services. Adequate resources and coordination of care with local dentists can overcome traditional barriers and improve access to dental care. Abstract References Disclosures: All Authors: No reported disclosures

scholarly journals Oral health and access to dental care among older homeless adults: results from the HOPE HOME study

2018 ◽  
Vol 79 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Daniel J. Freitas ◽  
Lauren M. Kaplan ◽  
Lina Tieu ◽  
Claudia Ponath ◽  
David Guzman ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Homeless Adults ◽  
Home Study ◽  
Access To Dental Care

scholarly journals A Framework for Equity Access to Primary Dental Care

2020 ◽  
Vol 25 (9) ◽  
pp. 3669-3676
Author(s):  
Denise Silveira Antunes ◽  
Sudeshni Naidoo ◽  
Neil Myburgh ◽  
Juliana Balbinot Hilgert ◽  
Paul Douglas Fisher ◽  
...  
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Waiting Times ◽  
Face Validity ◽  
Oral Disease ◽  
Care Practice ◽  
Dental Services ◽  
Dental Staff ◽  
Dental Rehabilitation ◽  
Oral Disease Prevention

Abstract The objective of this study was to demonstrate face validity with a novel resource allocation framework designed to maximize equity into dental booking systems. The study was carried out in 2014. Eleven experts in primary dental care practice in Southern Brazil participated, using a three-round consensus group technique. First, the experts reached consensus on the items to be included in a 5-level diagnostic scale. They identified 21 clinical conditions and categorized them according to the oral health intervention required. Then, they described workload and activity standards for dental staff to carry out health promotion, oral disease prevention, dental treatment, dental rehabilitation, and urgent dental care. Finally, they agreed upon a set of wait times for primary dental care, establishing maximum waits from 2 to 365 days, according to the diagnostic classification. The framework demonstrated potential ability to promote more equitable access to primary dental services, since equal diagnostic classifications share the same waiting times for the dental care they require.

Prevention for people with disabilities and vulnerable groups

2013 ◽  
Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Dental Care ◽  
Homeless People ◽  
People With Disabilities ◽  
Social Impairment ◽  
Vulnerable Groups ◽  
Oral Diseases ◽  
Disabled People ◽  
Department Of Health

In this chapter we will look briefly at the prevention needs of people with disabilities and people who are vulnerable and require special care dental services for reasons that may be social. Within this group there will be a spectrum of people with needs and dependencies. Not everyone described as belonging to a vulnerable group in this chapter would identify themselves as disabled; nevertheless, what they have in common are a range of factors that put their oral health at risk, make accessing dental care complicated, or make the provision of dental care complicated. These factors may include a ‘physical, sensory, intellectual, mental, medical, emotional or social impairment or disability, or more often a combination of these factors’ (GDC 2012). People with disabilities have fewer teeth, more untreated disease, and more periodontal disease when compared to the general population in the UK (Department of Health 2007). Good oral health can contribute to better communication, nutrition, self-esteem, and reduction in pain and discomfort, while poor oral health can lead to pain, discomfort, communication difficulties, nutritional problems, and social exclusion (Department of Health 2007). As discussed in previous chapters, the important risk factors for oral diseases include: high-sugar diets, poor oral hygiene, smoking, and alcohol misuse. They are also shared risk factors for chronic non-communicable diseases such as respiratory diseases, cardiovascular diseases, diabetes, and cancers. The basic principles and approaches for the prevention of oral diseases in disabled people and vulnerable groups are similar to those described in previous chapters; however, there is a need to recognize that the context, the circumstances, the settings, and the opportunities for prevention will be slightly different, depending on the groups. For example, some disabled people (e.g. people with learning disabilities) may be reliant on others, such as family, carers, health care workers, to support basic self-care and to access health services. Other vulnerable groups such as homeless people live independent lives but lack access to basic facilities such as drinking water, and a place to store toothbrushes and toothpaste.

Evaluation of Oral Therapeuthical and Surgical Treatment Needs among Retirement Age Population in Different Countries

2011 ◽  
Vol 11 (1) ◽  
pp. 139-143
Author(s):  
Ingrida Krasta ◽  
Aldis Vidzis ◽  
Anda Brinkmane ◽  
Ingrida Cema
Keyword(s):  
Surgical Treatment ◽  
Oral Health ◽  
Nursing Homes ◽  
Health Indicators ◽  
Developed Countries ◽  
Retirement Age ◽  
Age Group ◽  
Treatment Needs ◽  
Oral Health Indicators

Evaluation of Oral Therapeuthical and Surgical Treatment Needs among Retirement Age Population in Different Countries Oral health in connection with quality of life is affected by such functional factors as dental decay and its complications, untreated tooth roots, oral mucosal diseases and inflammations, precancerous diseases, cancers, pain in temporomandibular joints, xerostomia and partially or fully edentulous jaws. It has been noted in literature that among retirement age population the number of remaining teeth has increased and the number of untreated decayed teeth in developed countries for the last 20 years has decreased. Despite this fact the need to improve measures of oral health remains actual in this age group due to increasing prevalence of diagnosed oral diseases and number of extracted teeth and roots. Oral health indicators among retirement age population living in nursing homes in such countries as Canada, USA, UK, Finland, Denmark, Germany, Turkey, Brazil, Australia and Lithuania differ from the same age group indicators among self-dependent old people able to take care of themself. Oral health indicators of nursing homes residents in many countries are significantly worse than oral health indicators of the corresponding age group population. The proposed evaluation data of oral hygiene, periodontal status, DMF-T index, quality of existing and needs of new prosthodontics as well as oral mucosal disorders among retirement age population provides an important insight into therapeutic and surgical treatment provision in different countries.

Differently Abled – A Dental Public Health Challenge

2011 ◽  
Vol 5 (1) ◽  
pp. 1-3
Author(s):  
Gaurav Gupta ◽  
Manu Narayan ◽  
Navin A Ingle ◽  
Sabyasachi Saha ◽  
Sahana Shivkumar
Keyword(s):  
Public Health ◽  
Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Dental Public Health ◽  
Critical Levels ◽  
Dental Services ◽  
Scant Attention ◽  
Significant Disability ◽  
Public Health Challenge

ABSTRACT Oral health care for children and adults with disabilities is a health care area that has received scant attention. It is seen that most persons with a significant disability cannot find a professional resource to provide appropriate and necessary dental care. Lack of access to dental services for this growing segment of our population is reaching critical levels and is a national dilemma.

scholarly journals Oral Health Status and Patterns of Dental Service Utilization of Adolescents in Lesotho, Southern Africa

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 120
Author(s):  
Abbas Jessani ◽  
Mir Faeq Ali Quadri ◽  
Pulane Lefoka ◽  
Abdul El-Rabbany ◽  
Kirsten Hooper ◽  
...  
Keyword(s):  
Public Schools ◽  
Health Status ◽  
Oral Health ◽  
Service Utilization ◽  
Southern Africa ◽  
Dental Care ◽  
Dental Treatment ◽  
Oral Health Status ◽  
Dental Service ◽  
Treatment Needs

This study aimed to characterize the best predictors for unmet dental treatment needs and patterns of dental service utilization by adolescents in the Kingdom of Lesotho, Southern Africa. A self-reported 40-item oral health survey was administered, and clinical oral examinations were conducted in public schools in Maseru from August 10 to August 25, 2016. Associations between psychosocial factors with oral health status and dental service utilization were evaluated using simple, bivariate, and multivariate regressions. Five hundred and twenty-six survey responses and examinations were gathered. The mean age of student participants was 16.4 years of age, with a range between 12 and 19 years of age. More than two thirds (68%; n = 355) of participants were female. The majority reported their quality of life (84%) and general health to be good/excellent (81%). While 95% reported that oral health was very important, only 11% reported their personal dental health as excellent. Three percent reported having a regular family dentist, with the majority (85%) receiving dental care in a hospital or medical clinic setting; only 14% had seen a dental professional within the previous two years. The majority of participants did not have dental insurance (78%). Clinical examination revealed tooth decay on 30% of mandibular and maxillary molars; 65% had some form of gingivitis. In multivariate analysis, not having dental education and access to a regular dentist were the strongest predictors of not visiting a dentist within the last year. Our results suggest that access to oral health care is limited in Lesotho. Further patient oral health education and regular dental care may make an impact on this population.

scholarly journals Residence registration to cope with homelessness: evidence from a qualitative research study in Milan

Genus ◽  
2021 ◽  
Vol 77 (1) ◽  
Author(s):  
M. Pasqualini ◽  
G. Bazzani
Keyword(s):  
Service Providers ◽  
Critical Role ◽  
Homeless People ◽  
Developed Countries ◽  
Homeless Persons ◽  
Homeless Population ◽  
Qualitative Research Study ◽  
Individual Interviews ◽  
Registration Process ◽  
The City

AbstractHomeless people are one of the most vulnerable and marginalized groups in developed countries, and their homelessness situation often persists over the long term. However, so far, no studies have explained the specific role played by residence registration as it relates to deprivation amongst the homeless population and its contribution to improving the lives of homeless people. This paper investigates the paths homeless people in Milan use to access residence registration, via a case study in the city of Milan. Home to Italy’s largest homeless population, the city of Milan has implemented the innovative ResidenzaMi project to improve access to residence registration for homeless people. The study considers official statistics and individual interviews with service providers involved in the registration process. It further investigates the main factors impeding the registration process and outlines the consequences of the COVID-19 pandemic. Results from our study indicate that a residence certificate plays a critical role in helping homeless people exercise their rights and access the services they need to escape homelessness. Our findings suggest the importance of a holistic, multidimensional approach to ensure access to residence registration for homeless persons.

Sign in / Sign up

Export Citation Format

Share Document