Dental attendance, restoration and extractions in adults with intellectual disabilities compared with the general population: a record linkage study

Ward, L.M. , Cooper, S.-A. , McSkimming, P., Greenlaw, N., Pacitti, C., Gibson, J., Henderson, A. , Pell, J. and Kinnear, D. (2020) Dental attendance, restoration and extractions in adults with intellectual disabilities compared with the general population: a record linkage study. Journal of Intellectual Disability Research, 64(12), pp. 980-986. (doi: 10.1111/jir.12786) (PMID:32996662)

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Abstract

Background: Oral health may be poorer in adults with intellectual disabilities (IDs) who rely on carer support and medications with increased dental risks. Methods: Record linkage study of dental outcomes, and associations with anticholinergic (e.g. antipsychotics) and sugar‐containing liquid medication, in adults with IDs compared with age–sex–neighbourhood deprivation‐matched general population controls. Results: A total of 2933/4305 (68.1%) with IDs and 7761/12 915 (60.1%) without IDs attended dental care: odds ratio (OR) = 1.42 [1.32, 1.53]; 1359 (31.6%) with IDs versus 5233 (40.5%) without IDs had restorations: OR = 0.68 [0.63, 0.73]; and 567 (13.2%) with IDs versus 2048 (15.9%) without IDs had dental extractions: OR = 0.80 [0.73, 0.89]. Group differences for attendance were greatest in younger ages, and restoration/extractions differences were greatest in older ages. Adults with IDs were more likely prescribed with anticholinergics (2493 (57.9%) vs. 6235 (48.3%): OR = 1.49 [1.39, 1.59]) and sugar‐containing liquids (1641 (38.1%) vs. 2315 (17.9%): OR = 2.89 [2.67, 3.12]). Conclusion: Carers support dental appointments, but dentists may be less likely to restore teeth, possibly extracting multiple teeth at individual appointments instead.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Gibson, Professor John and Kinnear, Dr Deborah and Henderson, Mrs Angela and Mcskimming, Mrs Paula and Cooper, Professor Sally-Ann and Pell, Professor Jill and Ward, Dr Laura and Greenlaw, Miss Nicola
Authors: Ward, L.M., Cooper, S.-A., McSkimming, P., Greenlaw, N., Pacitti, C., Gibson, J., Henderson, A., Pell, J., and Kinnear, D.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
Journal Name:Journal of Intellectual Disability Research
Publisher:Wiley
ISSN:0964-2633
ISSN (Online):1365-2788
Published Online:30 September 2020
Copyright Holders:Copyright © 2020 The Authors
First Published:First published in Journal of Intellectual Disability Research 64(12): 980-986
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
173890Poor oral health in adults with intellectual disabilities and its determinants: Secondary analysis of linked administrative and health recordsDeborah KinnearBaily Thomas Charitable Fund (BAILYTHO)TRUST/4378-7248HW - Mental Health and Wellbeing