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Dental procedures in children with or without intellectual disability and autism spectrum disorder in a hospital setting
journal contributionposted on 2023-02-20, 01:39 authored by S Azimi, K Wong, YYL Lai, J Bourke, M Junaid, J Jones, D Pritchard, Hanny CalacheHanny Calache, J Winters, L Slack-Smith, H Leonard
Background: This population-based cohort study investigated dental procedures in the hospital setting in Western Australian children with or without intellectual disability (ID) and/or autism spectrum disorder (ASD) aged up to 18 years. Considering previously reported disparities in dental disease between Indigenous and non-Indigenous Australian children, this study also investigated the effect of Indigenous status on dental procedures. Methods: Data on Western Australian live births from 1983 to 2010 from the Midwives Notification System were linked to the Intellectual Disability Exploring Answers database and the Hospital Morbidity Data collection. Primary admissions for relevant dental diagnoses were identified, and treatment procedures for dental hospitalization were investigated. Descriptive statistics and Pearson’s chi-squared test of independence were used for analysis. Results: Overall, 76 065 episodes of dental hospitalization were recorded. Amongst children with ID and/or ASD, Indigenous children experienced more extractions and fewer restorations (68.7% and 16.2%) compared to non-Indigenous children (51.5% and 25.9%). After 6 years, extraction occurred less often in children with ID and/or ASD than in those without, where most surgical dental extractions were in the age group of 13–18 years. Conclusions: This study indicates a need for further improvements in access to dental services and the quality of care provided in hospitals for children with ID/ASD. There is also concern that more vulnerable Indigenous and all disadvantaged children are receiving an inadequate level of dental services resulting in more emergency dental hospitalization and invasive treatment.
JournalAustralian Dental Journal
Publication classificationC1 Refereed article in a scholarly journal
Science & TechnologyLife Sciences & BiomedicineDentistry, Oral Surgery & MedicineAutism spectrum disorderchild healthdata linkagedental diseaseintellectual disabilityGENERAL-ANESTHESIAORAL-HEALTHINDIGENOUS CHILDRENCARE DENTISTRYNEEDSADMISSIONSDIAGNOSISChildHumansAgedAdolescentAutism Spectrum DisorderIntellectual DisabilityCohort StudiesAustraliaHospitalsDentistryClinical ResearchMental HealthBrain DisordersAutismBehavioral and Social SciencePediatricPediatric Research InitiativeDental/Oral and Craniofacial DiseaseIntellectual and Developmental Disabilities (IDD)8 Health and social care services research8.1 Organisation and delivery of servicesMental health4 Quality EducationPublic Health and Health Services not elsewhere classifiedDentistry not elsewhere classifiedClinical Sciences not elsewhere classified