Adyanthaya Amith, Sreelakshmi Natta, Ismail Sajeela, Raheema Marium
Department of Pedodontics and Preventive Dentistry, KMCT Dental College, Calicut, Kerala, India.
J Indian Soc Pedod Prev Dent. 2017 Jul-Sep;35(3):216-222. doi: 10.4103/JISPPD.JISPPD_152_16.
Special children are among the underserved dental patient groups around the globe. Oral health care for disabled children remain an unmet challenge. One out of two persons with a significant disability cannot find a professional resource to provide appropriate dental care. Identification of barriers can be the first step in addressing the deficiencies in dental care for such patients.
To investigate the perception of dental practitioners in Kerala, India regarding the hurdles faced by them in providing dental care to Special Needs Children including the challenges faced by them.
149 dental professionals were interviewed through a questionnaire for their perceived barriers to provide oral health care for children with special needs.
The data was obtained and Chi-square test, Pearson correlation coefficient and logistic regression model were assessed using the SPSS version 20.0. All analyses were performed using a level of 0.05 for statistical significance.
Greatest barriers as perceived by the practitioners were their level of training and lack of motivation of caretakers. Significant association was found between experience of the dentist with the frequency with which they reported seeing children with special needs (pConclusion: Findings from this study provide a valid picture of barriers to access for children with special needs within general dental private practice system. Recommendations for amendment of undergraduate dental curriculum is made in order to equip future graduates to deal with this group of children better.
特殊儿童是全球口腔医疗服务不足的患者群体之一。为残疾儿童提供口腔保健仍然是一项尚未解决的挑战。每两个重度残疾者中就有一人找不到能提供适当口腔护理的专业资源。识别障碍可能是解决这类患者口腔护理不足问题的第一步。
调查印度喀拉拉邦的牙科从业者对他们在为特殊需求儿童提供口腔护理时所面临障碍的看法，包括他们所面临的挑战。
通过问卷调查对149名牙科专业人员进行访谈，了解他们为有特殊需求的儿童提供口腔保健时所感知到的障碍。
获取数据并使用SPSS 20.0版本评估卡方检验、皮尔逊相关系数和逻辑回归模型。所有分析均以0.05的显著性水平进行。
从业者认为最大的障碍是他们的培训水平和照顾者缺乏积极性。发现牙医的经验与他们报告见到特殊需求儿童的频率之间存在显著关联（p结论：本研究结果真实反映了普通牙科私人执业体系中特殊需求儿童获得口腔护理的障碍。为了使未来的毕业生能够更好地应对这类儿童，提出了修改本科牙科课程的建议。
