John C. Berens, Baylor College of Medicine.
Loukia Tsami, Dorothea C. Lerman, and Marissa Matteucci, University of Houston-Clear Lake.
Intellect Dev Disabil. 2022 Dec 1;60(6):504-519. doi: 10.1352/1934-9556-60.6.504.
Adults with intellectual and developmental disabilities (AIDD) experience significant oral health disparities, partially due to perceived behavioral issues. This article describes the preliminary outcomes of a developing interdisciplinary (dental, medical, behavioral) program involving a behavioral intervention for AIDD previously receiving preventative dental care with sedation, general anesthesia, or protective stabilization (SAS). After a baseline assessment, a board-certified behavior analyst implemented increasingly complex behavioral interventions during simulated dental visits. Prior to COVID-19 pandemic-related restrictions, there were 32 active participants; 15 (46.9%) successfully completed a focused, real dental exam with simple behavioral interventions and 17 (53.1%) remain in treatment. These preliminary results suggest that many AIDD previously receiving SAS may participate in a preventative dental exam with minimal behavioral supports, if given the opportunity.
智障和发育障碍（AIDD）成人存在显著的口腔健康差距，部分原因是感知到的行为问题。本文描述了一个正在发展的跨学科（牙科、医疗、行为）项目的初步结果，该项目涉及对以前接受镇静、全身麻醉或保护性稳定（SAS）预防性牙科护理的 AIDD 进行行为干预。在基线评估后，一名 board-certified behavior analyst 在模拟牙科就诊期间实施了越来越复杂的行为干预。在 COVID-19 大流行相关限制之前，有 32 名活跃参与者；15 名（46.9%）成功完成了一次重点、真实的牙科检查，采用了简单的行为干预，17 名（53.1%）仍在接受治疗。这些初步结果表明，如果有机会，许多以前接受过 SAS 的 AIDD 可能会在接受最少行为支持的情况下参与预防性牙科检查。
