Philip Philcy, Gangaraju Beulah Amulyavathi, Lim Mathew Albert Wei Ting, Armstrong Gregory, Grills Nathan
Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Nossal Institute of Global Health, The University of Melbourne, Melbourne, Australia.
Spec Care Dentist. 2025 Jan-Feb;45(1):e13067. doi: 10.1111/scd.13067. Epub 2024 Oct 7.
Individuals with intellectual and developmental disabilities (IDDs) face numerous challenges in accessing dental care. Despite difficulties, more evidence exploring difficulties among this cohort in India is needed. This study aims to conduct a scoping review of articles published in India exploring access to dental care among individuals with IDD.
We followed the Arksey O'Malley framework for scoping reviews and the PRISMA guidelines for reporting studies. Findings were analyzed based on Levesque's framework for access.
Seventeen articles were collated from five databases. The perceived need for dental care was low, and dental visits were mainly need-based and infrequent. Knowledge regarding dental care did not translate to dental visits. Patient-related barriers were cost, transportation difficulties, fear, lack of dentist skills, patient behavior, and cooperation. From the providers' perspective, most dentists were willing to treat but noted infrastructural and knowledge-based limitations.
Access to dental care was limited due to infrastructure constraints and a lack of dentist training. Caregivers and individuals with IDD did not prioritize dental health, faced communication barriers, and were afraid of dental procedures. It is important to improve preventive dental care and raise awareness among caregivers of individuals with IDD in India. Training dentists and incorporating special care dentistry into the standard dental curriculum will improve access.
智力和发育障碍（IDD）患者在获得牙科护理方面面临诸多挑战。尽管存在困难，但仍需要更多证据来探究印度这一群体所面临的困难。本研究旨在对印度发表的有关IDD患者获得牙科护理情况的文章进行范围综述。
我们遵循了用于范围综述的阿克斯西·奥马利框架以及用于报告研究的PRISMA指南。研究结果基于莱韦斯克的获得护理框架进行分析。
从五个数据库中整理出17篇文章。对牙科护理的感知需求较低，看牙主要基于需求且不频繁。关于牙科护理的知识并未转化为看牙行为。与患者相关的障碍包括费用、交通困难、恐惧、牙医技能不足、患者行为和合作问题。从提供者的角度来看，大多数牙医愿意治疗，但指出存在基础设施和知识方面的限制。
由于基础设施限制和牙医培训不足，获得牙科护理的机会有限。照顾者和IDD患者没有将口腔健康列为优先事项，面临沟通障碍，并且害怕牙科治疗程序。改善预防性牙科护理并提高印度IDD患者照顾者的认识非常重要。培训牙医并将特殊护理牙科纳入标准牙科课程将改善获得护理的机会。
