{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T01:05:34Z","timestamp":1789347934165,"version":"build-2803163510"},"reference-count":49,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T00:00:00Z","timestamp":1684454400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Dent"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>People with disabilities experience inferior health and poor access to good quality health services as compared with the general population. Optimum oral health is associated with improvement in the quality of life in such patients. As oral diseases are largely preventable, good oral health education can have a positive impact on individuals with disabilities. So, the aim of the study was to review the effectiveness of oral health promotion among individuals with intellectual disabilities (IDs). Seven electronic databases were searched using keywords like intellectual disability\/mental retardation\/learning disability AND dental health education\/health promotion. All records that were identified electronically from this search were subjected to a preliminary review to identify eligible papers. Identified studies were grouped into oral health promotion directed at individuals with IDs, and those aimed at caregivers of people with IDs. Interpretation of the outcomes included the effects on oral health knowledge, attitudes, and behaviors (either observed or self-reported). Eventually, 16 studies were included in the review including five studies that were randomized controlled trials, while the remaining 11 studies were pre-post single group oral health promotion studies. Critical appraisal of each study was conducted with the 21-item criteria by Kay and Locker (1997) to provide a numerical quantification and ranking of the evidence. Positive changes in the behaviors and attitudes were observed, while other studies reported a considerable improvement in the knowledge of caregivers for oral healthcare of individuals with IDs. However, such activities need to be done over a long period of time with constant monitoring.<\/jats:p>","DOI":"10.1055\/s-0043-1768151","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T22:47:33Z","timestamp":1684536453000},"page":"055-064","source":"Crossref","is-referenced-by-count":7,"title":["Oral Health Promotion among Individuals with Intellectual Disabilities: A Systematic Review"],"prefix":"10.1055","volume":"18","author":[{"given":"AlBandary Hassan","family":"AlJameel","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shabnam","family":"Gulzar","sequence":"additional","affiliation":[{"name":"Dental Specialist, Pedodontics and Preventive Dentistry, District Hospital Pulwama, Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2089-3972","authenticated-orcid":false,"given":"Megha","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Vyas Dental College and Hospital, Jodhpur, Rajasthan. India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alhassan Ali.","family":"Alshehri","sequence":"additional","affiliation":[{"name":"Dentistry Department, North of Riyadh Dental Center, Second Health Cluster, Riyadh region, Ministry of Health, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sultan A.","family":"Almalki","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry, Prince Sattam Bin AbdulAziz University, Al-kharj, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faris Y.","family":"Asiri","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Al-Ahsa, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharmeen J.","family":"Chaudhry","sequence":"additional","affiliation":[{"name":"Independent Researcher, Ohio, United States of America"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,5,19]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"42","DOI":"10.5042\/tldr.2011.0008","article-title":"Health inequalities and people with learning disabilities in the UK","volume":"16","author":"E Emerson","year":"2011","journal-title":"Tizard Learn Disabil Rev"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1192\/bjpo.bp.117.005462","article-title":"Prevalence of mental health conditions and relationship with general health in a whole-country population of people with intellectual disabilities compared with the general population","volume":"3","author":"L A Hughes-McCormack","year":"2017","journal-title":"BJPsych Open"},{"key":"ref3","first-page":"1","article-title":"Oral health-related quality of life outcomes for individuals with disabilities: a review","volume":"14","author":"A AlJameell","year":"2020","journal-title":"J Clin Diagn."},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1111\/j.1365-2788.2009.01170.x","article-title":"Social support and intellectual disabilities: a comparison between social networks of adults with intellectual disability and those with physical disability","volume":"53","author":"T Lippold","year":"2009","journal-title":"J Intellect Disabil Res"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"292","DOI":"10.3109\/13668250.2017.1409596","article-title":"Oral health status and reported oral health problems in people with intellectual disability: a literature review","volume":"44","author":"N J Wilson","year":"2019","journal-title":"J Intellect Dev Disabil"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"328","DOI":"10.5694\/j.1326-5377.2000.tb125668.x","article-title":"The health needs of people with intellectual disability","volume":"173","author":"N G Lennox","year":"2000","journal-title":"Med J Aust"},{"issue":"04","key":"ref7","first-page":"CD003406","article-title":"Behavioural and cognitive-behavioural interventions for outwardly-directed aggressive behaviour in people with intellectual disabilities","volume":"2015","author":"A Ali","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1111\/jir.12008","article-title":"Public attitudes towards intellectual disability: a multidimensional perspective","volume":"57","author":"D Morin","year":"2013","journal-title":"J Intellect Disabil Res"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"e2020025700","DOI":"10.1542\/peds.2020-025700","article-title":"Oral health among children and youth with special health care needs","volume":"148","author":"L A Lebrun-Harris","year":"2021","journal-title":"Pediatrics"},{"issue":"03","key":"ref10","first-page":"79","article-title":"Oral health status of a group at a special needs centre in AlKharj, Saudi Arabia","volume":"16","author":"A Shah","year":"2015","journal-title":"J Disabil Oral Health."},{"issue":"03","key":"ref11","first-page":"110","article-title":"Oral health knowledge and attitude among caregivers of special needs patients at a Comprehensive Rehabilitation Centre: an analytical study","volume":"8","author":"A H Shah","year":"2018","journal-title":"Ann Stomatol (Roma)"},{"issue":"02","key":"ref12","first-page":"98","article-title":"Dentists and dental students opinion regarding dental treatment of patients with special needs","volume":"20","author":"A H Shah","year":"2011","journal-title":"JPDA"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.1186\/s12889-019-7863-1","article-title":"Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review","volume":"19","author":"N J Wilson","year":"2019","journal-title":"BMC Public Health"},{"issue":"06","key":"ref14","first-page":"482","article-title":"Effectivenessof Oral Health Promotion among Teachers and Parents of Special CareSchool Children in Al-Kharj, Kingdom of Saudi Arabia","volume":"11","author":"A H Shah","year":"2020","journal-title":"World J Dent"},{"issue":"08","key":"ref15","first-page":"36","article-title":"Effectiveness of preventive oral health measures among special care school children (boys) in Al-Kharj, Saudi Arabia","volume":"14","author":"A H Shah","year":"2020","journal-title":"J Clin Diagn Res"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/NNR.0000000000000551","article-title":"Self-care capacity and its relationship to age, disability, and perceived well-being in Medicare beneficiaries","volume":"71","author":"E J Hauenstein","year":"2022","journal-title":"Nurs Res"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1352\/1934-9556-49.1.26","article-title":"Physical activity and nutrition health promotion interventions: what is working for people with intellectual disabilities?","volume":"49","author":"T Heller","year":"2011","journal-title":"Intellect Dev Disabil"},{"issue":"10","key":"ref18","first-page":"2061","article-title":"Education\/Training Interventions to Improve Oral Health of Adults with Intellectual Disability","volume":"10","author":"T Kangutkar","year":"2022"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1111\/bld.12209","article-title":"From \u201cLearning disability to intellectual disability\u201d\u2014perceptions of the increasing use of the term \u201cintellectual disability\u201d in learning disability policy, research and practice","volume":"46","author":"V Cluley","year":"2018","journal-title":"Br J Learn Disabil"},{"issue":"04","key":"ref21","doi-asserted-by":"crossref","first-page":"420","DOI":"10.5195\/jmla.2018.345","article-title":"The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review","volume":"106","author":"M B Eriksen","year":"2018","journal-title":"J Med Libr Assoc"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"105906","DOI":"10.1016\/j.ijsu.2021.105906","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"88","author":"M J Page","year":"2021","journal-title":"Int J Surg"},{"issue":"04","key":"ref23","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1111\/j.1600-0528.1996.tb00850.x","article-title":"Is dental health education effective? A systematic review of current evidence","volume":"24","author":"E Kay","year":"1996","journal-title":"Community Dent Oral Epidemiol"},{"issue":"06","key":"ref24","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1352\/0047-6765(2003)41<440:CATIOH>2.0.CO;2","article-title":"Comprehensive approach toward improving oral hygiene at a state residential facility for people with mental retardation","volume":"41","author":"S Altabet","year":"2003","journal-title":"Ment Retard"},{"issue":"02","key":"ref25","first-page":"139","article-title":"The effectiveness of differing dental health education programmes in improving the oral health of adults with mental handicaps attending Birmingham adult training centres","volume":"8","author":"M J Shaw","year":"1991","journal-title":"Community Dent Health"},{"issue":"02","key":"ref26","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1111\/cdoe.12006","article-title":"Train the trainer? A randomized controlled trial of a multi-tiered oral health education programme in community-based residential services for adults with intellectual disability","volume":"41","author":"C Mac Giolla Phadraig","year":"2013","journal-title":"Community Dent Oral Epidemiol"},{"issue":"03","key":"ref27","first-page":"205","article-title":"Improving the oral hygiene of institutionalized mentally retarded clients","volume":"74","author":"B Lange","year":"2000","journal-title":"J Dent Hyg"},{"issue":"02","key":"ref28","first-page":"193","article-title":"Dental health education: training of homecarers of mentally handicapped adults","volume":"7","author":"K W Davies","year":"1990","journal-title":"Community Dent Health"},{"issue":"02","key":"ref29","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1111\/j.1875-595X.1999.tb00513.x","article-title":"Results of oral health and hygiene education in an institution for multiple handicapped children in Indonesia","volume":"49","author":"A S Adiwoso","year":"1999","journal-title":"Int Dent J"},{"issue":"03","key":"ref30","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1111\/j.1601-5037.2009.00387.x","article-title":"Improving toothbrushing behaviour in an institution for the disabled in Lisbon, Portugal","volume":"7","author":"F Bizarra","year":"2009","journal-title":"Int J Dent Hyg"},{"issue":"05","key":"ref31","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1111\/j.1754-4505.2000.tb00020.x","article-title":"Evaluation of a long-term oral health program by carers of children and adults with intellectual disabilities","volume":"20","author":"D Faulks","year":"2000","journal-title":"Spec Care Dentist"},{"issue":"03","key":"ref32","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1352\/1934-9556-50.3.219","article-title":"Effectiveness of a caregiver education program on providing oral care to individuals with intellectual and developmental disabilities","volume":"50","author":"N A Fickert","year":"2012","journal-title":"Intellect Dev Disabil"},{"issue":"02","key":"ref33","first-page":"38","article-title":"Effect of preventive dentistry training program for caregivers in community facilities on caregiver and client behavior and client oral hygiene","volume":"72","author":"P Glassman","year":"2006","journal-title":"N Y State Dent J"},{"key":"ref34","first-page":"65","article-title":"Oral hygiene education programme for intellectually impaired students attending a special school","volume":"10","author":"K Kavvadia","year":"2009","journal-title":"J Disab Oral Health."},{"issue":"05","key":"ref35","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1111\/j.1754-4505.1982.tb00059.x","article-title":"Improvement in the oral hygiene of institutionalized mentally retarded individuals through training of direct care staff: a longitudinal study","volume":"2","author":"A B Nicolaci","year":"1982","journal-title":"Spec Care Dentist"},{"issue":"01","key":"ref36","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1111\/j.1752-7325.1974.tb00668.x","article-title":"Evaluating the effectiveness of instruction in oral hygiene for mentally retarded boys","volume":"34","author":"W E Reynolds","year":"1974","journal-title":"J Public Health Dent"},{"issue":"03","key":"ref37","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1111\/j.1754-4505.2003.tb01668.x","article-title":"Supervised toothbrushing and oral health education program in Kuwait for children and young adults with Down syndrome","volume":"23","author":"M Shyama","year":"2003","journal-title":"Spec Care Dentist"},{"issue":"05","key":"ref38","first-page":"299","article-title":"Tooth-brushing intervention programme among children with mental handicap","volume":"111","author":"E Stefanovska","year":"2010","journal-title":"Bratisl Lek Listy"},{"issue":"04","key":"ref39","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1111\/j.1754-4505.1994.tb01121.x","article-title":"A preventive dentistry training program for caretakers of persons with disabilities residing in community residential facilities","volume":"14","author":"P Glassman","year":"1994","journal-title":"Spec Care Dentist"},{"issue":"11","key":"ref40","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1111\/jir.12632","article-title":"Oral health of adults with intellectual disabilities: a systematic review","volume":"63","author":"L M Ward","year":"2019","journal-title":"J Intellect Disabil Res"},{"issue":"03","key":"ref41","first-page":"52","article-title":"Access to oral health care services among adults with learning disabilities: a scoping review","volume":"7","author":"M Naseem","year":"2017","journal-title":"Ann Stomatol (Roma)"},{"issue":"05","key":"ref42","first-page":"CD012628","article-title":"Oral hygiene interventions for people with intellectual disabilities","volume":"5","author":"C Waldron","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"issue":"07","key":"ref43","doi-asserted-by":"crossref","first-page":"e724","DOI":"10.1016\/S2214-109X(18)30265-1","article-title":"Global disability: an emerging issue","volume":"6","author":"N E Groce","year":"2018","journal-title":"Lancet Glob Health"},{"issue":"04","key":"ref44","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1007\/s00784-017-2258-0","article-title":"Global oral health status of athletes with intellectual disabilities","volume":"22","author":"L Marks","year":"2018","journal-title":"Clin Oral Investig"},{"issue":"02","key":"ref45","first-page":"21","article-title":"Impact of oral health education on the knowledge, behaviors, attitudes, and self-efficacy of caregivers for individuals with intellectual and developmental disabilities","volume":"95","author":"L M Selbera","year":"2021","journal-title":"J Dent Hyg"},{"issue":"08","key":"ref46","doi-asserted-by":"crossref","first-page":"894","DOI":"10.5005\/jp-journals-10024-3141","article-title":"Satisfaction of oral health education among parents and caregivers regarding children with special healthcare needs in Riyadh, Saudi Arabia","volume":"22","author":"A H Shah","year":"2021","journal-title":"J Contemp Dent Pract"},{"issue":"03","key":"ref47","doi-asserted-by":"crossref","first-page":"946","DOI":"10.3390\/ijerph18030946","article-title":"The effectiveness of a board game-based oral hygiene education program on oral hygiene knowledge and plaque index of adults with intellectual disability: a pilot study","volume":"18","author":"H-Y Liu","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"04","key":"ref48","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.dhjo.2011.06.003","article-title":"A randomized trial of a health promotion intervention for adults with disabilities","volume":"4","author":"W Horner-Johnson","year":"2011","journal-title":"Disabil Health J"},{"issue":"24","key":"ref49","doi-asserted-by":"crossref","first-page":"16633","DOI":"10.3390\/ijerph192416633","article-title":"Oral health status, oral health behaviors, and oral health care utilization among persons with disabilities in Saudi Arabia","volume":"19","author":"F YI Asiri","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"01","key":"ref50","first-page":"51","article-title":"Evolution of oral status in adults with intellectual and developmental disabilities: A longitudinal study","volume":"9","author":"A C Figueira","year":"2022","journal-title":"Res Pract Intell Develop Disab"}],"container-title":["European Journal of Dentistry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1768151.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:55:31Z","timestamp":1730814931000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1768151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,19]]},"references-count":49,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,3,22]]},"published-print":{"date-parts":[[2024,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1768151","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1305-7456","1305-7464"],"issn-type":[{"value":"1305-7456","type":"print"},{"value":"1305-7464","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,19]]}}}