Physical and Structural Barriers to Dental Treatment Experienced by People with Motor Disabilities
Introduction: Identify physical and structural barriers for access to dental appointments for patients with motor disabilities.
Materials and methods: A descriptive study was performed on a group of 54 people with physical or motor disability between the ages of 18 and 80, who completed a questionnaire on physical barriers for access to dental clinics and structural problems that pose an obstacle to oral health care.
Results: The most frequent reasons for their last dental visit over the past year were for pain and their regular checkup, accounting for 36%. 56.7% had seen a dentist during the year. Most respondents cited lack of elevators, stair railings and ramps at dental clinics and point to problems with the height of the chair and the distance and height of the spittoon.
Conclusions: There are many physical and structural barriers at dental clinics, associated with the anthropometric space and specific parts of the dental unit, which can impede appropriate, efficient and quality dental care.
How to Cite
License
Every single author of the articles has to declare that is an original unpublished work exclusively created by them, that it has not been submitted for simultaneous evaluation by another publication and that there is no impediment of any kind for concession of the rights provided for in the contract.
In this sense, the authors committed to await the result of the evaluation by the journal Revista Nacional de Odontologia before considering its submission to another medium; in case the response by that publication is positive, additionally, the authors committed to respond for any action involving claims, plagiarism or any other kind of claim that could be made by third parties.
At the same time, the authors have to declare that they are completely in agreement with the conditions presented in their work and that they cede all patrimonial rights. These rights involve reproduction, public communication, distribution, dissemination, transformation, making it available and all forms of exploitation of the work using any medium or procedure, during the term of the legal protection of the work and in every country in the world, to the Universidad Cooperativa de Colombia Press.
Organización Mundial de la Salud. Grupo de clasificación, evaluación, encuestas y terminología. Clasificación internacional del funcionamiento, de la discapacidad y de la salud (ciddm-2). Ginebra: oms; 2001. p. 74-81.
Merry AJ, Edwards DM. Disability Part 1: Disability discrimination act (1995)-implications for dentists. Br Dent J. 2002; 193: 199-201.
Penagos LJ. Identificación de barreras físicas de acceso a las clínicas odontológicas para pacientes en condición de discapacidad física en la Universidad Antonio Nariño, sede Bogotá y propuesta de solución. [Trabajo de grado]. Bogotá: Universidad Antonio Nariño, Facultad de Odontología; 2011.
Disability Rights Commission. Change by advice, conciliation and legal enforcement. Strategic Plan 2001- 2004. Londres: Disability Rights Commission; 2004.
Colombia. Departamento Administrativo Nacional de Estadística. Boletín Censo General. Discapacidad. Bogotá: dane; 2005.
Benítez CR, Hidalgo C. Recomendaciones discapacidad, guía de orientación. Universidad de Las Palmas de Gran Canaria. Cap. 4. Discapacidad motora. [Internet] [consultado el 12 de septiembre de 2012]. Disponible en http://www.ffp.ulpgc.es/desktop/pdfs/vqJgqkTRF0jBJ7fV. pdf
Baird WO, McGrother C, Abrams KR, Dugmore C and Jackson RJ. Factors that influence the dental pattern and maintenance of oral health for people with multiple sclerosis. BR Dent J. 2007; 202: E4.
Blumenthal D. Quality of care-what is it? -part one of six. N Engl J Med. 1996; 335: 891-4.
Hennequin M, Faulks D, Roux D. Accuracy of estimation of dental treatment need in special care patients. J Dent. 2000; 28(2): 131-6.
Lawthers AG, Pransky GS, Peterson LE, Himmelstein JH. Rethinking quality in the context of persons with disability. Int J Qual Health C. 2003; 15(4): 287-99.
Maestre C. The use of general anesthesia for tooth extraction in young handicapped adults in France. Br Dent J. 1996; 180: 297-302.
Welner SL, Foley CC, Nosek MA, Holmes A. Practical considerations in the performance of physical examinations on women with disabilities. Obstet Gynecol Surv. 1999; 54: 457-62.
Cumella S, Rasford N, Lyons J, Burnham H. Needs for oral care among people with intellectual disability not in contact with community dental services. J Intellect Disabil Res. 2000; 44: 45-52.
Pradhan A, Slade G, Spencer A. Access to dental care among adults with physical and intellectual disabilities: residence factors. Aus Dent J. 2009; 54(3): 204-11.
Organización Mundial de la Salud. Organización Panamericana de la Salud. Clasificación internacional del funcionamiento de la discapacidad y de la salud cif. Madrid: oms; 2001.
O’Donnell D. Barriers to dental treatment experienced by a group of physically handicapped adults in Hertfordshire, England. Quintessence Int. 1985; 16(3): 225-8.
Rouleau T, Harrington A, Bockenek W, Hammond F, Hirsch M, Nussbaum M et al. Receipt of dental care and barriers encountered by persons with disabilities. Spec Care Dent. 2011; 31(2): 63-7.
Bowers B, Joyce M, Esmond S. Quality care: the perspectives of individuals with physical disabilities and their caregivers. Madison, WI: University of Wisconsin- Madison; 1996.
Grabois EW, Nosek MA, Rossi CD. Accessibility of primary care physician’s offices for people with disabilities. An analysis of compliance with the Americans Disabilities Act. Arch Fam Med. 1999; 8: 44-51.
Prince JM, Manley MS and Whiteneck GG. Self-mana-ged versus agency-provided personal assistance care for individuals with high level tetraplegia. Arch Phys Med Rehabil. 1995; 76: 919-23.
