Evidence map›Paper›PMID 31729967›Full record

ArticleBMC public health2019

Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review.

Nathan J Wilson, Zhen Lin, Amy Villarosa, Peter Lewis, Philcy Philip, Bashir Sumar, Ajesh George

Registry-linked trialOpen access · goldAbstract readScoping Review
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06063239 (Probiotics in Special Needs Patients at High Risk for Tooth Decay), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06063239 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Probiotics in Special Needs Patients at High Risk for Tooth Decay: a Randomized Controlled Trial.

TypeinterventionalSponsorG. d'Annunzio UniversityRan2023 to 2024Enrolled70ConditionsTooth Decay, Intellectual Disability, Caries,DentalArmsTest Group, Positive Control, Negative Control
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
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  5. [Utilisation Of Dental And Medical Care Among Children And Adolescents With And Without Special Support Needs].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026
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  7. Content validity of a novel instrument to measure oral health-related quality of life in intellectually disabled children.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Nathan J WilsonSchool of Nursing and Midwifery, Centre for Oral Health Outcomes & Research Translation (COHORT), Western Sydney University, Hawkesbury Campus, Locked Bag 3, Richmond, NSW, 2753, Australia. N.Wilson@westernsydney.edu.au.ORCID https://orcid.org/0000-0002-6979-2099
Zhen LinSchool of Nursing and Midwifery, Western Sydney University, Hawkesbury Campus, Locked Bag 3, Richmond, NSW, 2753, Australia.ORCID https://orcid.org/0000-0002-7701-6217
Amy VillarosaCOHORT, Western Sydney University, South Western Sydney Local Health District, Ingham Institute Applied Medical Research, Penrith, Australia.
Peter LewisSchool of Nursing and Midwifery, Western Sydney University, Hawkesbury Campus, Locked Bag 3, Richmond, NSW, 2753, Australia.
Philcy PhilipBangalore Baptist Hospital, Bellary Road, Hebbal, Bangalore, Karnataka State, 560024, India.
Bashir SumarSchool of Nursing and Midwifery, Western Sydney University, Hawkesbury Campus, Locked Bag 3, Richmond, NSW, 2753, Australia.
Ajesh GeorgeCOHORT, Western Sydney University, South Western Sydney Local Health District, Ingham Institute Applied Medical Research, Penrith, Australia.ORCID https://orcid.org/0000-0002-6795-2546
Western Sydney University · AUBangalore Baptist Hospital · INCamden and Campbelltown Hospitals · AUIngham Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with intellectual and developmental disability (IDD) have poor oral health and need support to maintain optimal oral health outcomes. Little is known about how, when and where to intervene for this population. Thus the aim of this review was to summarise the existing evidence surrounding improving oral health outcomes for people with IDD.

methodsA scoping literature review was conducted focusing on 'oral health' and 'intellectual disability'. Systematic searches of five electronic databases were conducted in line with the study aims and two authors independently examined all records for relevance, with consensus achieved by a third author.

resultsA small number of approaches and interventions were identified to support people with IDD to independently maintain optimal oral hygiene. Identified studies highlighted that caregivers play a vital role in the provision of oral health support, emphasising the effectiveness of educational interventions for caregivers. However, there was uncertainty regarding the efficacy of specific tooth brushing interventions for people with IDD. In cases of more severe IDD and/or dental-related behavioural problems, dental treatment under general anaesthesia was often both a necessary and effective method of oral health care provision. The findings also identified outreach and exclusive oral health services as successful strategies for increasing the limited access of people with IDD to oral care services.

conclusionsA uniform approach to supporting oral health for people with IDD is unlikely to succeed. A system-based approach is needed to address the diverse needs of the population of people with IDD, their caregivers and service context. Further high quality evidence is required to confirm these findings.

Indexed as

Developmental DisabilitiesHealth StatusIntellectual DisabilityOral HealthCaregiversHumansOral HygieneToothbrushingDental interventionsGenderHealth disparitiesIntellectual disabilityNursingOral health

Identifiers

PMID31729967
PMCPMC6858643
OpenAlexW2988273263

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.