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Baumgarten A, Hilgert JB, Rech RS, et al. Association between motor proficiency and oral health in people with intellectual disabilities. J Intellect Disabil Res. 2021;65(5):489-499doi: 10.1111/jir.12828.
Baumgarten, A., Hilgert, J. B., Rech, R. S., Cunha-Cruz, J., & Goulart, B. N. G. (2021). Association between motor proficiency and oral health in people with intellectual disabilities. Journal of intellectual disability research : JIDR, 65(5), 489-499. https://doi.org/10.1111/jir.12828
Baumgarten, A, et al. "Association between motor proficiency and oral health in people with intellectual disabilities." Journal of intellectual disability research : JIDR vol. 65,5 (2021): 489-499. doi: https://doi.org/10.1111/jir.12828
Baumgarten A, Hilgert JB, Rech RS, Cunha-Cruz J, Goulart BNG. Association between motor proficiency and oral health in people with intellectual disabilities. J Intellect Disabil Res. 2021 May;65(5):489-499. doi: 10.1111/jir.12828. Epub 2021 Mar 07. PMID: 33682246.
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J Intellect Disabil Res. 2021 May;65(5):489-499. doi: 10.1111/jir.12828. Epub 2021 Mar 07.

Association between motor proficiency and oral health in people with intellectual disabilities.

Journal of intellectual disability research : JIDR

A Baumgarten, J B Hilgert, R S Rech, J Cunha-Cruz, B N G Goulart

Affiliations

  1. Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  2. Postgraduate Program in Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  3. School of Dentistry and School of Public Health, University of Washington, Seattle, WA, USA.

PMID: 33682246 DOI: 10.1111/jir.12828

Abstract

BACKGROUND: People with intellectual disabilities (IDs) may be at increased risk of developing periodontal diseases and dental caries due to poor oral hygiene. Our aim was to investigate motor proficiency factors associated with presence of visible plaque and gingival bleeding in people with IDs. We were particularly interested in the level of dependence, manual coordination and fine manual control of people with ID, as well as the level of exhaustion of the primary caregiver.

METHODS: In this cross-sectional study, 299 people with ID were evaluated for oral hygiene using the simplified Visible Plaque Index and for gum inflammation using the Gingival Bleeding Index. The Bruininks-Oseretsky Motor Proficiency Test assessed motor proficiency through fine manual control (fine motor integration and fine motor precision) and manual coordination (manual dexterity and upper limb coordination). The level of dependence was assessed by the Katz dependency index, and the caregiver was tested for exhaustion using the fatigue severity scale. Prevalence ratios [and 95% confidence intervals (CI)] were calculated using crude and adjusted Poisson regression with robust variance.

RESULTS: The exhaustion of the caregiver was associated positively to visible plaque [prevalence ratio (PR) = 1.36; 95% CI 1.06-1.65]. For gingival bleeding, people with IDs that had better fine motor integration (PR = 0.49; 95% CI 0.33-0.75) and precision (PR = 0.50; 95% CI 0.26-0.94), as well as manual dexterity (PR = 0.62, 95% CI 0.49-0.77), presented better results.

CONCLUSION: Poor oral hygiene and gum inflammation were associated with motor proficiency of people with IDs and caregivers' exhaustion. Interventions to improve the oral health of people with IDs should take into account such conditions.

© 2021 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

Keywords: caregiver exhaustion; level of dependence; motor proficiency; motor skill; oral health; people with intellectual disabilities

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