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Published on: August 25, 2014
Readiness for Dental Care in Neurodevelopmental Disorders: A Systematic Review and Meta-Analysis
Tadashi Ogasawara1, Kahori Suzuki2, Hisano Tozawa3
1Yokosuna Dental Clinic, Shimizu-ku, Shizuoka-shi, Shizuoka-ken, Japan.
Summary
Assessing developmental age and activities-of-daily-living (ADL) independence helps predict dental readiness in individuals with neurodevelopmental disorders. This evaluation guides dental care decisions for better patient outcomes.
Area of Science:
- Neurodevelopmental Disorders
- Pediatric Dentistry
- Behavioral Health
Background:
- Individuals with neurodevelopmental disorders often face challenges receiving dental care.
- Dental readiness, encompassing developmental stage and experience, is crucial for successful treatment.
- Assessing readiness proactively can optimize dental care delivery.
Purpose of the Study:
- To conduct a meta-analysis on dental readiness in individuals with neurodevelopmental disorders.
- To evaluate the effectiveness of pre-treatment readiness assessments.
- To identify key indicators for predicting dental readiness.
Main Methods:
- Systematic literature search across major databases (PubMed, Cochrane Library, ICHUSHI).
- Risk of bias assessment using ROBINS-I tool.
- Meta-analysis of 22 included studies (19 cross-sectional) using Easy R (EZR).
Main Results:
- A significant pooled odds ratio of 12.55 (95% CI: 10.66-14.78) was found.
- Developmental age and activities-of-daily-living (ADL) independence emerged as significant predictors.
- Low evidence level due to study heterogeneity and limited randomized controlled trials.
Conclusions:
- Developmental age and ADL independence are valuable indicators for predicting dental readiness.
- Readiness assessment informs decisions on behavioral management, need for assistance, and oral hygiene strategies.
- This approach supports tailored dental care for individuals with neurodevelopmental disorders.
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