title: Comparison of incoming dental school patients with and without disabilities.
abstract: A survey of incoming dental school patients compared 64 adult patients (DECOD) and 73 patients without disability (ND), regarding past dental experience, current needs, and basis for selecting the school's clinics. The responses indicated that, for DECOD patients, clinic selection was based largely on Medicaid acceptance, staff experience, and inability of other dentists to manage their disability; for ND patients, selection was based on lower fee structure. Both groups expressed high treatment need, but the rate was lower for DECOD than for ND patients. More DECOD patients reported severe dental anxiety and adverse effects of dental problems on general health. Chart records revealed that clinical findings exceeded perceived need for both DECOD and ND patients. While both groups had high periodontal disease rates (91%), DECOD patients had significantly poorer oral hygiene and less restorative need than ND patients. The findings suggest differences between persons with disabilities and other patient groups in difficulty of access to dental services in the community, reasons for entering the dental school system, and in presenting treatment need and/or treatment planning.
authors.affiliation: Department of Oral Medicine, University of Washington, Seattle 98195-6370, USA.
authors.forename: D J
authors.initials: DJ
authors.lastname: Stiefel
authors.forename: E L
authors.initials: EL
authors.lastname: Truelove
authors.forename: M D
authors.initials: MD
authors.lastname: Martin
authors.forename: L S
authors.initials: LS
authors.lastname: Mandel
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003730:Dental Care for Persons with Disabilities / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data*; D003740:Dental Clinics / Q000706:statistics & numerical data*; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D012575:Schools, Dental; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires