title: Caries experience and treatment need in adults with intellectual disabilities in two German regions.
abstract: OBJECTIVE
  The aim of the study was to determine the caries experience, caries prevalence, dental treatment need and care index of adults with intellectual disabilities living in the German federal states of Baden-Württemberg and Sachsen which differ distinctly with respect to the socio-economic conditions.
  
  
  METHODS
  In 2007, legal custodians of all persons working in special day-care institutions (n=2037) were asked to give consent for dental examinations of their custodees. Some 21.9% consented. Thus, 428 persons received a dental examination in the day-care institutions.
  
  
  RESULTS
  The mean age of the participants was 35.5 years (range 18-64). Caries prevalence was 93.7% (95% CI 91.3-95.9) in Baden-Württemberg and 97.6% (95% CI 96.2-99.0) in Sachsen. All caries-free persons (n=19) were younger than 35 years. The mean DMFT of the whole sample was 12.3 (95% CI 11.6-12.9). Although DMFT values were the same in both German regions, persons from Baden-Württemberg had more missing teeth than those from Sachsen but untreated carious defects were more common in Sachsen.
  
  
  CONCLUSIONS
  Dental care for those with intellectual disabilities could be better harmonised within Germany. Furthermore, specific dental care and dental treatment strategies could be introduced in Germany in order to reduce caries prevalence and number of extracted teeth in persons with intellectual disabilities.
authors.affiliation: Department of Conservative Dentistry, University of Heidelberg, Heidelberg, Germany. andreas.schulte@med.uni-heidelberg.de
authors.forename: A G
authors.initials: AG
authors.lastname: Schulte
authors.forename: K
authors.initials: K
authors.lastname: Freyer
authors.forename: A
authors.initials: A
authors.lastname: Bissar
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D004245:DMF Index; D003730:Dental Care for Persons with Disabilities / Q000706:statistics & numerical data; D003731:Dental Caries / Q000453:epidemiology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019989:Persons with Intellectual Disabilities / Q000706:statistics & numerical data*; D015995:Prevalence; D012959:Socioeconomic Factors; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D055815:Young Adult