Pediatric dentists’ perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaboration

Abstract Background The number of children diagnosed with developmental disabilities (DDs) or other chronic difficulties has risen. However, each professional’s awareness of children with developmental, emotional and behavioural difficulties may differ, allowing their special needs to be overlooked...

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Main Authors: Ayako Ide-Okochi, Hiromi Funayama, Yoshinobu Asada
Format: Article
Language:English
Published: BMC 2021-05-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-021-02711-2
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author Ayako Ide-Okochi
Hiromi Funayama
Yoshinobu Asada
author_facet Ayako Ide-Okochi
Hiromi Funayama
Yoshinobu Asada
author_sort Ayako Ide-Okochi
collection DOAJ
description Abstract Background The number of children diagnosed with developmental disabilities (DDs) or other chronic difficulties has risen. However, each professional’s awareness of children with developmental, emotional and behavioural difficulties may differ, allowing their special needs to be overlooked at child health checkups until secondary difficulties appear. Therefore, it is necessary to explore the multi-professional views of children with such chronic difficulties. This study investigates pediatric dentists’ perception of children with potential chronic difficulties. Methods Interviews were conducted with 21 pediatric dentists, and the transcripts were analyzed using grounded theory to develop categories for the theoretical assessment. Results Four themes emerged regarding the children with potential chronic difficulties: children exhibiting possible DDs with awkward social communication and interaction; severe rampant caries possibly derived from maltreatment; dental phobia possibly derived from mental health problems; a complicated home environment where their mothers exhibit poor oral health literacy. Conclusions This study’s findings imply that participants’ concept of children of concern included the risks of poor oral health and mental health problems that other healthcare professionals might overlook. It is recommended that multidisciplinary professionals engaging in child health checkups be aware of children’s oral and mental health status as well as potential DDs and child maltreatment.
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spelling doaj.art-66b0c809e82f447186a58b46b04335532022-12-21T20:40:57ZengBMCBMC Pediatrics1471-24312021-05-0121111110.1186/s12887-021-02711-2Pediatric dentists’ perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaborationAyako Ide-Okochi0Hiromi Funayama1Yoshinobu Asada2Department of Nursing, Graduate School of Health Sciences, Kumamoto UniversityDep. of Pediatric Dentistry, School of Dental Medicine, Tsurumi UniversityDep. of Pediatric Dentistry, School of Dental Medicine, Tsurumi UniversityAbstract Background The number of children diagnosed with developmental disabilities (DDs) or other chronic difficulties has risen. However, each professional’s awareness of children with developmental, emotional and behavioural difficulties may differ, allowing their special needs to be overlooked at child health checkups until secondary difficulties appear. Therefore, it is necessary to explore the multi-professional views of children with such chronic difficulties. This study investigates pediatric dentists’ perception of children with potential chronic difficulties. Methods Interviews were conducted with 21 pediatric dentists, and the transcripts were analyzed using grounded theory to develop categories for the theoretical assessment. Results Four themes emerged regarding the children with potential chronic difficulties: children exhibiting possible DDs with awkward social communication and interaction; severe rampant caries possibly derived from maltreatment; dental phobia possibly derived from mental health problems; a complicated home environment where their mothers exhibit poor oral health literacy. Conclusions This study’s findings imply that participants’ concept of children of concern included the risks of poor oral health and mental health problems that other healthcare professionals might overlook. It is recommended that multidisciplinary professionals engaging in child health checkups be aware of children’s oral and mental health status as well as potential DDs and child maltreatment.https://doi.org/10.1186/s12887-021-02711-2ASDNeglectDental phobiaHealth literacyHealth checkupMother
spellingShingle Ayako Ide-Okochi
Hiromi Funayama
Yoshinobu Asada
Pediatric dentists’ perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaboration
BMC Pediatrics
ASD
Neglect
Dental phobia
Health literacy
Health checkup
Mother
title Pediatric dentists’ perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaboration
title_full Pediatric dentists’ perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaboration
title_fullStr Pediatric dentists’ perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaboration
title_full_unstemmed Pediatric dentists’ perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaboration
title_short Pediatric dentists’ perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaboration
title_sort pediatric dentists perspectives of children with special health care needs in japan developmental disabilities phobia maltreatment and multidisciplinary collaboration
topic ASD
Neglect
Dental phobia
Health literacy
Health checkup
Mother
url https://doi.org/10.1186/s12887-021-02711-2
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AT yoshinobuasada pediatricdentistsperspectivesofchildrenwithspecialhealthcareneedsinjapandevelopmentaldisabilitiesphobiamaltreatmentandmultidisciplinarycollaboration