|
| Author/year | Country | Barriers |
| Physical | Nonphysical |
| Dentist’s perception | Caregiver/responsible perception | Dentist’s perception | Caregiver/responsible perception |
|
| Burtner et al. 1990 [70] | United States | — | (1) The office is not properly equipped. | — | (1) Medicaid or department of health and rehabilitation services does not pay enough
(2) The dentist is not trained to deal with patients with disabilities
(3) The patient is uncooperative
(4) The dentist is too busy with other patients |
|
| Milnes et al., 1995 [71] | Canada | — | — | (1) Cost of treatment | — |
|
| Schultz et al., 2001 [72] | United States | — | — | (1) Cost of treatment | — |
|
| Edwards et al, 2002 [73] | England | (1) Surgery on floors of buildings without elevators.
(2) Lack of home care equipment. | — | (1) Lack of time | — |
|
| Al Agili et al., 2004 [74] | United States | — | — | (1) Dentist is not willing to treat
(2) Health plan not accepted
(3) Very young child
(4) Not important care
(5) Lack of dentist’s knowledge to treat | — |
|
| De Jongh et al., 2008 [75] | Netherlands | — | — | — | (1) Communication problems
(2) Lack of funding
(3) Lack of dentist experience in treating children with mental disabilities |
|
| Koneru and Sigal, 2009 [76] | Canada | — | (1) Difficulty with physical access
(2) Factors of distance
(3) Shipping problems
(4) Inadequate dental facilities | — | (1) Factors of time
(2) Lack of perceived need
(3) Fear
(4) Cost
(5) Inadequate dental training
(6) Difficulty communicating pain |
|
| Nelson et al., 2011 [77] | United States | — | (1) Difficult to find an affordable dentist’s office for the disabled | — | (1) Difficult to take time off from work to bring child to the dentist
(2) Difficult to find dentist willing to treat child because of their medical condition
(3) Dental care is very expensive
(4) Difficult to find a child dentist nearby
(5) Difficult to travel to the dental office
(6) The dental team is anxious or nervous treating children
(7) Child is afraid of the dentist
(8) Child does not like to do anything to his mouth
(9) The child is too young to see a dentist
(10) Dad is afraid to go to the dentis
(11) The child has only recently fallen milk teeth
(12) The child has other, more urgent health care needs |
|
| Pradhan et al., 2009 [78] | Australia | — | — | — | (1) Lack of dentists with adequate skills in managing people with disabilities
(2) Cost of treatment
(3) Inconvenient location of clinic
(4) Lack of dentists willing to treat people with disabilities |
|
| Aragão et al., 2011 [79] | Brazil | — | (1) Difficulties in getting to the service due to lack of adaptation of access routes to the health unit for people with walking difficulties
(2) Difficulties in service entrance due to lack of adaptation of the building structure | — | (1) Does not have dentist in health unit
(2) Fear; the patient refuses to go
(3) Difficult to get vacancy
(4) Long service
(5) Does not like the service |
|
| Cardoso et al., 2011 [80] | Brazil | — | (1) Location
(2) Lack of structure | — | (1) Low dentist offer for special needs patients
(2) Delay in scheduling
(3) Unavailability to perform under general anesthesia
(4) Do not find the service
(5) The child has no need for care
(6) The child does not collaborate
(7) Lack of humanization of the dentist
(8) Time
(9) Lack of professional preparation |
|
| Rocha et al., 2015 [5] | Brazil | — | — | (1) They do not feel qualified to work with people with special needs due to the difficulty of clinical management of these patients
(2) Difficulties communicating with disabled patients, especially with deaf people | (1) Difficulty in receiving dental care
(2) Dentists had no special training to work with patients with disabilities |
|
| Bindal et al., 2015 [81] | Malásia | (1) Physical barriers to access your clinics
(2) There was no ground floor operating room
(3) Inaccessible bathrooms
(4) Lack of equipment | — | (1) Difficulty in managing patient behavior
(2) Communication
(3) Time restriction
(4) Lack of training
(5) Did not have adequate exposure during undergraduate dental studies for special needs | — |
|
| Dantas Cardoso, 2015 [82] | Brazil | — | — | — | (1) Lack of vacancies
(2) Professional denied attendance
(3) Does not have time available
(4) Lack of will on the part of the patient
(5) Does not have dental services near the residence
(6) High shipping cost to carry the patient |
|
| Damiance, 2016 [83] | Brazil | — | (1) Transportation | — | (1) Financial |
|
| Paulo et al., 2017 [84] | Brazil | — | (1) Location
(2) Lack of structure | — | (1) Low dentist offer for special needs patients
(2) Delay in scheduling.
(3) Unavailability to perform under general anesthesia
(4) Do not find the service
(5) The child has no need for care
(6) The child does not collaborate
(7) Lack of humanization of the dentist
(8) Time
(9) Lack of professional preparation |
|
