Status of dental care and accessibility to dental care for children with disabilities as assessed by Polish dentists – a national survey

Background
People with disabilities are characterized by increased preventive and therapeutic needs. However, this is not accompanied by an increased commitment on the part of dentists to work with this patient group. This situation is modulated by both financial and logistical factors. Managing and treating patients with diseases, congenital defects or disabilities is difficult and requires patience, empathy and an appropriate theoretical background.

Objectives
The aim of this study was to assess Polish dentists’ awareness of the state of dental care and to investigate the reasons for limited access to dental care for children with disabilities in Poland.

Material and methods
A national online survey utilized a modified Casamassimo questionnaire with 40 closed-ended questions to assess dentists’ awareness of dental care for disabled children. The results were analyzed statistically.

Results
The survey involved 328 dentists from all over Poland, including 44% dentists coming from the Mazowieckie Province. 72% of the surveyed doctors are engaged in work with disabled patients. 89% of the respondents felt that the knowledge gained during their studies was insufficient to undertake work with patients with disabilities. Three quarters of the surveyed doctors-dentists expressed willingness to participate in additional training and practical courses preparing them to treat patients with intellectual disabilities. The respondents also highlighted financial constraints and difficulties in obtaining cooperation during treatment.

Conclusions
Dentists perceive disparities in access to oral health and care between healthy and disabled patients. Educational programs are needed to enhance dentist competence, and financial support modifications are necessary for addressing these disparities.