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Fulltext Oral health behaviours and preventive dental care experiences among patients with special health care needs at special care dentistry clinic, University of Malaya

Tay, M.J., Chow, C.Y., Ab-Murat, N., Mohamed Rohani M.

Ann Dent, 2018;25(1):23-30.
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To assess the oral health behaviour and preventive dental care experiences of patients with special health
care needs (SHCN) who attended the Special Care Dental (SCD) Clinic at University of Malaya. Data
were collected from 31 patients using a self-administered questionnaire which consisted of questions
pertaining to their oral health behaviours and experiences on receiving preventive dental care (PDC).
For patients who were unable to answer due to existing health conditions, parents or primary caregivers
were approached as proxy. Descriptive analysis was conducted and reported based on percentages to
identify the oral health behaviour and PDC of the individuals. Majority brushed their teeth at least once a
day (84%), used fluoridated toothpaste (87%) and oral hygiene aids (58%). However, almost half of them
(48%) required assistance from parents or caregivers during tooth brushing and consumed sugary snacks
in between meals (58%). About 80% had received PDC where the type of care received was mainly oral
hygiene advice (77%). Slightly more than 80% preferred the one-to-one demonstration method during
PDC. Most gave positive evaluation on their PDC experience especially on items pertaining to the dentist’s
attitude. Whilst most of the SHCN patients in this study had positive perception on the PDC that they
received and practised good brushing behaviour, their dietary habits need to be improved. Thus, regular
preventive dental visit amongst SHCN patients is important for appropriate and comprehensive dental care
in maintaining oral health.
Referral patterns of special needs patients at the Royal Dental Hospital of Melbourne, Victoria, Australia

Mohamed Rohani M, Calache H, Borromeo GL

Aust Dent J, 2017 Jun;62(2):173-179.
PMID: 27670933 DOI: 10.1111/adj.12465

BACKGROUND: Special Needs Dentistry (SND) has been recognized as a dental specialty in Australia since 2003 but there have been no studies addressing the profile of patients for specialist care. The purpose of this study is to identify, via referrals received, the profile of patients and quality of referrals at the largest public SND unit in Victoria, Australia.
METHODS: All referrals received over a 6-month period (1 January-30 June 2013) by the integrated SND unit (ISNU) were reviewed prior to allocation to the outpatient clinic (OP), domiciliary (DOM) or general anaesthetic (GA) services.
RESULTS: Six-hundred and eighty-eight referrals were received with the majority for the OP clinic (68.3%), followed by DOM (22.4%) and GA services (9.3%) (χ2 = 360.2, P
Dental students' perception on Disability Equality Training as part of the special care dentistry curriculum

Mohamed Rohani M, Mohd Nor NA

J Dent Educ, 2021 May;85(5):690-698.
PMID: 33476414 DOI: 10.1002/jdd.12528

INTRODUCTION: The Special Care Dentistry (SCD) undergraduate program increasingly aims to address student attitudes toward people with disabilities (PWD). One of the efforts made by the Faculty of Dentistry, University of Malaya (FODUM), is to introduce Disability Equality Training (DET) as part of the learning activity in the SCD curriculum. This study aimed to explore students' perception about the DET program.
METHODS: This was a qualitative research project exploring students' perception toward DET in 2 cohorts of third-year dental students from FODUM (n = 100). The reflection notes were analyzed using Luborsky's method of thematic analysis. Identification of themes was based on statements that were most frequently reported by students.
RESULTS: The majority of the students gave positive feedback for the training, which includes enhanced knowledge, attitudes, and skills about treating PWD. They also reflected that the DET improved their understanding of social and professional responsibility. In terms of learning experience, many reported that the training was useful and enjoyable. Students' suggestions for improvement included learning "sign language", visiting special needs centers, and providing simulation exercises involving real PWD.
CONCLUSION: Students' comments on the DET were positive and they enjoyed the learning experience. The findings support the continuation of DET as part of the undergraduate dental curriculum. Dental institutions seeking to implement or refine the SCD curriculum are encouraged to include DET based on its potential benefits for undergraduate students.
The evolution of special needs dentistry to special care dentistry: A Malaysian perspective

Ahmad Fisal A, Francis J, Mohamed Rohani M

Spec Care Dentist, 2023 Mar;43(2):238-239.
PMID: 35773752 DOI: 10.1111/scd.12751
Impact of the special care dentistry education on Malaysian students' attitudes, self-efficacy and intention to treat people with learning disability

Mohamed Rohani M, Ahmad Fuad N, Ahmad MS, Esa R

Eur J Dent Educ, 2022 Nov;26(4):741-749.
PMID: 34939257 DOI: 10.1111/eje.12756

INTRODUCTION: Special Care Dentistry (SCD) education has been introduced in Malaysia, but there are limited number of studies about its impact to students. Thus, this study aimed to explore the level of students' readiness to treat people with learning disability (PWLD) based on their attitudes, self-efficacy and intention to treat.
METHODS: A questionnaire was developed based on the Dental Student Attitude to the Handicapped Scale, Scale of Attitudes to the Disabled Persons and Health Action Process Approach. The self-administered, validated questionnaire was tested for reliability (Cronbach's alpha = .71-.81), before being distributed to clinical dental students of both genders from two universities (University A, n = 176 and University B, n = 175). Quantitative data were analysed via t test and ANOVA (p