Abstract：
People with Intellectual and Developmental Disabilities (IDDs) are disproportionately vulnerable to poorer oral health due to their complex needs specifically sensory processing difficulties. This leads to increased maladaptive behaviours and psychophysiology responses of dental anxiety amplified by the overstimulating aspects of the dental environment. Although, there is a growing body of evidence to suggest that sensory adaptions are an effective strategy for individuals with IDDs in a wide range of settings, there is a lack of high-quality evidence detailing the effectiveness in a dental setting. The objective of this review is to assess the effectiveness of sensory adaptive dental environments (SADE) to reduce dental anxiety, corresponding negative behaviours and psychophysiology responses in children and young people with IDDs. The systematic review will include all Randomized Controlled Trials (RCTs) that investigate the effectiveness of SADE compared to control (no intervention), waitlist or usual care (regular dental environment) to reduce dental anxiety and the corresponding negative behaviours and psychophysiology responses in children and young people (upto the ages of 24 years) with IDDs. This review will be conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases including MEDLINE (Ovid), The Cochrane Library, Embase, Google Scholar, Web of Science and OT Seeker will be searched using appropriate keywords. Additionally, citation searching will be conducted. Screening based on titles and abstracts will be done after de-duplication, followed by full-text reading for selection based on the inclusion criteria. Data extracted from the included studies will be tabulated and assessed for risk of bias. If applicable, a meta-analysis of the pooled data will be conducted. The review is registered with PROSPERO (CRD42022322083).
摘要：
患有智力和发育障碍（IDD）的人由于其复杂的需求，特别是感官处理困难，因此口腔健康状况较差。这导致牙科焦虑症的适应不良行为和心理生理学反应增加，牙科环境的过度刺激会加剧。虽然,越来越多的证据表明，在广泛的环境中，感官适应是患有IDD的个体的有效策略，缺乏高质量的证据来详细说明牙科治疗的有效性.本综述的目的是评估感觉适应性牙科环境（SADE）减少牙科焦虑的有效性，患有IDD的儿童和年轻人的相应负面行为和心理生理学反应。系统评价将包括所有随机对照试验（RCT），调查SADE与对照（无干预）相比的有效性，等待名单或常规护理（常规牙科环境），以减少患有IDD的儿童和年轻人（24岁以上）的牙科焦虑和相应的负面行为和心理生理学反应。此审查将根据系统审查和荟萃分析（PRISMA）指南的首选报告项目进行。包括MEDLINE(Ovid)在内的数据库，科克伦图书馆,Embase,谷歌学者，将使用适当的关键字搜索WebofScience和OTSeeker。此外,将进行引文搜索。根据标题和摘要进行筛选将在重复删除后进行，然后是全文阅读，根据纳入标准进行选择。从纳入的研究中提取的数据将被制成表格并评估偏倚风险。如果适用，将对合并数据进行荟萃分析.该评论已在PROSPERO（CRD420223222083）注册。
