Characteristic of Malocclusion among Saudi Special Need Group Children

Alkhadra, Thamer

doi:10.5005/jp-journals-10024-2156

Cited by 15 publications

(25 citation statements)

References 17 publications

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“…More than half of the subjects with DS had class III malocclusion (p=0.000001). This is in line with many reported studies [27,28]. The current result reveals that there is a statically significant association between class III malocclusion and mental disability (p=0.04) when it is considered an independent subset.…”

Section: Discussionsupporting

confidence: 93%

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Alkhabuli¹,

Essa²,

Al-Zuhair³

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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Objective: To determine the oral health status along with the treatment need among Arabian children with special health care needs. Material and Methods: Fifty-seven special health care needs children aged 17 or younger, studying at RAK-RCD were recruited for the study. In addition to demographic data, the subjects were screened for the type of disability, oral health status, dental caries, occlusion abnormalities, and type of treatment required. Dental caries was recorded according to the WHO oral health survey criteria and methods. Oral hygiene status was recorded as good, fair, or poor according to the Simplified Oral Hygiene Index (S-OHI). Occlusion anomalies were categorized using Angle's classification of occlusion. Results: Fiftyfour subjects aged 3-17year old, comprising 70.4% males and 29.6% females participated in the study. There were 7 (13%) subjects in the 3-5 years age group, 23 (42.6%) in the 6-10 years age group, and 24 (44.4%) in the 11-17 years age group. Twenty-two (26%) subjects had Down Syndrome (DS), 14 (25.9%) Mental Disability, 9 (16.7%) Autism, 5 (9.3%) deafness and hearing loss and 4 (7.4%) multiple disabilities. Forty-six (85.2%) had dental caries with a mean dmft/DMFT score of (5.67± 4.69). Only eight (14.8%) were caries-free. Thirty-five (64.8%) had good oral hygiene, 25.9% fair oral hygiene and 9.3% poor oral hygiene, with statically insignificant differences across gender (p=0.43), age groups (p=0.11). Nevertheless, there was a significant difference between oral hygiene and the types of disabilities (p=0.0004). Up to 41% of the subjects required oral prophylaxis, 89% restorations, 13% extractions, 20% orthodontic treatment, and 11% dental prosthesis. Conclusion: There was a high prevalence of dental caries and periodontal diseases among the subjects. The study highly recommends the education of the children's parents and caregivers on the need for diet modification, meticulous oral hygiene, and regular dental visits. Furthermore, there is a great deal of oral health program the RAK Rehabilitation Center for Disabled need to achieve.

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Section: Discussionsupporting

confidence: 93%

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Alkhabuli¹,

Essa²,

Al-Zuhair³

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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“…Temporomandibular joint dysfunction in patients with DS was found in 77.5% of patients. 14 Malocclusion occurred in 66% of patients, 18 with the dominance of skeletal class III defects.…”

Section: Discussionmentioning

confidence: 99%

Down syndrome as a cause of abnormalities in the craniofacial region: A systematic literature review

Kaczorowska¹,

Kaczorowski²,

Laskowska³

et al. 2019

Adv Clin Exp Med

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Down syndrome (DS) is the most often diagnosed chromosomal disorder in newborns. The incidence is 1:792 live births. The article describes the irregularities and characteristics found in trisomy 21, which greatly affect the functioning of the stomatognathic system. The most significant disorders include the following: false macroglossia, muscular hypotonia and gothic palate. These abnormalities affect articulation, breathing, food intake, and swallowing. We analyzed the morphological characteristics of the craniofacial region in children with DS based on the current literature review. The following databases were used for the analysis: MEDLINE (via PubMed), Scopus, Infona, and Dentistry & Oral Sciences Source. In the course of the study, 199 pieces of literature were analyzed; the analysis also included 18 articles on children and adults with DS. It also took into account the structure of the palate, dental and skeletal defects, size of the tongue, muscular hypotonia, and temporomandibular joint dysfunction. Down syndrome is still a current subject of research. Although macroglossia, hypotonia, malocclusion, and temporomandibular joint abnormalities are not features exclusive to DS, numerous dysfunctions and parafunctions as well as retarded psychomotor development greatly complicate the treatment. Therefore, interdisciplinary treatment of patients with trisomy 21 and early treatment in the first months of life with the use of the Castillo-Morales plate are very important, as they ensure better adaptation to the subsequently used apparatus and reduce the risk of disorders of the stomatognathic system.

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“…The molar relationships were categorized as none, class I, II, or III, according to Angle classification. [13] The oral hygiene was recorded using the Turesky-Gilmore-Glickman plaque index (a modification of the Quigley-Hein plaque index). [14]…”

Section: Methodsmentioning

confidence: 99%

Survey of Torus Palatinus in Patients with End-Stage Renal Disease Undergoing Hemodialysis

Tai

Hsu

Tsai

et al. 2018

BioMed Research International

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Introduction This study attempted to survey the oral findings of hemodialysis patients and analyze the prevalence and predictors for torus palatinus (TP) in this patient population. Methods A total of 322 hemodialysis patients were recruited. Patients were organized into two groups, based on the presence (n=93) or absence (n=229) of TP. Demographic, laboratory, and dialysis-related data were obtained for analysis. Results The prevalence of TP was 28.9% in this study. Patients with TP were younger in age [57.8±10.0 (37.4-86.9) versus 62.4±12.3 (25.0-87.8) years old; P=0.001] and predominantly female (60.2% versus 38.0%; P<0.001), compared to patients without TP. All TPs (100.0%) were symmetrical and located along the midpalatal suture. Most TPs were flat-shaped (55.9%) and near premolars (78.5%). The blood tests revealed higher blood concentrations of phosphate (5.4±1.1 versus 4.9±1.1 mg/dL; P=0.001) and lower blood concentrations of bicarbonate (20.9±2.4 versus 22.0±2.3 mmol/L; P<0.001) in patients with TP. Multivariate regression modeling showed that younger age [odds ratio (OR) 0.968; 95% confidence interval (CI) 0.939–0.982; P<0.001], female gender (OR 2.305; 95% CI 1.374–3.867; P=0.002), higher blood concentration of phosphate (OR 1.411; 95% CI 1.110–1.794; P=0.005), and lower blood concentration of bicarbonate (OR 0.868; 95% CI 0.791–0.994; P=0.040) were significant predictors for TP. Conclusion The prevalence of TP is 28.9%, and the majority of patients suffering TP are female. Younger age, female gender, elevated blood concentration of phosphate, and lower blood concentration of bicarbonate are predictors for TP.

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Characteristic of Malocclusion among Saudi Special Need Group Children

Cited by 15 publications

References 17 publications

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Down syndrome as a cause of abnormalities in the craniofacial region: A systematic literature review

Survey of Torus Palatinus in Patients with End-Stage Renal Disease Undergoing Hemodialysis

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