Impact of various extra-oral factors on caries experience among mentally disabled children residing in Bhopal city, central India: A cross-sectional study

Chhajed, Sonal; Bhambhani, Garima; Agarwal, Rohit; Balsaraf, Swati

doi:10.4103/0970-4388.186744

Cited by 7 publications

(3 citation statements)

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“…Several researchers have linked greater disable severity with poorer caries scores [24,34], a finding that was present in our sample but only in association with the number of decayed teeth as a separate entity. Although individuals with moderate disability had significantly more decayed teeth compared to those with mild disability, the comparison with severe disability failed to reach statistical significance, possibly because of the small sample size (severe disability comprising only 2% of the assessed sample).…”

Section: Discussionsupporting

confidence: 42%

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Diab¹,

Salameh²,

Hamadeh³

et al. 2017

JOMR

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ObjectivesTo assess the dental status of institutionalized intellectually disabled individuals in Lebanon and the role of background and behavioural determinants.Material and MethodsOral health was recorded for 652 individuals (6, 12, 15 and 35 - 44 years old) using the decayed, missing and filled teeth/decayed and filled teeth (DMFT/dft) index. Data collected was statistically analysed with statistical significance set at P = 0.05.ResultsOverall, mean DMFT index score was 5.86 (SD 6); composed of 3.64 (SD 4.05) decayed (D) teeth; 1.71 (SD 4.38) missing (M) teeth; 0.87 (SD 2.51) filled (F) teeth. DMFT was highest in adults (12.71 [SD 7.43]) and had a large component of missing (6.24 [SD 7.02]) and filled (3.31 [SD 4.56]) teeth. DMFT scores ranged between 3.5 (SD 4.44) at 6 years and 4.8 (SD 4.52) at 15 years and the decayed component was the main contributor. In multivariate analyses, governorate of residence was statistically significantly (P ≤ 0.040 and P ≤ 0.044) associated with D and DMFT, the degree of disability and caretaker educational level were statistically significantly (P = 0.009 and P = 0.008) associated with D, oral hygiene practices were statistically significantly (P ≤ 0.017; P < 0.001; P ≤ 0.017; P < 0.001) associated with D, M, F and DMFT and sugar consumption was statistically significantly (P ≤ 0.03 and P ≤ 0.019) associated with D and DMFT.ConclusionsIn Lebanon, preventive and treatment programs to improve the oral health status of institutionalized intellectually disabled subjects are needed.

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Section: Discussionsupporting

confidence: 42%

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Diab¹,

Salameh²,

Hamadeh³

et al. 2017

JOMR

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“…23 A number of different studies have investigated that children with SHCN exhibited high caries prevalence. 24,25,26,27 Ivancic Jokic et al reported a high mean DMFT among special children than healthy children. 28 Purohit and Singh reported that dental caries was more (89.8%) in children from special school as compared to control (58.6%).…”

Section: Discussionmentioning

confidence: 99%

Parental perception of oral health related quality of life and barriers to access dental care among children with intellectual needs in Kottayam, central Kerala‐A cross sectional study

Puthiyapurayil

Kumar

Syriac

et al. 2021

Special Care in Dentistry

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To evaluate the parental perception of oral health related quality of life and barriers to access dental care among children with intellectual needs. Method: This cross sectional study was conducted among randomly selected 300 parents of children aged 4-12 years with intellectual needs (mental retardation, cerebral palsy, epilepsy, autism). Data on oral health related quality of life (OHRQoL) were collected with parental-caregivers perceptions questionnaire (P-CPQ). DMFT/dmft index was used to express caries prevalence as per World Health Organisation. Chi-squared test, analysis of variance, t-test and correlation were performed. Results: Parents of children who fell in the high severity DMFT category reported higher score in all four domains of OHRQoL when compared to low severity and moderate severity. Parents of children suffering from autism had higher score in all four domain of OHRQoL (p = .000).Majority of the parents rated their children's oral health as either fair (47%) or poor (42%). Predominant barriers for access dental care were financial difficulties (35.3%), lack of knowledge about dental care (24%), transportation difficulties (15%). Conclusion:The present study revealed that higher caries prevalence has negative impact on OHRQoL of children with intellectual needs and their parents faced certain barriers for accessing dental care. K E Y W O R D Saccess to dental care, children with intellectual needs, oral health, parental perception, quality of life INTRODUCTIONChildren represent the future of our society and ensuring their health ought to be the prime concern of all. Oral © 2021 Special Care Dentistry Association and Wiley Periodicals LLC health is a key indicator of overall health and wellbeing of children especially children with special health care needs (SHCN). American Academy of Pediatric Dentistry defines children with SHCN as any physical, developmental,

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“…Chhajed és mtsai [14] Anyagi támogatás: A közlemény megírása, illetve a kapcsolódó munka anyagi támogatásban nem részesült.…”

Section: Táblázatunclassified

A szellemi fogyatékosok fogászati-szájsebészeti ellátásának múltja, jelene és remélt jövője Magyarországon

et al. 2019

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Introduction: Dental care for mentally disabled people poses a growing challenge for healthcare. In Hungary, the number of mentally disabled people needing special dental care is ca. 100 000. Aim: The aim of our retrospective analysis is to provide a summary of the demographic data and the treatment outcomes of patients with mental disorders treated at the Department of the Oral and Maxillofacial Surgery of the Semmelweis University in the past five years. Method: Dental care for patients with a severe level of mental disability can be carried out in general anaesthesia only. At Semmelweis University, in the Oral and Maxillofacial Department, 1717 mentally disabled adults received dental care during the past five years. (Patients included people with a mild, medium or severe level of mental disability, patients with Down’s syndrome, autism, epilepsy or panic disorder.) Results: The single biggest achievement seems to be the fact that the issue of acute dental care and oral surgery has basically been settled. A workable relationship has been forged with foundations and organizations dealing with the problems of these patients. It has been realized, however, that in the case of mentally disabled patients there is an enormous need for prevention and ongoing care. Conclusions: Up to now no survey has been carried out in Hungary with the aim of objectively revealing the dental care needs of these patients. Internationally, however, several surveys have been published. It can be stated on the basis of these that both caries frequency and the presence of parodontal diseases increase in correlation with age and the level of disability. Oral hygiene is insufficient, patients or their caretakers do not get proper information, only a few of them receive adequate training and they are not motivated to keep up oral health. Dental care, except for tending acute cases, is not satisfactory. For the sake of prevention, cooperation is needed with non-governmental organizations, foundations, special education teachers and psychiatrists specialized in this field. Orv Hetil. 2019; 160(35): 1380–1386.

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Impact of various extra-oral factors on caries experience among mentally disabled children residing in Bhopal city, central India: A cross-sectional study

Abstract: Dental health professionals should, therefore, be aware of the various extra-oral factors responsible for high caries experience of mentally challenged children. They should understand and provide basic treatment needs to such children.

Cited by 7 publications

References 0 publications

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Parental perception of oral health related quality of life and barriers to access dental care among children with intellectual needs in Kottayam, central Kerala‐A cross sectional study

A szellemi fogyatékosok fogászati-szájsebészeti ellátásának múltja, jelene és remélt jövője Magyarországon

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