Intellectual disability and impact on oral health: a paired study

Oliveira, Juliana Santos; Júnior, Raimundo Rosendo Prado; Lima, Kássio Rafael de Sousa; Amaral, Heylane de Oliveira; Neto, José Machado Moita; Mendes, Regina Ferraz

doi:10.1111/scd.12015

Cited by 62 publications

(65 citation statements)

References 12 publications

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“…The low contribution of the filled component observed in our study is an observation that has also been reported by previous studies and may be reflective of the overall lower provision of dental treatment to the intellectually disabled than the general population (and hence the greater progression of carious lesions) and also to the tendency for extractions rather than restorations due to difficulties in the behavioural management of this population [5,25,32]. Exceptionally, in an assessment of more than 4,000 adult intellectually disabled persons in the United States, Morgan et al [6] reported very low scores for decayed teeth and a high predominance of filled teeth.…”

Section: Discussionsupporting

confidence: 85%

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: 85%

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Diab¹,

Salameh²,

Hamadeh³

et al. 2017

JOMR

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“…[14] This is consistent with many previous studies which reported poorer standard of oral hygiene and greater prevalence of periodontal diseases in DS children than their normal counterparts. [512151617181920] A multitude of factors may be involved in the increased susceptibility to gingival and periodontal diseases among individuals with DS. [21] Factors previously investigated include mental retardation, subgingival plaque composition, immune/inflammatory responses, and others.…”

Section: Discussionmentioning

confidence: 99%

Oral hygiene and gingival health status of children with Down syndrome in Yemen: A cross-sectional study

Al-Sufyani¹,

Al‐Maweri²,

Al-Ghashm³

et al. 2014

J Int Soc Prevent Communit Dent

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Purpose:The objective of the present study was to assess the oral hygiene and gingival health status among Yemeni children with Down syndrome.Materials and Methods:The study sample comprised 101 children with Down syndrome attending special needs schools in Sana’a, Yemen. The calculus index (CI), plaque index (PI), and the gingival index (GI) were used to assess oral hygiene and gingival health status.Results:All subjects had gingivitis; the mean CI, PI, and GI scores were 0.58 ± 0.61, 1.45 ± 0.57, and 1.54 ± 0.64, respectively, with no significant difference found across gender. Stepwise linear regression analysis revealed that the best predictors in the descending order for CI were age and mother's education, and the best predictors for PI were IQ level, age, and father's education. Having severe mental retardation, older age, less educated parents were the most important predictors for poor gingival health status.Conclusions:These findings show that children with Down syndrome have poor oral hygiene and high levels of periodontal diseases. Hence, appropriate oral health education should be tailored to the needs of these children with the support of their teachers and parents.

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“…[644] This phenomenon may be the result of the tendency for emergency extractions (because of delayed seeking of treatment) or due to difficulties in behavioral management during dental procedures favoring measures that are less technique sensitive such as the extraction of teeth rather than their restoration. [63345]…”

Section: Discussionmentioning

confidence: 99%

A survey of oral health in institutionalized population with intellectual disabilities: Comparison with a national oral health survey of the normal population

Diab

Hamadeh

Ayoub

2017

J Int Soc Prevent Communit Dent

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Introduction:Compared to the general population, the intellectually-disabled (ID) experience poor health and inferior access to high quality health services.Aim:To compare the oral health of institutionalized ID Lebanese individuals to that of the normal Lebanese population (NLP).Materials and Methods:Caries and periodontal indices were recorded in 652 ID individuals (aged 6, 12, 15, and 35–44 years) residing in the 5 major Lebanese governorates. The comparison population was derived from the National Oral Health Survey conducted in 1994.Results:Six-year-old ID children had an average of 3.28 decayed primary teeth, 0.22 filled primary teeth, and an overall dft score of 3.50, whereas in the general population decayed, filled, and overall dft scores were 4.90, 0.10, and 5.4, respectively. The lowest number of permanent decayed teeth in the ID was recorded in the 35–44-year-old group (3.17) and the highest in 15-year-old group (4.01). In the NLP, the number of decayed permanent teeth gradually increased from age 12 (5.14) to age 35–44 years (7.20). Caries indices were generally better in the ID than that in the NLP, except for more missing teeth in ID adults (6.24 compared to 4.98). The ID population presented with more severe periodontal disease (pocketing) whereas the NLP presented with a greater proportion with calculus.Conclusion:This study highlighted important differences in oral health and treatment needs in the ID compared than that of the NLP. Policy changes are required if adequate services are to be provided for this group of the population.

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Intellectual disability and impact on oral health: a paired study

Cited by 62 publications

References 12 publications

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Oral Health Status of Institutionalized Individuals with Intellectual Disabilities in Lebanon

Oral hygiene and gingival health status of children with Down syndrome in Yemen: A cross-sectional study

A survey of oral health in institutionalized population with intellectual disabilities: Comparison with a national oral health survey of the normal population

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