Oral health survey of 6–12‐year‐old children with disabilities attending special schools in <scp>C</scp>hennai, <scp>I</scp>ndia

Gardens, Seby J; Krishna, Mani Ram; Vellappally, Sajith; Alzoman, Hamad; Halawany, Hassan Suliman; Abraham, Nimmi Biju; Jacob, Vimal

doi:10.1111/ipd.12088

Cited by 23 publications

(26 citation statements)

References 15 publications

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“…[12][13][14] Untreated gingival disease may result in chronic inflammation-induced periodontitis, a condition commonly affecting certain groups of individuals with ID such as those with Down syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…[15] It is also similar to that reported in some lower-middleincome economies in children with ID, with the exception of Nigeria, where caries was uncommon. [14,16] Children with ID are at a higher risk of developing dental caries than the general population. [17] The type of school they attend, the diet they follow and the severity of their ID are factors that may contribute to the burden of poor oral health.…”

Section: Discussionmentioning

confidence: 99%

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Dental needs of intellectualy disabled children attending six special educational facilities in Cape Town

et al. 2016

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Objective. To assess the dental needs of a group of children with intellectual disability (ID) attending six special educational facilities in Cape Town, South Africa. Methods. This was a cross-sectional study based on a convenience sampling method. One hundred and fifty-seven children with ID attending six special educational facilities in Cape Town were included in the survey. Five schools were exclusively funded by the State and one school received additional private financial support. The oral examinations complied with guidelines drafted by Special Olympics Special Smiles programme and the Centers for Disease Control, USA. Results. The most common dental disorders requiring management were gingival disease (69%) and untreated dental caries (68%). Almost 50% of the children had missing teeth. Twenty-nine percent needed orthodontic correction of malocclusion and 7% had structural abnormalities of their teeth that required either aesthetic or functional intervention. Fillings were evident in only 8% of the children. Females required more dental treatment than males. The dental needs of children with ID increased with age. There were no significant differences in the dental needs of children attending State-funded schools and those attending the single school that received additional financial assistance. Conclusion. The frequency of unmet dental needs of children with ID attending special educational facilities in Cape Town was high and the dental care available to them was minimal. The study highlights the need for improved dental services to ensure that optimal oral health is accessible to children with ID attending special educational facilities in Cape Town.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Dental needs of intellectualy disabled children attending six special educational facilities in Cape Town

et al. 2016

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“…Apesar da necessidade de um acompanhamento odontológico adequado, a OMS (Organização Mundial da Saúde) relata que apenas 3% da população total de deficientes tem acesso aos tratamentos odontológicos. Corroborando com esta informação, estudos revelam que as crianças com comprometimento físico ou mental mais severo têm ainda menos acesso aos serviços odontológicos 2,5 . Isto ocorre devido à desinformação e à falta de comprometimento dos responsáveis, ao custo do tratamento, à presença de barreiras arquitetônicas, que dificultam o acesso aos serviços, e à ausência de capacitação profissional e grupos de estudo que discutam métodos facilitadores de prevenção e tratamento odontológico voltado para esses pacientes [5][6][7] .…”

Section: Introductionunclassified

Avaliação das condições periodontais e de higiene bucal em escolares com transtornos neuropsicomotores

Nasiloski

Silveira

Neto

et al. 2015

Rev. odontol. UNESP

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ResumoIntrodução: A doença cárie e as alterações periodontais são problemas frequentemente encontrados em pacientes com deficiência. Objetivo: Avaliar as condições periodontais e de higiene bucal em escolares com deficiência neuropsicomotora matriculados em um centro de reabilitação. Método: A pesquisa envolveu entrevista com os responsáveis e exame clínico do escolar, para registro do índice de placa e do índice de sangramento. Após o exame, foi realizada profilaxia profissional, orientação de higiene bucal e esclarecimento de dúvidas. Os dados foram observados por meio de estatística descritiva. Resultado: A amostra foi constituída por 41 escolares com deficiência neuropsicomotora, com idades entre sete e 14 anos, sendo 20 do sexo feminino (48,8%) e 21 do sexo masculino (51,2%), e com idade média de 10,8 anos. A maioria dos pacientes tinha a figura da mãe como principal cuidador (85%). Observou-se que 71% dos escolares necessitavam de ajuda para realizar a higiene bucal e quase 40% dos cuidadores apresentavam dificuldade para realizá-la, principalmente pelo fato de o paciente "não abrir a boca". Quase a totalidade dos escolares não usava fio dental. Constatou-se, ainda, que 87,2% apresentaram sangramento gengival à sondagem e que, em 84,7%, verificou-se índice de placa maior ou igual a '2' . Conclusão: Concluiu-se que os escolares com deficiência neuropsicomotora incluídos neste estudo apresentaram condições periodontais e de higiene bucal insatisfatórias, demonstrando a necessidade de serem instituídas ações preventivas focadas na orientação aos pacientes e cuidadores, para a efetividade da higiene bucal.Descritores: Higiene bucal; pessoas com deficiência; gengivite. AbstractIntroduction: Caries and periodontal disease are problems frequently affecting patients with disabilities. Objective: In this study we aim to evaluate the periodontal conditions and the oral hygiene in students with neuropsychomotor disorders enrolled in a rehabilitation center. Method: Data collect was based in interview with the responsible and the scholar's clinical exam to register the plaque index and the bleeding index. After the clinical exam were performed professional prophylaxis, oral hygiene orientation and explanation of doubts. Result: The sample consisted of 41 students with neuropsychomotor disabilities, with ages among 7 and 14 years, 20 females (48.8%) and 21 males (51.2%) with a mean age of 10.8 years. Most patients had the figure of the mother as primary caregiver (85%). It was observed that 71% of students need help in performing oral hygiene and nearly 40% of caregivers had difficulty doing it, in most of the cases because the patient "did not open his mouth". Almost the totality of the students doesn't use dental floss. It was also found that 87.2% had gingival bleeding and 84.7% had the plaque index greater or equal to 2. Conclusion: It was concluded that disabled students included in this study had bad periodontal conditions and poor oral hygiene. It shows the need of preventive programs to guide themselves and the...

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“…Studies have revealed that children with a disability have worse oral health and greater treatment needs than healthy children [4–8]. Caries and the premature loss of deciduous teeth may lead to malocclusion in the permanent dentition [9].…”

Section: Introductionmentioning

confidence: 99%

The prevalence of malocclusion and its association with dental caries among 12-18-year-old disabled adolescents

Vellappally

Gardens²,

Kheraif

et al. 2014

BMC Oral Health

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BackgroundTo assess the prevalence of malocclusion among 12-18-year-old disabled adolescents in Chennai, Tamil Nadu, India, by using the Dental Aesthetic Index (DAI) and to determine the association of malocclusion with dental caries.MethodsThis cross-sectional study included 243 children with various mental disabilities with or without physical infirmities. The Dental Aesthetic Index (DAI) and the dentition status were recorded using the World Health Organization Oral Health Surveys – Basic Methods (1997) Pro-forma. The Decayed (D), Missing (M) and Filled (F) components of the DMF index were calculated using the Dentition Status and Treatment Need (DSTN). A Chi-square test, ANOVA, and t-test were used to derive inferential statistics.ResultsThe mean DAI score ± standard deviation was 39.0 ± 12.3. A total of 123 (50.6%) participants (74 males and 49 females) had DAI scores of 36 and above, which indicated a handicapping malocclusion requiring mandatory orthodontic treatment. Sixty-nine (28.4%) adolescents (36 males and 33 females) had DAI scores between 31 and 35, which indicated severe malocclusion, for which orthodontic intervention was desirable. Incisal segment crowding (84.8%) was the most common aspect of the malocclusion. The mean DMFT score was 4.36 ± 3.81, and 82.8% of the participants had a DMFT score > 0. There was no statistically significant correlation between the mean DAI and DMFT scores (r = 0.090, p = 0.15). Only 16 (6.6%) of the adolescents had minor or no anomaly not needing orthodontic treatment.ConclusionsThe prevalence of malocclusion and dental caries was found to be high. However, there was no positive correlation between the severity of malocclusion and dental caries among the surveyed disabled adolescents.

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Oral health survey of 6–12‐year‐old children with disabilities attending special schools in Chennai, India

Abstract: This study gives sufficient evidence to suggest that the oral health status of this disabled population was poor and there was an increased unmet dental treatment needs.

Cited by 23 publications

References 15 publications

Dental needs of intellectualy disabled children attending six special educational facilities in Cape Town

Dental needs of intellectualy disabled children attending six special educational facilities in Cape Town

Avaliação das condições periodontais e de higiene bucal em escolares com transtornos neuropsicomotores

The prevalence of malocclusion and its association with dental caries among 12-18-year-old disabled adolescents

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