Oral Hygiene and Periodontal Status of Visually Impaired Individuals of a Residential School in Eastern Nepal

Giri, Dhirendra Kumar; Jha, Rajkumar; Bhagat, Tarakant

doi:10.3126/jnspoi.v3i2.30882

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…Similar to our finding, one-third of intellectually disabled individuals had periodontal disease in Nepal (30.8%) [40]. However, our finding is relatively high compared with a study done in Nigeria (20.0%) [18].…”

Section: Discussionsupporting

confidence: 85%

Periodontal status of students living with disability in Amhara region, Ethiopia: a cross-sectional study

et al. 2022

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Background Periodontal disease is the most common oral health problem among individuals living with disabilities. Any physical impairment and/or mental handicap can compromise the capability to perform oral health care. Individuals with poor oral hygiene practice were prone to dental caries, periodontal disease, and upper respiratory tract infections. Despite the high prevalence of disabled people in Ethiopia, data are scarce about their periodontal status. The aim of this study was to determine the prevalence and determinant factors of periodontal disease among students living with disability in the Amhara region. Methods A school-based cross-sectional study was done on eight special needs schools in Amhara regional state from November 30, 2020, to April 10, 2021. A simple random sampling technique using a computer random generator was employed to recruit the study participants. The participants were interviewed for sociodemographic characteristics, oral hygiene practice, type of disability, and medical condition through a pre-tested semi-structured questionnaire. The periodontal status of the participants was evaluated using the community periodontal index (CPI). Data entry was done using the Epi-data and analyzed using SPSS 26. Binary logistic regression analysis was used to identify the predictors of periodontal disease at a 5% level of significance. Results A total of 443 study participants were involved with a mean age of 15.84 ± 3.882. Among these, 27.5% (95%CI 23.4–32.0) had a periodontal pocket depth of ≥ 4 mm, and 56.7% had bleeding on probing. The prevalence of periodontal disease was higher in participants with poor oral health status (52.2%), dental caries (34.8%), class-2 malocclusion (46.1%), and low monthly income (30.4%), visually impaired (30%), and mentally disorder (29.9%). Age of above 18 years (AOR = 3.41, 95%CI 1.40, 8.28), low family monthly income (AOR = 2.21; 95%CI 1.22, 4.03), malocclusion (AOR = 1.59, 95%CI 1.01, 2.54), poor oral health status (AOR = 9.41; 95%CI 4.92, 17.98), and dental caries (AOR = 1.85, 95%CI 1.21, 2.82) were independent predictors of periodontal disease. Conclusions A substantial amount of disabled school students in the study area had periodontal disease. The study found that there was a statistically significant association between age, family monthly income, malocclusion, oral health status, and dental caries with periodontal disease. The implementation of school oral health programs has a great benefit for the oral health status of disabled school students.

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Section: Discussionsupporting

confidence: 85%

Periodontal status of students living with disability in Amhara region, Ethiopia: a cross-sectional study

et al. 2022

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“…Most participants with intellectual disabilities in this study had a periodontal pocket depth of ≥4 mm (57.3%). Similar findings relating to the prevalence of a periodontal pocket depth of ≥4 mm were reported for individuals with other disabilities (61%, 49.6% and 96%) [44][45][46]. The variations in the prevalence rates for periodontal pocket depth might be due to underlying congenital or developmental anomalies, as well as the inability to receive adequate personal and professional care to maintain oral health.…”

Section: Discussionsupporting

confidence: 73%

Periodontal Health among Individuals with Intellectual Disabilities Living in a Saudi Institutional Rehabilitation Centre

Alzahrani

2024

Healthcare

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The aim of this study was to explore periodontal health among intellectually disabled individuals living in an institutional rehabilitation centre in the Al-Baha Region of Saudi Arabia. A cross-sectional study was conducted from November 2023 to January 2024. Clinical oral examinations were carried out using the World Health Organization criteria for bleeding sites and the presence of periodontal pockets. Simplified oral hygiene and community periodontal indices were employed to evaluate participants’ oral health. A total of 89 participants, comprising both males and females with intellectual disabilities, were included in this study. Gender, severity of intellectual disability, type of additional physical disability, tooth brushing habits and oral hygiene status were significantly associated with the presence of periodontal disease. Additionally, poor oral hygiene, not brushing teeth and periodontal pockets of 4–5 mm and 6 mm or more were significantly more prevalent among individuals with severe and moderate intellectual disabilities (p = 0.001, p = 0.001, p = 0.001 and p = 0.001, respectively). The prevalence of periodontal disease among the studied population was 54%. The odds of having periodontal disease were significantly higher in the severe intellectual disability group compared to the mild intellectual disability group (OR = 2.328, 95% CI = 1.430–3.631, p = 0.03). It was also found that intellectually disabled participants with additional physical disabilities suffered more from periodontal disease than those without additional physical disabilities (OR = 0.971, 95% CI = 0.235–4.023, p = 0.025). Overall, individuals with intellectual disabilities had a significant demand for periodontal care. This study highlighted the need for more organised preventive programmes for individuals with intellectual disabilities. Dentists should be vigilant about improving periodontal health, focus on preventive programmes and provide comprehensive dental care with an emphasis on periodic recall and monitoring.

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Oral Hygiene and Periodontal Status of Visually Impaired Individuals of a Residential School in Eastern Nepal

Cited by 2 publications

References 7 publications

Periodontal status of students living with disability in Amhara region, Ethiopia: a cross-sectional study

Periodontal status of students living with disability in Amhara region, Ethiopia: a cross-sectional study

Periodontal Health among Individuals with Intellectual Disabilities Living in a Saudi Institutional Rehabilitation Centre

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