Dental Status and Treatment Needs of Special Needs Children in Negeri Sembilan, Malaysia (original) (raw)
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Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study
Pesquisa Brasileira em Odontopediatria e Clínica Integrada
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.
Journal of Advanced Medical and Dental Sciences Research, 2015
Aim: The study aims is to assess oral hygiene status and prevalence of dental caries among 3-14 years old specially abled children attending various special schools in Mathura district, India. Materials and Methods: An epidemiological survey was conducted to assess oral hygiene status and prevalence of dental caries among 3-14 years old specially abled children attending various special schools for specially abled in Mathura district, India. A total of 200 children which included 95 female and 105 male students were examined. According to nature of handicap, they were divided into following groups: (1) Deaf and Dumb (2) Mentally retarded(MR) (3) Down's syndrome group (4) Learning disability (LD) and (5) Complex group (children with more than one handicapping condition/disability).A survey profoma prepared with the help of WHO oral health assessment form (1997) was used, Oral hygiene status was assessed using OHI-Simplified given by (Greene and Vermilion 1964) and dental caries was recorded using DMFT/deft index. Results: Data obtained was subjected to statistical analysis using SPSS version 17. ANOVA and tukey test were employed for within and inter group comparisons respectively. Statistically highly significant differences were observed on inter group comparisons. Down's syndrome group showed the highest mean DMFT/deft and OHI-S scores followed by the complex group and MR group, while the deaf and dumb group showed the lowest scores. Statistically non-significant difference was observed for all the groups when the respective groups were compared on the basis of gender. Conclusion: There is a need for renewed collaborative efforts by the various health disciplines and social service agencies to increase access to dental services for these children.
Dental Health Status of Children and Adolescent with Special Health Care Needs
2019
The aim of this study was to assess the dental caries experience, of children and adolescent with special health care needs. The study entailed the clinical examination of 86 children and adolscent, between 6 and 19 years old, who were attending special school in Prishtina, Kosovo. The children with special health care needs were grouped in four types of disabilities: Mental Retardation, Down Syndrome, Cerebral Palsy and Autistic Disorder. DMFT index (Decayed, Missing and Filled Teeth) was used to record the dental status; only permanent dentitions was considered Carries examination were carried out in accordance with WHO criteria. The Results: showed that prevalence of caries was very high (95%), only five children were without caries. Mean DMFT for all participants was around 5.92±3.76. Level of treated teeth was very low (8%), extracted teeth was 10%, while number of decayed teeth was (82%). Cerebral Palsy group had the highest DMFT scores (7.9±4.6) compared with other types of d...
Khyber Medical University Journal, 2020
To determine the frequency and determinants of dental caries among children with special health care needs in the special needs schools of Karachi, Pakistan METHODS: This cross-sectional study was conducted among 196 children (aged 6-18 years) attending the public and private sector special-needs schools of Karachi, Pakistan. Children with mental and/or physical disability were included in the study. Prevalence of dental caries determined oral examination using the Decayed Missing Filled Teeth and Decayed Filled Teeth (DMFT/dft) index. Parental education level, oral health knowledge and household level socioeconomic status were measured through a structured questionnaire. Data were analyzed in SPSS version 20. RESULTS: The overall frequency of dental caries was 58.2% with 70.3% and 55.3% prevalence in the public and private special needs schools. The mean DMFT/dft value was 1.85±2.28. The Down syndrome group had the highest mean (DMFT/dft=2.45±2.65), followed by the group including vision impairment, autistic and cerebral palsy children. (DMFT/dft=2.05±2.51), Intellectual disability (DMFT/dft=1.70±2.01) and the deaf or hard of hearing group (DMFT/dft =1.49±2.27). Caries status was not significantly associated with gender (p=.518), socioeconomic status (p=.067), father education (p=.158) and mother education (p=.758). CONCLUSION: The frequency of dental caries was high among children with disabilities in the Karachi district of Pakistan. The most important factor in improving the oral health status of these children is the awareness of their families by continuous community oriented medical and dental education programs.
Nigerian Journal of Dental Research
Objective: To determine the prevalence of dental caries among children and young adults with disabilities attending a special needs school in Sokoto, Nigeria. Methods: This study was a descriptive cross-sectional survey among children and young adults with disabilities attending a special needs school in Sokoto, Nigeria. Data collected were the social demographic and dental caries status of the participants. Data were analysed using IBM SPSS Statistics for Windows, Version 23.0. The socio-demographic characteristics, as well as the dental caries prevalence of the participants, were determined using descriptive statistics. The results were presented in frequency tables and charts. A p-value less than 0.05 was considered significant. Results: Prevalence of caries was 35.6%. Participants with hearing impairment had the highest caries prevalence (16.5%, n= 39). The highest caries prevalence per age group was amongst the 20 years and above age group (50.0%), followed by the 6-12year old ...
Oral health in children with special needs
Vojnosanitetski pregled
Background/Aim. Due to their primary medical condition, children with special needs often display lower levels of oral hygiene, larger prevalence of caries and other oral diseases. The aim of this study was to estimate the prevalence of dental caries, oral cleanliness and presence of malocclusion in children with disabilities, as well as to evaluate eruption time of the permanent molars. Methods. Case?control study was carried out on a group of 107 children with disabilities at the Faculty of Dental Medicine, University of Belgrade, Serbia. The control group comprised of 104 healthy school children. Results. Children with disabilities had statistically higher mean [decayed missing and filled teeth ? dmft for primary DMF for permanent dentition (dmft DMFT)] values in both dentitions than children from the control group (p < 0.05). Oral cleanliness level was much lower in children with disabilities. A significantly higher percentage of Class II malocclusions and a higher tendency t...
International journal of preventive & clinical dental research, 2016
Background and objective: Children with disabilities appear to have poorer oral health than their nondisabled counterparts. The objectives of this study were to conduct a community-based oral health survey among school children with physical disabilities and to compare the findings with an age-and gender-matched sample from mainstream schools. Materials and methods: Following World Health Organization (WHO) oral health survey criteria, 103 handicapped children and 214 healthy controls were examined. Comparison of dental caries, malocclusion, and treatment needs were done using chi-square test and Student t-test (p < 0.05). Results: Both the groups had high dental caries prevalence with less decayed, missing, and filled teeth (DMFT) score. Handicapped children had more severe malocclusion then healthy controls. Conclusion: Increased oral health promotion for parents and caretakers both at primary school age and at the preschool stage to enable them to implement effective preventive regimes for their children. Any health promotion strategy for these children must include improving access to dental care and encouraging uptake of dental services.
Oral Health Survey of 6-14-Year-Old Children with Disabilities Attending Special Schools Yemen
Journal of Clinical Pediatric Dentistry, 2015
Objectives: The purpose of this study was to assess the oral health status and treatment needs of children with disabilities attending special schools in Sana’a, Yemen. Study design: This cross-sectional study involved 401 children with different disabilities aged between 6 and 14 years. Dental caries was evaluated using DMFT/dmft indices in accordance with WHO criteria. The plaque index (PI) and the gingival index (GI) were used to assess oral hygiene and gingival health, respectively. Results : The mean dmft and DMFT scores of the total population were 4.27 and 1.90 respectively, with no significant differences across gender (p>0.05). According to the type of disability, the physically disabled had the highest mean dmft of 4.68 (SD 3.30) and subjects with compound disabilities had the highest mean DMFT of 2.85 (SD 1.98). Among the disability groups, the blind had the highest PI and GI scores, and the deaf had the lowest. Majority of the children were on need for specific type o...
Oral Health Status and Dental Care of Disable Children
ENVIRO Dental Journal, 2023
Now a day's disability has becomes a great problem. But in dental care, facilities for them are very rare. For the purpose of doing something for disable children a study on oral health status and dental care of disable children was conducted in CRP, Mirpur, Bangladesh. To identify the oral health status of disable children in Dhaka city, Bangladesh. A cross sectional study to assess the oral health condition of disable children was conducted. Data were collected from 125 disable children attending in CRP, Mirpur, Dhaka, Bangladesh through purposive sampling technique. Study shows that there was very poor knowledge on brushing technique. 55% brushed their teeth like brush upper teeth from above downward, lower from below upward and side to side movement.64.8% brushed their teeth before breakfast and 17.4% before breakfast and after dinner and others brushes their tooth in other times. 60% had halitosis, and caries rate was 49%. Most of them had abnormal oral habit. 80% children had bruxism, 75% had multiple abnormal oral habit. 38.9% had mouth breathing. 63% never visit to a dentist and 20% had visit dentist when they suffered from dental pain. 12% visit dentist once a year and only 4% visited dentist for regular checkup. 34% of respondents did not follow proper oral health hygiene. They took care of their teeth by their own method. 20% informed by dental health professional, 18.4% by dentist, 1.6% by radio, 24% by television and 0.8% from printed materials. Most of the participants did not have proper hygienic knowledge as a result they did not take proper dental care. Caries rate was increased with the increase of their age because they did not brush their teeth regularly. Dental health professionals and dentist should work to aware people about oral health status and proper dental care especial program should be arranged for disable children.
International Journal of Paediatric Dentistry, 2013
Background. The dental literature is replete with reports on the oral health surveys of normal children. Relatively few data exist for the oral conditions of mentally challenged children and adolescents with multiple disabilities in India. Aim. To assess the oral hygiene practices and treatment needs among 6-12-year-old disabled children attending special schools in Chennai, India, between 2007 and 2008. Design. A cross-sectional study data were collected using WHO criteria, a questionnaire (for the parents/guardians) regarding demographic data and oral hygiene practices, medical record review, and clinical examination. Results. Among 402 disabled children, majority of the children brushed their teeth once daily (89.7%) and with assistance from the caregiver (64.4%). The utilisation of the dental services was minimal (extractions 14.4%, oral prophylaxis 1.7%, and restorations 1.7%). There was significant difference between residents and non-residents for the mean dft/DMFT. The periodontal health was comparatively better among the residents of the institutions than the non-residents (P < 0.001). Regression analysis revealed that various variables were significantly associated with dft/DMFT and Community Periodontal Index (CPI). Conclusion. 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.