Importance of Oral Hygiene and Maintaining Oral Health in Persons With Disabilities (original) (raw)
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Characterization of oral health in a Portuguese population with mild intellectual disability
Special Care in Dentistry, 2019
This study aims to characterize the hygiene habits, the self-perception of the need for treatment and the oral condition of a population with a disability. Methods and Results: This research is part of an observational, cross-sectional epidemiological study on oral health and quality of life of people with mild intellectual disabilities living in (or attending) institutions of the Central Region of Portugal that were affiliated with HUMANITAS (Portuguese Federation for Mental Disability) in 2016. A sociodemographic and oral health questionnaire, applied on the form of an interview to 240 individuals aged between 18 and 64 years, was used. Statistical analyses were performed using SPSS version 22.0. It was verified that 32.9% of the individuals had less than 20 teeth. Only 15% of all individuals used removable prosthesis. About 21% didn't do oral hygiene daily. Only 28.4% of the sample visited the dentist in the last 6 months. Note that 75.2% of the sample stated their need for dental treatment and less than half (37.4%) described their oral condition as good or superior. Conclusion: Dental care among adults with intellectual disability is one of the most unattended health needs. Evidence suggests that inadequate oral health habits are more prevalent in the studied population than in the Portuguese population.
Oral health & preventive dentistry, 2021
PURPOSE The aim of this study was to assess the aetiological factors having an impact on the prevalence of dental caries, missing or filled teeth in a subsample of a single-centre cross-sectional study conducted among the inpatients of the National Institute of Medical Rehabilitation in Hungary. MATERIALS AND METHODS Data collection was carried out through the full mouth screening for dental caries according to World Health Organization (WHO) criteria and a questionnaire covering social background, oral hygiene routine, eating habits for all inpatients who underwent rehabilitation between May 2019 and March 2020. RESULTS The mean + standard deviation (SD) DMF-T score in the study sample of 110 physically disabled patients was 18.90 + 7.85. Factors which influenced DMF-T were age, frequency of dental visits and frequency of toothbrushing. The caries prevalence was higher than in the general Hungarian non-disabled population. CONCLUSION In the current study it was apparent that patien...
The oral health of Romanian young adults with multiple disabilities, in Bucharest, Sector 2
2007
Aim: To carry out a field study of the oral health status, and evaluate the treatment needs of subjects with multiple disabilities in a long term residential care setting “Recuperation and rehabilitee centre for persons with handicap” (CRRPH) in Bucharest, Romania. Design: All residents were included in the study. Clinical examinations were based on the World Health Organisation criteria for field studies and carried out in the dental clinic of the residential centre, in dormitories or outdoors. Oral hygiene, mineralisation disturbances, dental and periodontal status were evaluated. Results: 155 patients (85 males and 70 females) in CRRPH were examined. The average age of the residents was 21.5 years. The patient compliance was evaluated as good (99%) despite dental fear in many cases. Twenty five per cent of the residents had a full dentition, three were edentulous or only had roots remaining and seven still had their primary teeth. The results showed a mean DMFT of 6.4. The number...
Oral Health Status of Children with Disability Living in Albania
Materia Socio Medica, 2014
Introduction: This study was carried out at nine (9) special schools for disabled children in Albania. The aim of the study is to determine the caries prevalence and oral hygiene status of children with different disabilities attending different schools for disabled at Albania. Methods: Participants are grouped according disability Autistic Spectrum Disorder, Down syndrome, Cerebral Palsy, Mental Retarded, Blind, Deaf-Mute and age group (0-5, 6-10, 11-14, 15-18 years old children). Caries and oral health status were examined and assessed according WHO 1997 criteria. Results: Overall caries prevalence at permanent dentition for all groups is 85.3% and for primary dentition 72%. The mean deft index is 3.4 ± 3.5(p≤0.029), mean DMFT= 4.9±4.6 (p≤0.001) with significance difference across type of disability (Kruskal-Wallis test) for both dentition. The mean OHI-S of total population is 1.91; there is significant difference across disability type (p≤0.001, Anova test) for OHI-S index. In total 43.2 % have good, 49.4% fair and 7.4% bad oral hygiene. Conclusions: The subjects in this study had a high prevalence of dental caries, poor oral hygiene and need for restorative care.
Assessment of Oral Health among Intellectually Disabled Residing at Special Care Home in Raichur
Zenodo (CERN European Organization for Nuclear Research), 2023
Introduction: Oral health contributes to holistic health, which should be a right rather than privilege. Intellectual disability means a significantly reduced ability to understand new or complex information. To make the health services according to the needs of intellectually disabled we must first know the oral hygiene practices they follow, their diet and oral problems from their perspective. Objective: To assess the knowledge, behavior, perception and practices of intellectually disabled towards oral health. Methodology: Convenience sampling was done. Sample was taken from special care home in Raichur. A closed ended, specially designed and modified questionnaire was used. Individuals residing in Nirasritara Parihara Kendra with recognized intellectual disability were included in the study. Individuals who are not able to participate were excluded. Total sample size was 100. Results: Mean age group was 42.7. Out of 100, 36% participants thought their oral condition was poor,68% never visited dentist,80% were never aware of dentist,71% were not interested in visiting dentist and 56% said they won't be ready for treatment. Conclusion: This study concluded that there is lack of awareness about dentists in intellectually disabled people residing in special care home in Raichur. The individuals with disabilities deserve the same opportunities for dental services as those who are healthy.
2015
Introduction: Patients with special needs commonly show significant systemic and oral diseases. Objective: We carried out a survey on the oral health status from individuals with special needs of Associacao Paranaense de Reabilitacao (APR), in Curitiba, PR, Brazil. Material and methods: Clinical oral examination was performed and a specific questionnaire was applied to 87 individuals, aged from 5 to 14 years-old. Results: The mean age average was 9 yearsold, and 57.5% were males. The mean DMFT was 1.4, and 54% of the sample showed DMFT = zero. The oral health status from the studied sample was similar to that found in the same age group of the general population. Conclusion: We indicate that strategies for controlling oral health diseases tailored for this group must be stimulated, once the vulnerability is present.
Oral hygiene in 12-year-old disabled children in Flanders, Belgium, related to manual dexterity
Community Dentistry and Oral Epidemiology, 2000
As part of a larger epidemiological survey of a stratified sample of 12year-old handicapped children in Flanders, Belgium, the present study describes gingival health, gingival hypertrophy, oral cleanliness and the presence of calculus. Statistical analysis was performed with motor skills, brushing help, the use of chemical agents, the use of anti-epilectic drugs, the knowledge of parents and educators (or caregivers) and their opinion of the oral hygiene of their children/ pupils as response variables. From this study, it became clear that mildly mentally retarded and learning-impaired children had significantly better manual dexterity Key words: disabled; manual dexterity; opinion of parents and caregivers; oral skills than moderately and severely mentally retarded and physically impaired hygiene children. However, this was not reflected in improved oral hygiene. The use of Luc Martens, Dental School, Department of chemical plaque controlling agents was found to be extremely low and, with the Paediatric Dentistry and Special Care, exception of children with gingival hyperplasia, the users of these agents did not
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.
Clinical Oral Investigations, 2019
Objectives To assess the perception of oral health and oral care needs, barriers and current practices as perceived by managers and caregivers in organizations for people with disabilities in Flanders. Materials and methods Two questionnaires were developed, one for managers and one for caregivers. The questionnaires were distributed in all 570 organizations for people with disabilities in Flanders. The survey was carried out in February 2018. Results Sixty-five managers completed the questionnaire and 63 of them could be linked to 57 unique organizations (10% of the contacted organizations). Managers perceived oral health to be better (P = 0.019) and mentioned less oral health needs (P = 0.049), when collaboration with a dentist was reported. When an oral health policy had been established in their organization, oral health was also perceived to be better (P = 0.048). The responses of 91 caregivers were included for analysis and 87 of them could be linked to 39 unique organizations (7% of contacted organizations). Seventy percent and 75% of the caregivers mentioned to have enough/comprehensive theoretical knowledge and practical skills, respectively, and 46% were interested in receiving oral health education. Most interest was shown in practical education and education customized to clients' needs. In organizations with an oral health project, more caregivers indicated that the organization was open to oral health questions than in organizations without such a project (97% compared with 81%; P = 0.045). When there was a collaboration with a dentist, the organization was more open to caregivers' questions (96% compared with 72%; P = 0.004) and a clear contact point was more readily available (81% compared with 48%; P = 0.004). Furthermore, caregivers were more interested to receive oral health education (P = 0.023) and mentioned to be more aware of the oral health of their clients (P = 0.015). About 23% and 30% of the caregivers indicated that guidelines were used in their organization for cleaning natural teeth and prostheses, respectively. Conclusions Despite the low response rate to the survey and reaching the management and caregivers of only 10% and 7% of the organizations respectively, this study indicates relevant issues to be incorporated when formulating recommendations for oral health promotion in people with disabilities in Flanders. Clinical relevance The results of this survey could affect the development of strategies and interventions to ameliorate the oral health of people with disabilities.
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.