The long-term effect of a preventive programme on caries, periodontal disease and tooth mortality in individuals with Down syndrome (original) (raw)
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Special Care in Dentistry, 1996
A comprehensive 30-month preventive dental health program in a pre-adolescent population with Down's Syndrome: A longitudinal study A comprehensive systematic preventive dental health program was implemented in a young population with Down's Syndrome during a 3 0 month period. Twenty children (nine boys and 11 girls), ages 8-13 (mean age, 11), participated in the study, which took place in three hostel-like apartments. The main goals of this program were to achieve good plaque control and subsequently prevent periodontal disease as well as to apply fissure sealants and fluorides in an attempt to prevent dental caries. The mean plaque and gingival indices as well as the percentage of bleeding sites decreased significantly (p < 0.01) following the administration of our oral health program.
The impact of periodontal disease on the quality of life of individuals with Down syndrome
Down Syndrome Research and Practice, 2000
Objective: This study aimed to determine the prevalence of periodontal disease among children and adolescents with Down syndrome and the possible repercussions of such pathology in the quality of life of the group in question. Method: The sample consists of 93 individuals with Down syndrome 6-20 years old, living in Brazil (Minas Gerais). Periodontal probing was carried out on every site of each tooth. The Plaque Index and periodontal clinical parameters were recorded. A broad interview was carried out with the mothers, which consisted of an adaptation of the Oral Health Impact File OHIP-14 that was used to measure the negative repercussions of periodontal disease in the daily lives of these individuals. Results: The prevalence of gingivitis was 91%, whereas periodontitis was found in 33% of the individuals. When the impact of periodontal disease on the quality of life was correlated with the clinical periodontal parameters, it was observed that there are significant statistical differences among them: bleeding on probing, probing depth and attachment loss. These same results, correlated with all the different groups that are categorised according to the diagnosis of periodontal disease, also show significant differences. Conclusions: Periodontal disease can be considered as a condition with high prevalence within the group in question, which has negative effects on the quality of life of the subjects. These effects are aggravated by the seriousness of the disease. Previous studies have described a high prevalence and seriousness of periodontal disease among individuals with Down syndrome [1-4]. The objective of this study was to update the epidemiological profile of periodontal disease in this segment of the population and to examine the quality of life of the individuals involved.
Evaluation of Periodontal Status in a Group of Children Affected by Down Syndrome
2019
The study aims to evaluate the level of damage of the marginal periodontium in children with Down syndrome (DS). Material and method. For de evaluation, the dental plaque index (QHI), papillary bleeding index (PBI) and clinical attachment loss(CAL) were determined, in a group of 24 subjects aged 6-16 years with DS, the values being compared to those of the control group (n = 30), aged 6-16 years, with no general diseases. Results. The values of the QHI index in the group of children with DS were 4.162vs 3.495 in the control group; the PBI papillary bleeding index recorded mean values of 3.181 in the SD vs 1.562 group in the control group, and the loss of clinical attachment was significantly increased, with the CAL recording 1.922 in the SD group versus 0.591 in the control group. Conclusions. The results emphasize the important periodontal breakdown in children with DS.
Oral hygiene, gingivitis, and periodontitis in persons with Down syndrome
Special Care in Dentistry, 2002
This study was conducted to determine and compare the prevalence, severity, and extent of gingivitis and periodontitis in patients with Down syndrome and patients who did not have Down syndrome. The authors also assessed the relationship of these conditions and compared them to the age, gender, and oral hygiene profiles in both groups. Using a case-control study design, the authors examined 32 individuals with Down syndrome (DS) and matched each with a participant from the control group (CG) according to age and gender. Researchers determined the Simplified Oral Hygiene Index, Gingival Index, and measured the level of gingival attachment for each participant. The authors found that the relationship between the presence of dental plaque and the severity of gingivitis was moderate among participants with DS. While the overall characteristics of the periodontal and gingival health status were not markedly different between the two groups, the extent and severity of gingivitis and the extent of periodontitis were greater in the group with DS than in the CG.
Comparative study between dental caries prevalence of Down syndrome children and their siblings
Special Care in Dentistry, 2013
The purpose of this epidemiological study was to determine the differences in the prevalence of caries between individuals with Down syndrome (DS) and their siblings. A sibling-matched, population-based and cross-sectional survey was performed. This study involved 138 (62%) children with DS and 86 (38%) siblings, aged 2-26. The children were compared in different subgroups: [2, 6], , and 26]. Data was gathered through the use of a complete questionnaire and clinical observation. Data analysis was performed by using SPSS ® v.18.0 software with any p value <.05 considered as significant. The DS group presented a significantly higher percentage of children within the caries-free group: 72% versus 46% of the siblings group ( p < .001). In the age gap [2, 6[the median value of DMFT was the same in both groups ( p = .918). In the age gap [6, 12] the median value of DMFT in the DS group was 0 and in the siblings group was 1 ( p = .004). In the age gap 26] the median value of DMFT in the DS group was 0, whereas in the siblings group the median value was 3, which constitutes a significantly high difference ( p = .003). The results of this study suggest that Portuguese children with DS have lower caries prevalence than their siblings.
International Journal of Dental Hygiene, 2013
Aim: The purpose of this study was to determine the influence of the place of living on periodontal status of 62 Down's syndrome (DS) subjects resident at home (DSH) or in specialized institutes (DSI) in central-eastern Italy. Methods: The demographic characteristics of the subjects and the periodontal variables were evaluated according to their living conditions. Descriptive analyses were conducted by stratifying subjects into three age groups (0-13; 14-22; >23 years), using medians and 25th-75th percentiles to summarized data. Comparisons between DSH and DSI subjects were performed using Wilcoxon rank sum test. The effect of demographic and clinical variables on periodontal status was evaluated by means of quantile regression analysis. Results: No significant differences resulted between DSH and DSI patients, when compared for gender, age and mental retardation. No significant differences were found in the periodontal variables for the subjects with 0-13 years, while DSI subjects between 14 and 22 years of age presented higher levels of plaque index, probing depth, clinical attachment loss and a lower number of surviving teeth compared to DSH subjects. When DSI and DSH groups ≥23 years of age were compared, no differences were observed in the periodontal conditions except for PI and the number of surviving teeth. Age, body mass index and severe mental retardation were found to be significant predictors of periodontal conditions. Conclusions: Institutionalization has a negative effect on surviving teeth number of Down's syndrome subjects. Furthermore, the home care seems to produce benefits on the periodontal conditions of DSH 14-22 years of age.
The Journal of Contemporary Dental Practice
Aim: The aim of this study was to assess the significance and role of physical parameters of saliva on periodontal health in children with Down syndrome (DS). Materials and methods: A comparative evaluation of physical parameters of saliva such as flow rate, viscosity, pH, quantity and buffering capacity, and buffer capacity was carried out using GC Saliva-Check Buffer kit and correlated with periodontal condition examined using community periodontal index of treatment needs (CPITN) in 40 DS subjects (group I) and 40 healthy controls (group II) aged 8-15 years. Results: Down syndrome subjects had a low resting salivary flow rate, moderately acidic saliva, very low quantity of stimulated saliva, and low buffering capacity. On correlating salivary parameters with the periodontal condition, DS subjects with CPITN code 1 had low resting salivary flow rate, normal viscosity, moderately acidic pH, very low quantity of stimulated saliva, and low buffering capacity. Down syndrome subjects with CPITN code 2 had low resting flow rate, increased viscosity, very low quantity of stimulated saliva, low buffering capacity, and moderately acidic pH. Healthy controls with CPITN code 0 had normal resting flow rate, viscosity of saliva, quantity of stimulated saliva, buffering capacity, and moderately acidic pH. Conclusion: Compared to healthy controls, DS subjects showed decreased values for resting flow rate, pH, quantity of stimulated saliva, and buffering capacity. A statistically significant correlation was observed between the physical parameters of saliva and periodontal condition in DS subjects (p < 0.05). Clinical significance: Periodontal diseases start at a very early age and periodontal health deteriorates at a faster rate in DS children for which saliva also plays its part. Prime importance should be given to frequent oral hygiene and preventive measures in DS children thus preventing accumulation of debris and plaque.
Caries in Portuguese children with Down syndrome
Clinics, 2011
OBJECTIVES: Oral health in Down syndrome children has some peculiar aspects that must be considered in the follow-up of these patients. This study focuses on characterizing the environmental and host factors associated with dental caries in Portuguese children with and without Down syndrome.