The Correlation between Caries and Quality of Life of Mentally Disabled Learners (original) (raw)
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Association of Dental Caries and Oral Health Related Quality of Life (Ohrqol) in Disabled Children
PAFMJ, 2021
Objective: To assess the association of dental caries and oral health related quality of life in mentally or physical disabled children studying in schools of Karachi. Study Design: Cross sectional study. Place and Duration of Study: Public and private sector special needs schools of Karachi, from Sep to Nov 2017. Methodology: This study was conducted on 196 disabled children (mental/physical) in Karachi Pakistan. Children aged 6-18 years and having a disability was included in the study. We calculated the prevalence of dental caries through an examination of the oral cavity using the Decayed, missing and filled teeth index. Data were analyzed in SPSS version 20. Results: Dental caries was found in 114 (58.2%). “Oral symptoms” score was (4.46 ± 0.85 vs. 4.95 ± 0.79; p<0.001), “functional limitation” (4.12 ± 1.0 vs. 4.63 ± 0.82; p<0.001), “emotional wellbeing” (4.40 ± 0.92 vs. 4.97 ± 0.70; p<0.001) and “parental distress and family function” (3.65 ± 0.97 vs. 4.03 ± 0.96; p&l...
International Journal of Health Sciences, 2016
Objectives: To assess the impact of oral health outcomes on Oral Health-Related Quality of Life (OHRQoL) among intellectual disabled children and their families. Methodology: OHRQoL based study was conducted among 150 intellectual disabled children students in the North West part of the country, Rajasthan, India. Guardians were asked to complete questionnaire on socioeconomic status and the Early Childhood Oral Health Impact Scale (ECOHIS) on their perception of the children's OHRQoL. Clinical assessment included dental caries and OHI-S INDEX. Univariate regression analysis was fitted to assess covariates for the prevalence of impacts on OHRQoL. Results: 54% of the caregivers reported that their child had an impact on at least one ECOHIS item. Negative impacts were more prevalent on items related to difficulty in eating some foods, difficulty in pronouncing any words and missed preschool, day-care or school. The univariate Poisson regression analysis showed that dental caries was significantly associated with the outcome. The prevalence of any impact on OHRQoL was approximately 1.32 and 2.84 times higher for children with low and higher severity of dental caries respectively when compared with those who were free of caries. Conclusion: Patient-oriented outcomes like OHRQoL will enhance our understanding of the relationship between oral health and general health and demonstrate to clinical researchers and practitioners that improving the quality of patient's well-being go beyond simply treating dental disease and disorders.
Dental Caries Status in Mentally Challenged Children in Comparison with Normal Children
Journal of Oral Health and Community Dentistry
Aim: The aim of the study was to evaluate and compare the oral health conditions and dental caries status in disabled and healthy children. Materials and methods: Two groups of randomly selected children aged 3-12 years were examined. The first group comprised 100 children with disabilities (cerebral palsy, mental retardation, Down syndrome, autism, and hearing-speaking disorders) and the second (control) group included 100 healthy children. The examined children were selected from a normal school and from schools that take care of the disabled children. A clinical examination was performed using a mirror and probe, which revealed the presence of dental caries as well as missing (extracted) and filled teeth. All clinically detected cavitations were recorded as dental caries. The degree of oral hygiene was evaluated according to the OHI-S index values, which were determined by marking the plaque with 1% eozine solution. Results: The values of OHI-S index ranged from 3.9 to 4.56 in disabled children and from 2.84 to 2.94 in healthy children. In disabled children, the average dft values were 3.52 in deciduous teeth and 5.34 in mixed dentition. In healthy children, the average dft values were 1.53 in deciduous teeth and 5.21 in mixed dentition. The average DMFT index in disabled children was 1.51 for mixed and 6.48 for permanent dentitions. In healthy children, the average DMFT values were 1.33 in mixed and 4.84 in permanent dentition. Conclusion: In general, the results revealed a significantly poor level of oral hygiene and quite a high level of caries prevalence in disabled compared to the healthy children, accentuating the need to organize preventive care measurements and improve dental care among the disabled.
Dental Status and Treatment Needs of Special Needs Children in Negeri Sembilan, Malaysia
The aim of the study is to determine the dental status and treatment needs of special needs children in Negeri Sembilan, Malaysia and to investigate the association of caries prevalence and oral health status with sociodemographic variables. Methodology: This is a cross sectional study involving 574 special needs children aged 17 and below who attended Community-based Rehabilitation centres and special classes in the government schools. They were examined for dental caries (dmft/DMFT index of World Health Organization) and oral hygiene (Simplified Oral Hygiene Index, OHI-S of Green Vermillion). Statistical analyses include frequency, percentages, mean and standard deviation for descriptive statistics, whilst one-way ANOVA, simple and multiple logistic regressions were used for association analysis. Result: Majority of the children was mentally handicapped. Over 90% were from parents of middle and lower level educational background. The caries prevalence was 54.9% with mean dmft/DMFT of 1.03±2.13/1.22±2.23. There was no significant association between caries prevalence with parents' education and monthly household income. The only sociodemographic factor that showed significant association with caries prevalence (p<0.001) was age. The mean of OHI-S was 1.13±1.03. The oral hygiene status was inversely associated with age, parents education and monthly household income. 52.8% of the children required dental treatment. In the very young, aged 2 to 6 years, 85.2% of decayed teeth (d+D) were untreated and required some form of treatment (restoration or/and extraction). Conclusion: High caries prevalence and dental treatment needs were found among the special needs children in Negeri Sembilan. This study highlights the necessity to prioritize the service delivery to the younger age group. The findings will be useful as baseline data to enable future planning of oral health care delivery for children with disabilities.
Oral Health Status and Dental Caries Experience in Mentally Challenged Individuals
Scanning the literature reveals that in India there is little data available relating to dental health in mentally challenged. The study aims to determine prevalence of dental caries, oral health status, and periodontal needs in mentally challenged individuals of North Indian population. The cross-sectional study was conducted among patients attending a special education program at Faculty of Dentistry, JMI, and Delhi, India DMFT Index, Simplified Oral Hygiene Index (OHI-S) and CPITN index were used to evaluate caries, oral hygiene status and periodontal needs, respectively. The chisquare test was used to compare between categorical variables. Depending on the type of disability, 258 patients were classified into five groups’ mental retardation (MR), Autistic disorder (AD), Down syndrome (DS), Cerebral palsy (CP) and other. The overall prevalence of dental caries in the study population was 76%. Among the study groups, DS exhibited highest DMFT and CPITN scores. The oral health stat...
WHO STEPS-wise Approach in Assessment of Dental Caries and Children's Quality of Life in Indonesia
2018
Background: The high prevalence of dental caries is a major oral health problem in Indonesia. We aimed to determine the relationship between dental caries and quality of life in children living in rural and urban areas in Indonesia. Methods: A pilot survey was carried out with 2550 students aged 6-7 years old and 11-12 years old in rural, peri-urban and urban sites in 14 provinces in Indonesia. The pathfinder survey technique was applied. Data collected based on the WHO STEPS-wise framework using a dental examination by the WHO form (Annex 7) and quality of life questionnaire (Annex 8, Q10). Results: The prevalence dental caries among aged 6-7 and 11-12 were 88.01% and 70.27%, respectively. Children aged 6–7 years old was reported that tooth decay affected their appearance (p = 0.013), caused them to avoid smiling and laughing (p = 0.003), caused other children to make fun of their teeth (p = 0.002) and caused them to miss school hours (p = 0.005). Among 11–12 years old children, to...
Dental Caries and Quality of Life of the 8-10 Years Old Children
2019
Dental caries influence reaches 60-90% children within 8-10 years old and most of adults. Moreover, dental caries will bring toothache that is able to give any obstacles of the quality of life. This research will apply analytical observational with cross sectional approach (August, 2017). The population is children within 8-10 years old in Banyuputih Villlage, Wringin District, Bondowoso. Sampling technique is purposive (92 sample). The variables are dental caries and the quality of life. The measurement for dental caries uses index def-t, while the quality of life by using Child Perception Questionnaire 8-20 (CPQ 8-10). The data will be analyzed by using Spearman Correlation Test to know whether or not the association between dental caries and the quality of life. The result showed that the mean of dental caries is 6,01 and the mean of the quality of life is 80,79. In short, it can be said that there is correlation between dental caries and the quality of life (p=0,002) with the ne...
Influence of Different Intellectual Disability Levels on Caries and Periodontal Disease
Brazilian Dental Journal, 2016
Oral health care is fundamental to preserve the individual integrity and consequently influences the general health. This observational, cross-sectional and analytical study evaluated the oral condition of 129 intellectually disabled individuals from the Association of Parents and Friends of Exceptional Children (APAE) in three southern Brazilian cities. Dental caries (DMFT and dmft indices) and periodontal disease (PSR index) were evaluated considering the intellectual disability level. A questionnaire on socioeconomic status (income and education level) and the last visit to a dentist was answered by the subjects' parents/guardians. The data were statistically evaluated using analysis of variance (ANOVA) and Tukey test (α=0.05). The mean DMFT values were 2.27, 3.76 and 0.58 (p<0.05), and the mean dmft values were 1.48, 1.55 and 2.75, respectively for subjects with mild, moderate and severe disabilities. Regarding the PSR index, 43% of the subjects presented gingivitis witho...
Dental Journal (Majalah Kedokteran Gigi)
Background: Oral health is important for general health and quality of life. One of the oral diseases with a high prevalence in Indonesia is dental caries. Dental caries can cause limiting disturbances of daily activities such as biting, chewing, smiling and talking, and of psychosocial well-being, including development and general health of children. Purpose: This study aims to analyse the correlation of dental caries incidence rate with general health conditions and daily performance of children aged 2–5 years. Methods: This was an analytical observational cross-sectional study. The study sample was 103 pairs of children and their mothers, selected using cluster random sampling technique. Intra-oral examination was conducted on the children to obtain decay, missing, filled-teeth (DMF-T) index score. Information about oral impacts on daily performance (OIDP) of the children was collected through a questionnaire distributed to the mothers. The data obtained were statistically analys...