Avaliação da higiene bucal de crianças com deficiência mental (original) (raw)
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Importance of Oral Hygiene Habits in Mentally Disabled Children
International Journal of Clinical Pediatric Dentistry, 2010
Background: The main factor related to gingival/periodontal problems in disabled individuals is the inadequacy of the plaque removal from the teeth. Motor coordination problems and muscular limitation in neuromuscularly disabled individuals along with the difficulty in understanding the importance of oral hygiene in mentally disabled individuals have resulted in the progression of inflammatory diseases. Case report: This report describes a case of cerebral palsy child who developed gingival hyperplasia due to poor oral hygiene practices which remarkably improved by proper motivation and adaptation of oral hygiene measures. Conclusion: It is important that the caretakers especially mother is informed about the importance of maintaining proper oral hygiene and the harmful effects of not doing so. It forms our duty to guide them towards maintaining good oral hygiene and thereby help in improving overall health of these children.
Dentofacial Anomalies and Oral Hygiene Status in Mentally Challenged Children: A Survey
Journal of Indian Academy of Oral Medicine and Radiology, 2011
Mentally compromised patients are found to be associated with various dentofacial anomalies. These patients have physical, mental, sensory, behavioral, cognitive, emotional and chronic medical conditions, which require health care beyond considered routine. Adequate oral cleaning in them is a task because of impaired musculature. Thus, these children are prone to various oral diseases and dentofacial anomalies that require early diagnosis and treatment. This study is carried out to know the oral hygiene status and dentofacial anomalies in mentally compromised patients with an idea of helping them to have a better oral hygiene status and treat the developed dentofacial changes on time.
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
International Journal of Clinical Dental Science, 2016
Aim: The purpose of this study was to explore the relationships between the level of functioning of children with special health care needs and oral health status. Materials and Methods: A total of 46 children in the age group of 5-15 years were examined at three di ff erent educational institutions which have di ff erent physical and mental challenges. Among these 14 children were having hearing impairment, 14 children were mentally challenged, and 18 were having visual impairment. Oral examination was done using mouth mirror and probe by a single operator. The children were examined for decayed-missing-fi lled teeth (DMFT) and gingival health index. Statistically signifi cant negative correlation was seen for the communication skills and deft scores (P = 0.01), daily living skills, and DMFT scores (P = 0.006), socialization skills, and both deft and DMFT scores (P = 0.04), and motor skills with the gingival health scores (P = 0.004). Conclusion: Caries prevalence was greater in th...
Tooth-brushing intervention programme among children with mental handicap
Bratislavské lekárske listy, 2010
For realizing our study the supervised tooth-brushing program was carried out among 100 schoolchildren at the age of 9-12 and 13-16 years with low and moderate mental handicap in Skopje. To evaluate the results of six months intervention program, concentrated on encouragement of independent manual skills, OHI levels were detected by Green-Vermillion and CPITN index levels to characterize the gingival and periodontal health. For comparative analyzes of date-base OHI levels and after six months of intervention program, we detected that the mean date-base OHI index level for mentally handicaped children are 2.46, and at the end of the program (after six months) it was 0.73. CPITN index levels at the beginning and after six months of intervention programmed for mentally handicaped children in both age groups, also confirmed r statistical significance for this examined parameter, with evident reduction of CPITN mean levels from 2.11 to 0.95. Correlation among date-base OHI levels and lev...
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.
Oral hygiene and oral status of institutionalized children with motor and intellectual disabilities
Journal of Oral Science, 2020
The oral hygiene and oral status of children with severe disabilities with both nutritional and respiratory complications who were institutionalized at Karugamonoie (KNI), a facility for children with disabilities, were investigated in this study. Their oral hygiene management was solely dependent on caregivers and nurses at the institution. Thirty children (13 females, 17 males; average age, 7.6 years) who had a tracheotomy and feeding tube (gastrostomy, nasogastric, or jejunostomy feeding tube) were included in the study. As for oral characteristics, poor control of tongue movement, anterior open-bite, abnormal strain of facial muscles, dry mouth, and swallowing dysfunction were found in 63.3%, 63.3%, 13.3%, 20.0%, and 100.0%, of the children, respectively. The mean ± standard deviation Decayed, Missing, Filled Teeth score was 0.13 ± 0.57. The Gingival Index (GI) showed that the children had mild (53.3%) to moderate (46.7%) gingivitis. The Simplified Oral Hygiene Index was excellent in 50.0% of the children, good in 23.3%, fair in 20.0%, and poor in 6.7% of the children. These indices were satisfactory in general except for GI management, which may have been hampered by abnormal oral functions and anterior open-bite. In conclusion, oral hygiene management of children with nutritional and respiratory complications at KNI was shown to be of high quality even without on-site intervention by dental specialists.
Oral Health Status of Mentally Subnormal Sample Saudi Populace–A Cross-sectional Study
World Journal of Dentistry, 2018
Aim: To assess the oral health status and oral hygiene of mentally subnormal population of Abha, Kingdom of Saudi Arabia. Materials and methods: A cross-sectional study was conducted among 300 mentally sub-normal people of Abha, Kingdom of Saudi Arabia. All the subjects who were willing to participate and were suffering from mental retardation were included in the study. Those subjects with any other medical ailment such as epilepsy, and those having any physical disability were excluded from the study. All the subjects were examined by the investigator for dental caries experience using dental caries experience using (DMFT) (WHO 1997), type of Angle's molar relation was recorded on a recording proforma for all the study participants. Subjects' plaque score was assessed using Silness P. and Loe H. Plaque Index (1964). Results: The overall prevalence of dental caries (D) found in the present study was 82.6%. On comparing the mean DMFT scores based on different plaque scores, it was found that the subjects with plaque score as 3 had the highest mean DMFT (5.5376 ± 3.02367); those subjects with least plaque score (1) had mean DMFT of 3.9677 ± 2.31862 while those subjects with no plaque had the least mean DMFT (1.9375 ± 2.01506). A statistically significant (p = 0.000) difference was found between the mean plaque scores when compared on the basis of brushing frequency. Conclusion: It was concluded that the oral health status of the mentally subnormal study population was poor with increased mean plaque scores indicating the neglect of oral hygiene maintenance and dental care and treatment by the study population. Clinical significance: Oral health of mentally disabled persons is deteriorated owing to various reasons such as social, economic, behavioral factors, the effect of medicines and also difficulty faced by caregivers in providing oral health care including oral hygiene methods. In order to appropriately explore ways and methods for adequately reducing the disease burden on the populace, dentists essentially need to know the oral health status of disabled section thereof.
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...
Dental plaque score index differences in children with mental retardation using two types toothbrush
2020
Introduction: Most of the mentally retarded children may not brush their tooth correctly. They need parents or caregivers to help and supervise the tooth brushing process to reduce the accumulation of dental plaque which may lead to oral diseases. This research was aimed to analyse the most effective toothbrush between parents’ toothbrush and regular toothbrush on children with mental retardation. Methods: This research was quasi-experimental with the blind method. Twenty-nine students with mental retardation consisted of boys and girls of YPLB Cipaganti Special Needs School-C (SLB-C) were selected with total sampling. Each individual was divided randomly and being given the parents’ toothbrush and regular toothbrush. Parents were responsible for brushing their children’s teeth during the period of the study. Plaque scoring was performed on the seventh day. The wash-out period was initiated after the seventh day for one week. Each group was given a different toothbrush from their fi...