Oral Health of Individuals with Down Syndrome in Karachi, Pakistan (original) (raw)

Dental caries prevalence and treatment needs of Down syndrome children in Chennai, India

Indian Journal of Dental Research, 2008

To assess the prevalence of caries and the treatment needs of Down syndrome children in the Indian city of Chennai. Materials and Methods: Among the130 Down syndrome children examined, only the children aged ≤15 years were included in the study (n = 102). There were 57 male and 45 female children in the total study sample. A specially prepared case record was used to record the findings for each child. The dentition status and the treatment needs required were recorded. Comparisons of the findings were done based on age and gender distribution. Results: Twenty-nine per cent of the total sample of Down syndrome children was found to be caries-free. Extraction (in 38 children) and one-surface filling (in 26 children) were the most needed specific treatments for primary and permanent teeth, respectively. Oral prophylaxis (99%) was the most required treatment in the overall treatment category. Conclusions: Contrary to the findings of earlier studies, the percentage of caries-free Down syndrome children was found to be lower in our study. However, their basic needs like oral prophylaxis, restorations and extractions remain the same and can be easily fulfilled by an efficient, community-based dental team.

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.

The prevalence of caries, def-t, and DMF-T index of children with Down Syndrome aged 6-14 years old

Padjadjaran Journal of Dentistry, 2012

Down syndrome is a common genetic disorder also known as Trisomy 21. There are special orofacial features of children with Down syndrome in contrast to normal children. The increasing occurrence of dental caries in Down syndrome children may be caused by the exposure towards cariogenic foods nowadays. This research was aimed to determine the prevalence of caries, def-t, and DMF-T index of 6-14 years old children with Down syndrome at Bandung in 2011. This study was a descriptive study with the surveying technique. The population of this research was the Down syndrome students of Special School (SLB) in Bandung City region with the age range of 6-14 years old. The Special Schools participated in this study were Muhammadiyah Special School; YPLB C-Special School; Asih Manunggal C- Special School; Terate S-Special School; Aditya Grahita BC-Special School; and YPLB Cipaganti BC-Special School. The sample of this research was 30 students. The caries prevalence, def-t, and DMF-T index of ...

Oral diseases prevalence and co-morbid factors among children with down syndrome, Gezira State, Sudan

International Research Journal of Medicine and Medical Sciences, 2015

Down syndrome (DS) is congenital chromosomal disorder syndrome, (Trisomy 21) characterized by mental deficiency and growth retardation. The dental caries and gingivitis are noticed to be more common among this group of patients, associated with reduced resistance to infections. This study aims to assess the prevalence of oral diseases, poor oral hygiene and associated factors, among children with trisomy 21. This cross sectional facility-based study was conducted in Medani School for children with special needs, in central Sudan. The total number recruited was 93 special-needs school pupils. Cases with trisomy 21 were 33 and all were recruited in this study. Simplified WHO basic oral health assessment tests conducted by a dentist, were used to assess; (i) DMFT (ii) calculus deposit and calculus index (Oral Hygiene Index) and (iii) Gingivitis and periodontal index. Male: female ratio was 2:1.3. Parents were mainly unskillful workers and housewives. Dental plaque was reported in 100% of cases, calculus in 26 (78.8%), gingivitis in 26 (78.8%), periodontitis in 10 (30.3%) and dental caries (100%). Delayed tooth eruption was reported in 13 (39.4%) of cases. Dental plaque index was 0.84%, calculus index was 0.55 and oral hygiene index was 1.39. This study showed a high prevalence of poor oral hygiene among children with DS. Many factors were incriminated. Raising awareness and involvement in care of oral hygiene by mothers and school staff is highly recommended

Comparison of Caries Status and Saliva Condition (pH, Buffer Capacity, Flow Rate, and Volume) among Down Syndrome and Normal Children aged 6-18 Years Old in SLB C Medan Helvetia and Medan Timur District

2018

Down Syndrome (DS) is type of mental disability caused by genetic disorder in chromosome 21. DS causes inability to maintain oral hygiene thus dental caries are commonly found in children with DS. Purpose of this research is to study the difference between caries experience and saliva condition and determine the relationship between caries experience with saliva condition in DS and normal children aged 6-18 years old in Medan Helvetia and Medan Timur district. This research was conducted in observational analytic manner with cross sectional design. Subjects were 30 DS and 30 normal children aged 6-18 years old in Medan Helvetia and Medan Timur district. Data collection was done using clinical examination based on deft/DMFT index by WHO and saliva examination using GC Saliva Check Buffer Kit. Statistical analysis showed that there were no significant differences in deft between DS and normal children, and there was a significant difference in DMFT in DS and normal children. Statistic...

DENTAL CARIES AMONG DOWN'S SYNDROME POPULATION IN SAUDI ARABIA: A SYSTEMATIC REVIEW AND META-ANALYSIS

Down's syndrome (DS) is the most common cause of hereditary intellectual impairment in humans. DS is also associated with characteristic facial features that are believed to have oral health effects. This systematic review and meta-analysis aimed to evaluate the prevalence of dental caries among the DS population in Saudi Arabia. A systematic search was conducted on PubMed, Web of Science, and Medline through Clarivate and EBSCO to identify potentially eligible publications. Rayyan QCRI analysis tool was used for duplicate detection, and study screening, whereas Review Manager (RevMan Computer program Version 5.4) the Cochrane Collaboration, 2020. was used to conduct a random-effects meta-analysis on prevalence data and DMFT scores. Data was synthesized, both, qualitatively and quantitatively (presented as forest plots). The search resulted in 267 studies, of which seven studies were included with a total population of 565. The pooled DMFT score among the DS population in Saudi Arabia is 4.88 (95% CI: 3.66-6.09), and the pooled prevalence of dental caries was 73% (95% CI: 52%-93%). High levels of heterogeneity were observed in both analyses (I 2 = 91%, and 96%, respectively). Our study reports a relatively high dental caries prevalence among the DS population in Saudi Arabia. Pooled DMFT score for permanent teeth among our study sample was higher than those reported by other meta-analyses conducted on the disease-unrestricted populations in Saudi Arabia.

Prevalence of dental caries and anterior teeth malrelation to children with Down’s syndrome in Makassar Prevalensi karies gigi dan malrelasi gigi anterior pada anak penderita sindroma Down di Makassar

Journal of Dentomaxillofacial Science, 2012

Sindroma Down merupakan kelainan genetik autosomal yang sering terjadi dan disebabkan oleh kelainan kromosom trisomi 21. Kelainan ini menyebabkan ketidakmampuan dalam segala hal, termasuk menjaga kebersihan rongga mulut sehingga masalah dalam rongga mulut tidak dapat dihindari. Tujuan penelitian ini adalah untuk mendeskripsikan prevalensi karies gigi dan malrelasi gigi anterior anak sindroma Down di Makassar. Sampel penelitian berjumlah 46 anak penderita sindroma Down yang bersekolah di empat sekolah luar biasa (SLB), yaitu SLB-C Pembina Tingkat Provinsi, SLB-C Katolik Rajawali, SLB-D Yayasan Pembinaan Anak Cacat, dan SLB Prima Karya Antang, yang telah ditentukan dengan teknik purposive sampling. Kepada setiap sampel dilakukan pemeriksaan klinis dengan pendekatan crossed-sectional. Setiap sampel dicatat kondisi karies dalam rongga mulutnya dengan indeks penilaian DMF-T, dan dinilai relasi gigi anterior secara klinis, berupa anterior openbite, crossbite, edge to edge, labioversi, crowded, dan relasi normal. Hasil penelitian menunjukkan angka prevalensi karies gigi yang cukup tinggi ditemukan pada anak sindroma Down di Makassar, yaitu sebesar 82,6% dengan nilai DMF-T rata-rata 3,69. Menurut interpretasi WHO, nilai tersebut termasuk kategori sedang. Relasi gigi anterior yang paling sering dialami adalah labioversi dengan persentase 28,27%. Disimpulkan bahwa anak penderita sindroma Down di Makassar memiliki prevalensi yang tinggi untuk mengalami karies gigi dan labioversion relation. Kata kunci: sindroma Down, karies gigi, malrelasi gigi anterior ABSTRACT This study aimed to describe the prevalence of dental caries and malrelation of anterior teeth of Down's syndrome children in the city of Makassar. The samples were 46 Down's syndrome children who attended schools for handicapped children or Sekolah Luar Biasa (SLB), namely SLB-C Pembina Tingkat Provinsi, SLB-C Catholic Rajawali, SLB-D YPAC, and SLB Prima Karya Antang, selected by purposive sampling technique. Each sample was examined clinically by crossed-sectional approach. Condition of caries was recorded with the DMF-T index. Clinical observation of anterior teeth including anterior openbite, crossbite, edge to edge, labioversion, crowded was also done. The results show that the prevalence of dental caries among the Down's syndrome children in Makassar is 82.6%, the mean of DMF-T scores is 3.69. According to the interpretation of the WHO, this belongs to moderate category. The most significant relation is labioversion as with 28.27%. Our results show that Down's syndrome children in Makassar have a high prevalence dental caries, with the most significant malrelation is labioversion.

Caries in Portuguese Down Syndrome children

Clinics

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.

The Incidence of Dental Caries in Children with Down Syndrome: A Systematic Review and Meta-Analysis

Dentistry Journal

Scientific evidence regarding the incidence of dental caries in Down syndrome (DS) patients is limited and sometimes presents divergent opinions among authors, making it difficult to reach definitive conclusions. We aimed to evaluate the caries incidence in the DS pediatric population and compare it against healthy controls. The search was performed using 4 universal databases: Cochrane, B-on, Biomed, and PubMed. The selected articles were synthesized and subsequently evaluated according to an adaptation of the Quality Assessment Checklist for Prevalence Studies risk of bias tool, and analysis charts were performed by the Risk of Bias visualization tool (ROBVIS). Statistics and graphs were performed by Open Meta Analyst and JASP software. The confounding effect on caries incidence of the following factors was evaluated through meta-regression: age, Male/Female (M/F) ratio, DMFT, dmft, and study geographic location. Overall, the incidence of caries in the DS population was 49.9%, whe...

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.