Oral health evaluation in special needs individuals

Pini, Danielle de Moraes; Fröhlich, Paula Cristina Gil Ritter; Rigo, Lilian

doi:10.1590/s1679-45082016ao3712

Cited by 52 publications

(50 citation statements)

References 8 publications

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“…This could be attributed to uncoordinated chewing in some conditions, difficulty in performing efficient toothbrushing, fermentable diet intake, xerostomia related to medicine, intake of flavored medications, crowding of teeth and related gingival hyperplasia [20]. The high caries index in this report is in line with many of the previous studies [21,22]. It is inevitable to say that the UAE has one of the highest caries indexes of healthy children in the region [23,24].…”

Section: Discussionsupporting

confidence: 76%

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Alkhabuli¹,

Essa²,

Al-Zuhair³

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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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.

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Section: Discussionsupporting

confidence: 76%

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Alkhabuli¹,

Essa²,

Al-Zuhair³

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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“…Appropriate toothbrushing and mechanical actions are the most practical and effective means to maintain adequate oral health. Kohli et al [9] found that, in spite of difficulties in treating handicapped children, owing to diminished levels of intelligence and hand skills, the management of oral conditions of these children was almost similar to that of normal children [16]. As observed in Table 1, the Fone's method was found to be more effective in improving the oral hygiene in children with DS.…”

Section: Discussionmentioning

confidence: 99%

Comparison Between Fones Method and Modified Bass Method of Toothbrushing for Children with Down Syndrome in West Java, Indonesia

Pramidi

Gartika

Soewondo

2019

J Islam Dent Assoc Iran

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Background and Aim: Down syndrome (DS) is a delayed physical and mental development caused by an abnormality in chromosome 21, resulting in the presence of three chromosomes (trisomy 21). Several methods of toothbrushing, such as the Scrub, Bass, Charters, Fone's, Roll, and Stillman's methods have been introduced. The aim of this study was to evaluate oral hygiene levels after toothbrushing with the Fone's and the modified Bass methods in children with DS. Materials and Methods: This interventional study comprised 15 children (10 boys and 5 girls) aged 7-12 years (purposive sampling). Oral hygiene was assessed using the Simplified Oral Hygiene Index (OHI-S) method introduced by Greene and Vermillion. The results were analyzed using Student's t-test. Results: Oral hygiene indices were 2.96 and 1.57 before and after using the Fone's method, respectively (P=0.00), and 2.55 and 2.16 before and after using the modified Bass method, respectively (P=0.00). A significantly increased level of oral hygiene was noted with the Fone's method (1.39) when compared to the modified Bass method (0.39) of toothbrushing (P=0.00). Conclusion: Both the Fone's and the modified Bass methods of toothbrushing can improve the oral hygiene of children with DS, with the Fone's method appearing to be more effective than the modified Bass method.

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“…Most of the patients presented caries, yet for many, no restorative procedure was detected (71.5%), that is, they were healthy. Caries is an aggravating condition in oral health, affecting most of the PSN, as already demonstrated in other studies [2,17]. It is noticed that there is a need for preventive dental treatment; however it is often not performed in basic care, and as a consequence, such low complexity procedures are performed in Secondary Care.…”

Section: Discussionmentioning

confidence: 87%

Social, Educational and Dental Profiles of Brazilian Patients with Special Needs Attended at a Center for Dental Specialties

Morais¹,

Rangel

Carvalho

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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To identify the profiles of patients with special needs attended at a Center for Dental Specialties. Material and Methods: This was a cross-sectional and quantitative study using an inductive approach, and a comparative and statistical procedure for analysis of the patients with special needs. Information concerning socioeconomic, medical and dental conditions was collected. The data were analyzed using IBM SPSS, adopting a significance level of 5%. Results: It was observed that 58.6% of the users were males, single (54.7%), in the age group from 19 to 59 years (41.1%), being 97.4% without schooling. The most frequent clinical diagnoses were: deviations in intelligence (18.4%), behavioral deviations (18.4%) and physical defects (17.9%). We observed for oral health the presence of gingivitis (33.0%), and healthy gums (47.8%); the presence of caries (64.9%), with restored teeth (28.5%), and edentulism (12.3%). Dental intervention procedures were initiated with emphasis on: fluoride applications (39.7%) and subgingival scraping (34.9%). Topical fluoride applications (p=0.010) and prophylaxis (p=0.010) were realized in patients without autism. Also, prophylaxis (p=0.007) was more frequently performed and gingival alterations were more often verified (p=0.020) in patients without Down's syndrome. Conclusion: The users of the patients with special needs dental service can be generally described as male, single, aged between 19 and 54 years, with the special conditions of intelligence and behavioral deviation.

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Oral health evaluation in special needs individuals

Cited by 52 publications

References 8 publications

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study

Comparison Between Fones Method and Modified Bass Method of Toothbrushing for Children with Down Syndrome in West Java, Indonesia

Social, Educational and Dental Profiles of Brazilian Patients with Special Needs Attended at a Center for Dental Specialties

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