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

Alkhabuli, J; Essa, Eshraq Eshraq Zaid; Al-Zuhair, Abdulwahab Mazin; Jaber, Aesa Alzaroug

doi:10.4034/pboci.2019.191.127

Cited by 16 publications

(19 citation statements)

References 12 publications

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“…In support of this, the present study revealed that 46.1% of special needs students reported dental health problems. A similar finding was reported in Canada among people experiencing social and health inequalities where 46.3% of the participants had poor oral health [ 19 ]. On the contrary, Choi and Yang reported lower caries prevalence among children with disabilities compared with those without disabilities [ 20 ].…”

Section: Discussionsupporting

confidence: 84%

Dental health problems and treatment-seeking behavior among special need school students in Amhara region, Ethiopia

et al. 2021

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Background Oral diseases are a public health concern with a significant impact on the quality of life of individuals. Children with special needs face significant challenges in carrying out oral hygiene due to their disability, and they are more prone to poor oral health and illnesses. This study assessed dental health problems and treatment-seeking behaviors of special needs school students in Amhara region, Ethiopia. Methods An institution-based cross-sectional study was conducted from November 2020 to April 2021, in eight special needs schools located in the Amhara Regional State, Ethiopia. A total of 443 randomly selected special needs students were included. Data were collected using a structured interview-administered questionnaire. Bivariable and multivariable logistic regression models were fitted to identify factors associated with oral health problems and treatment-seeking behavior. A p-value of less than 0.05 was used to declare statistical significance. Results The prevalence of self-reported dental health problems and treatment-seeking behaviors among special needs school students was 46.1% (95% CI: 41.4%, 50.7%) and 60.3% (95% CI: 53.4%, 66.8%), respectively. Place of residence, grade level, religious affiliation, years lived with disability, and knowledge of dental health-related risk behaviors were associated with dental health problems. Whereas, place of residence, being hearing impaired, and having prior information about dental health problems were associated with dental treatment-seeking behavior. Conclusions A significant number of special needs students reported dental problems and about 40% of them did not seek dental treatment. Oral hygiene practice and access to dental care services are important in the prevention of dental problems. Hence, oral hygiene promotion programs focusing on oral hygiene practice and dental treatment services are needed in special needs schools. It is also strongly suggested to incorporate oral health related information in health-related academic lessons to enhance optimum oral health among special needs students.

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Section: Discussionsupporting

confidence: 84%

Dental health problems and treatment-seeking behavior among special need school students in Amhara region, Ethiopia

et al. 2021

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“…The findings of the study primarily identified that there was a higher prevalence of dental caries and periodontal diseases among the recruited patients. The study highly recommended the education of children's parents and caregivers on the need for a proper diet, proper oral hygiene, and dental visits [19]. Therefore, the outcomes of this study can be said to be relevant to the current study.…”

Section: Discussionmentioning

confidence: 94%

Down Syndrome Children, Malocclusion Characteristics and the Need for Orthodontic Treatment Needs (IOTN): A Cross-Sectional Study

Alkawari

2021

Children

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The purpose of the present study was to assess the characteristics of malocclusion and determine the orthodontic treatment needs of a group of children with Down syndrome. The study group comprised 23 children aged 10–14 years with Down syndrome who were attending special schools. A clinical examination was performed to measure several parameters that assessed malocclusion as well as classifications based on the Index of Orthodontic Treatment Need (IOTN-DC). When the dental health component (DHC) of the IOTN-DC was considered, results showed that a high percentage of children involved in the current study needed orthodontic treatment (81.9%). Moreover, 59.1% showed Angle’s class-III malocclusion compared to 36.4% who showed class I. However, the differences between the IOTN-DC values for the boys and girls were not statistically significant (p > 0.05). The present study has concluded that a higher percentage of children, suffering from Down syndrome, had very severe malocclusion; therefore, treatment can be considered mandatory. Similarly, more than three-fourths of the children with Down syndrome had visited a dental clinic at least once during their life. However, 30.4% of the children’s mothers have mentioned that they had not visited any orthodontic clinic. Therefore, there is a need to develop awareness and knowledge among the parents of children suffering from Down syndrome.

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Section: Resultsmentioning

confidence: 99%

“…Included studies were mostly cross-sectional [ 13 , 22 , 23 , 25 , 30 , 31 , 34 – 36 , 38 – 47 , 49 ], most of them ( n = 10) took place in Dubai [ 22 , 24 , 25 , 29 , 31 – 33 , 37 , 42 , 48 ], and only two were national [ 27 , 49 ]. The sample size ranged between 54 [ 30 ] and 24,220 [ 49 ] participants. The populations studied included healthy preschool [ 13 , 31 , 35 , 36 , 38 ], school-aged [ 22 – 25 , 34 , 39 – 42 , 45 , 49 ], and secondary school children [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade

Anouti

Abboud

Papandreou

et al. 2021

Front. Oral. Health

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Oral diseases are a universal public health problem with serious health and economic burdens. These diseases are a major concern in the pediatric population specifically. In the United Arab Emirates (UAE), among all the diseases that affect children, oral diseases, particularly early childhood caries, are the most common despite improvement in the provision of oral health services. Enhancing oral health status is one of the key public health goals in the country. This current systematic review aims to summarize the available data on oral health among children and adolescents in the UAE over the past decade (2011–2021). The review was conducted following a predefined protocol and in concordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement. PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCO, EMBASE via Ovid, the Cochrane Library, and the Index Medicus for the Eastern Mediterranean Region (IMEMR) databases, and the gray literature were searched for original studies reporting on oral health in the pediatric population in the UAE, without applying any language restriction. Twenty-nine studies were included reporting on a total of 43,916 participants; they were mostly cross-sectional, and emirate-based; they were mostly limited by their setting and convenient sampling. Among the general pediatric population, results showed a high prevalence of dental caries across different emirates. Nevertheless, it was difficult to provide a predictable profile of caries, as risk factors were not well-explored and inconsistent across studies. Suboptimal oral hygiene practices were also prevalent, in addition to a low utilization of dental services. Furthermore, included studies showed a high level of oral problems in children with different disease (down syndrome, cerebral palsy, thalassemia, autism…) and special conditions (children in prison nurseries); yet, in general, treatment indices were lower than their healthy counterparts. This review suggests that dental caries is a major pediatric health problem in the UAE. Risk factors included higher consumption of snacks, being in public schools, lower maternal education level, and socioeconomic status. Nevertheless, risk factors were not well-explored and inconsistent across studies. Suboptimal oral hygiene practices and a low utilization of dental services were also identified, in addition to a high level of oral problems in children with different disease coupled with lower treatment indices in comparison with their healthy counterparts. This systematic review provides crucial information for planning and evaluating effective oral health programs, identifies gaps in the recent research in this field, and paves the way for preventive and interventional studies targeting oral health in pediatrics in the UAE. Immediate oral health promotion strategies are needed to address this public health problem early in its course by creating conditions that promote oral health, and increasing uptake of dental services. Intensifying research to draw temporal trends, understand the profile of childhood caries in the UAE, and explore cost-effective national community prevention programs are also needed.

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

Cited by 16 publications

References 12 publications

Dental health problems and treatment-seeking behavior among special need school students in Amhara region, Ethiopia

Dental health problems and treatment-seeking behavior among special need school students in Amhara region, Ethiopia

Down Syndrome Children, Malocclusion Characteristics and the Need for Orthodontic Treatment Needs (IOTN): A Cross-Sectional Study

Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade

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