Journal of Oral Health and Community Dentistry

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VOLUME 13 , ISSUE 2 ( May-August, 2019 ) > List of Articles

Original Article

Dental Caries Status in Mentally Challenged Children in Comparison with Normal Children

Kishor Tom

Keywords : DMFT/dft index, Mentally challenged children, OHI-S, Oral health status

Citation Information : Tom K. Dental Caries Status in Mentally Challenged Children in Comparison with Normal Children. J Oral Health Comm Dent 2019; 13 (2):31-33.

DOI: 10.5005/jp-journals-10062-0050

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

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.


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  1. Watson N. Barriers, discrimination and prejudice. In: Nunn J, ed., Disability and Oral Care. London: FDI World Dental Press; 2000. pp. 15–28.
  2. Hennequin M, Faulks D, et al. Accuracy of estimation of dental treatment need in special carepatients. J Dent 2000;28:131–136. DOI: 10.1016/S0300-5712(99)00052-4.
  3. Brown JP, Schodel DR. A review of controlled surveys of dental disease in handicapped persons. ASDC J Dent Child 1976;43:313–320.
  4. Tesini DA. Age, degree of mental retardation, institutionalization and socioeconomic status asdeterminants in the oral hygiene status of mentallyretarded individuals. Community Dent Oral Epidemiol 1980;8:355–359. DOI: 10.1111/j.1600-0528.1980.tb01307.x.
  5. Randell DM, Harth S, et al. Preventivedental health practices of non-institutionalized Down syndrome children: a controlled study. J Clin Pediatr Dent 1992;16:225–229.
  6. Barnett ML, Press KP, et al. The prevalence of periodontitis and dental caries in a Down's syndrome population. J Periodontol 1986;57: 288–293. DOI: 10.1902/jop.1986.57.5.288.
  7. Desai SS. Down syndrome: a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:279–285. DOI: 10.1016/S1079-2104(97)90343-7.
  8. Mcdonald R, Avery D. Dentistry for children and adolescents (Piccin, Padua, 1988).
  9. Palin-Palokas T, Hausen H, et al. Community Dent Oral Epidemiol 1987;15:19. DOI: 10.1111/j.1600-0528.1987.tb00474.x.
  10. Greene JC, Vermillion JR. J Am Dent Assoc 1960;61:172.
  11. Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc 1964;68:7. DOI: 10.14219/jada.archive.1964.0034.
  12. Al-Qahtani Z, Wyne AH. Caries experience and oral hygiene status of blind, deaf and mentally retarded female children in Riyadh, Saudi Arabia. Odontostomatol Trop 2004;27:37.
  13. Kruger E, Dyson K, et al. Pre-school child oral health in rural Western Australia. Aust Dent J 2005;50:258. DOI: 10.1111/j.1834-7819.2005.tb00370.x.
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