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      Examining oral hygiene status and care needs of deaf and blind 6–12 years old exceptional school children in Kermanshah in 2015

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          Abstract

          Introduction:

          Controlling and preventing oral diseases of patients with mental and physical disabilities had become one of the most important topics within the realm of dentistry researches. The main objective of this study was to examine oral hygiene and care needs of deaf and blind 6–12 years old exceptional school children in Kermanshah in 2015.

          Materials and Methods:

          Oral hygiene of 51 deaf and blind 6–12 years old exceptional school children in Kermanshah in 2015 was examined in this study; indicators which underwent assessment included DMFT/decay, missing, falling, teeth (dmft), Gingival Index (GI), Plaque Index (PI), brushing, and flossing; the amount of used Unmet Treatment Need (UTN) was measured using DMFT/dmft index, and collected data were analyzed using SPSS, version 18.

          Findings:

          The mean and standard deviation of GI and PI of the 51 deaf and blind students examined turned out to be 1.39 ± 0.30 and 0.86 ± 0.15, respectively; DMFT, dmft, and UTN of the blind students were 1.31 ± 1.20, 2.81 ± 2.81, and 0.76 ± 0.34, respectively; these values turned out to be 1.81 ± 2.16, 2.08 ± 3.48, and 0.85 ± 0.31, respectively, in case of deaf students. According to the results of this study, 18.7% of blind students and 27% of deaf students brushed their teeth once on a daily basis.

          Conclusion:

          Based on the results of this study, the incidence and severity of dental caries, particularly in primary teeth, were high among these children (mean: 2.06) and a large number of their teeth needed treatment (UTN: 1.18). In comparison to their peers, these group of children had lower state of oral health; therefore, a systematic, long-term is definitely required for the improvement of oral hygiene of studied patients.

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          Most cited references25

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          Dental caries experience of disabled children and young adults in Kuwait.

          The aim of the study was to assess the caries experience of disabled children and young adults in Kuwait, to set baseline data, and to determine their treatment need. Dental caries was scored by surface in accordance with WHO criteria. The study population comprised 832 disabled children and young adults (3-29 years; mean age 12.1 years) who were visually impaired, hearing impaired, had physical handicaps or developmental disorders, attending special needs schools. The proportion of caries free subjects in the primary dentition (3-12-year-old children) was 11.2%. The mean dmft was 5.4, and dmfs 15.2, being highest in the Down's syndrome and lowest in the blind. The proportion of caries-free subjects in permanent dentition, over 5 years of age was 24.2%. The smallest percentage of caries-free subjects was found in the hearing impaired (16.4%) and highest percentage in the blind (35.5%). The mean DMFT was 4.5 and the DMFS 8.7, being highest in the Down's syndrome and lowest in the blind. Prevalence of untreated decay was highest in hearing impaired (86%). The caries experience of first permanent molars represented the largest proportion of the DMFT score (53.6%). In the permanent dentition increasing age, impaired hearing, and poor oral hygiene were significantly associated with caries risk. Caries experience among this disabled population was clearly higher than among the respective age groups in a previous national population survey. The study confirmed the need for strengthening organised preventive and restorative care for this population in Kuwait.
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            Caries experience and oral hygiene status of blind, deaf and mentally retarded female children in Riyadh, Saudi Arabia.

            To determine the caries experience and oral hygiene status in blind, deaf and mentally retarded female children in Riyadh, Saudi Arabia. All (N=218) the 6-7-year-old and 11-12-year-old blind, deaf and mentally retarded female children registered with the Presidency of Girls' Education schools in Riyadh were examined for dental caries and oral hygiene in a dental operatory setting. All (100%) the blind 6-7-year-old had caries with a mean dmft score of 6.58 (SD 2.02). The caries prevalence in blind 11-12-year-olds was 88.2% with a mean DMFT score of 3.89 (SD 2.67). Among 6-7-year-old blind children 8.3 %, and in 11-12-year-old blind children 29.4% had good oral hygiene. The caries prevalence in deaf 6-7-year-olds was 95.7% with a mean dmft score of 7.35 (SD 3.51). The caries prevalence in 11-12-year-old deaf children was 93% with a mean DMFT of 5.12 (SD 3.45). Less than one-fifth (17.4%) of the 6-7-year-old deaf children and only 7.0% of 11-12-year-old deaf children had good oral hygiene. The caries prevalence in mentally retarded 6-7-year-old was 93.9% with a mean dmft of 8.00 (SD 4.1). All the mentally retarded 11-12-year-old had carious teeth with a mean DMFT score of 5.81 (SD 2.95). Only 3.1% of the mentally retarded 6-7-year-old and none of the mentally retarded 11-12-year-olds had good oral hygiene. Caries prevalence and severity in all the three groups of female special children were very high, and the number of children with good oral hygiene was very low.
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              Oral hygiene and gingival health status of children with Down syndrome in Yemen: A cross-sectional study

              Purpose: The objective of the present study was to assess the oral hygiene and gingival health status among Yemeni children with Down syndrome. Materials and Methods: The study sample comprised 101 children with Down syndrome attending special needs schools in Sana’a, Yemen. The calculus index (CI), plaque index (PI), and the gingival index (GI) were used to assess oral hygiene and gingival health status. Results: All subjects had gingivitis; the mean CI, PI, and GI scores were 0.58 ± 0.61, 1.45 ± 0.57, and 1.54 ± 0.64, respectively, with no significant difference found across gender. Stepwise linear regression analysis revealed that the best predictors in the descending order for CI were age and mother's education, and the best predictors for PI were IQ level, age, and father's education. Having severe mental retardation, older age, less educated parents were the most important predictors for poor gingival health status. Conclusions: These findings show that children with Down syndrome have poor oral hygiene and high levels of periodontal diseases. Hence, appropriate oral health education should be tailored to the needs of these children with the support of their teachers and parents.
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                Author and article information

                Journal
                J Family Med Prim Care
                J Family Med Prim Care
                JFMPC
                Journal of Family Medicine and Primary Care
                Wolters Kluwer - Medknow (India )
                2249-4863
                2278-7135
                March 2019
                : 8
                : 3
                : 871-874
                Affiliations
                [1 ] Department of Oral Medicine, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
                [2 ] Department of Periodontics, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
                [3 ] Department of Radiology, Kermanshah University of Medical Sciences, Kermanshah, Iran
                Author notes
                Address for correspondence: Dr. Nafiseh Nikkerdar, Department of Radiology, Kermanshah University of Medical Sciences, Kermanshah, Iran. E-mail: n.nikkerdar@ 123456kums.ac.ir
                Article
                JFMPC-8-871
                10.4103/jfmpc.jfmpc_225_17
                6482767
                5a8ef948-f522-45eb-9f05-a8cf113ca2f9
                Copyright: © 2019 Journal of Family Medicine and Primary Care

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

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                Categories
                Original Article

                blind children,care needs,deaf children,dmft,oral hygiene
                blind children, care needs, deaf children, dmft, oral hygiene

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