PDF(Pubmed)
Abstract：
Background Dental caries represents a pervasive chronic pediatric ailment that significantly hinders normal patterns of nutrition intake, speech articulation, and daily activities. Notably, children with special needs emerge as a particularly susceptible demographic concerning dental afflictions, specifically in the context of dental caries and periodontal diseases. The objective of this study was to assess the oral health status of children with special needs in Poonamallee, Chennai, India. Methodology This cross-sectional survey involved a total of 1,114 children with special needs, classified into two groups, namely, intellectually disabled and physically challenged. The assessment of various oral health parameters in the study population was performed using the World Health Organization\'s Oral Health Assessment Form for Children 2013. For quantitative variables, mean and standard deviations were considered. The significance of the difference between quantitative variables was tested using an independent t-test. Statistical significance was set at p-values ≤0.05. Results Of the 1,114 children, 552 were females and 562 were males. Overall dental trauma was noted in 21%. The average decayed missing filled teeth (DMFT) value was 0.74, with intellectually disabled children exhibiting a higher mean compared to the physically challenged group with a mean value of 0.72. Additionally, when assessing gingival conditions, children with intellectual disabilities displayed more unfavorable outcomes compared to their physically challenged counterparts. A need for dental intervention was observed in 97.3% of the pediatric population. A statistically significant difference was found for missing teeth (M) in the DMFT index between the intellectually disabled and physically challenged groups. Conclusions The results of this study emphasize the less-than-ideal oral health condition among children with special needs, highlighting the urgent necessity for the creation of a comprehensive dental healthcare program tailored to their specific needs.
摘要：
发明背景龋齿是一种普遍存在的慢性儿科疾病，严重阻碍了营养摄入的正常模式。言语衔接,和日常活动。值得注意的是,有特殊需要的儿童成为牙科疾病特别易感的人群，特别是在龋齿和牙周病的背景下。这项研究的目的是评估Poonamallee有特殊需要的儿童的口腔健康状况，钦奈,印度。方法这项横断面调查共涉及1,114名有特殊需要的儿童，分为两组，即,智力残疾和身体残疾。使用世界卫生组织的《2013年儿童口腔健康评估表》对研究人群的各种口腔健康参数进行评估。对于定量变量，考虑了平均值和标准偏差。采用独立t检验检验定量变量间差异的显著性。统计显著性设定为p值≤0.05。结果在1,114名儿童中，女性552人，男性562人。整体牙齿创伤占21％。平均腐烂缺失填充牙齿（DMFT）值为0.74，智障儿童的平均值高于身体挑战组，平均值为0.72。此外,在评估牙龈状况时，与残障儿童相比，智障儿童表现出更多的不利结果。在97.3％的儿科人群中观察到需要牙科干预。智障组和残障组之间的DMFT指数缺失牙齿（M）具有统计学上的显着差异。结论这项研究的结果强调了有特殊需要的儿童口腔健康状况不太理想，强调迫切需要创建针对其特定需求的全面牙科保健计划。
