Evaluation of Oral Health Status in Mild to Moderate Mental Disabled Children in Comparison with Normal Children in Isfahan (Iran)

Transcription

1 253 4 / 35 / 1390 / () *** ** #* * ** *** 90/4/4 : 89/11/10 : Evaluation of Oral Health Status in Mild to Moderate Mental Disabled Children in Comparison with Normal Children in Isfahan (Iran) Parvin Khadem*#, Maryam Karami**, Ramin Salehinia*** * Assistant Professor, Dept of Community Dentistry, School of Dentistry, Khorasgan Branch of the Islamic Azad University, Khorasgan, Iran. ** Assistant Professor, Dept of Pediatric Dentistry, School of Dentistry, Khorasgan Branch of the Islamic Azad University, Khorasgan, Iran. *** Dentist Received: 30 January 2011; Accepted: 25 Jun 2011 Introduction: Mental retardation is a general word used for people whose intellectual development is significantly lower than normal individuals. One consequence is their limited ability to comply with their environment. Providing dental services for mentally retarded people requires matching with social growth, intellectual and spiritual factors of the person Therefore dentists should plan methods for communication and reducing anxiety of these patients. The general purpose of this research is to compare the oral health status of normal and mentally retarded children and also to examine the effect of educational intervention on the amount of plaque in both groups. Materials & Methods: A group of 130 children (70 girls and 60 boys) with mild to moderate mental disability at the elementary level and a group of 130 children (67 girls and 63 boys) aged 7-11 years old from Jay region of Esfahan were randomly selected. The questionnaire was completed with background information from their parents and coaches. Oral health status was evaluated using DMFt, Dental caries treatment, and Sillness-Loe plaque indices. Results: Decay rates in the healthy group and the mentally disabled group were 93.5% and 93%, respectively. The means of the DMFT index in the mentally disabled group and in healthy group were 0.26 and 0.14respectively. The means of the dmft in the disabled group and in the healthy group were 0.26 and 0.51, respectively. Dental caries treatment indices for deciduous teeth in the disabled group and in the healthy group were 0.18 and 0.97, respectively and dental caries treatment indices of permanent teeth in the disabled group and in healthy group were 0.14 and 0.13, respectively. The Sillness-Loe plaque indices for the deciduous and permanent teeth before brushing in the disabled group and in healthy group were 1.51 and 1.64, respectively, and the Sillness-Loe plaque indices for the deciduous and permanent teeth after brushing in the disabled group and in the healthy group were 0.56 and 0.41, respectively. Conclusion: Oral and dental health status of elementary level students with mild to moderate mental retardation is undesirable. Oral health policy makers should try to promote and improve health policies in this group. Key words: Mental retardation, DMFT index, Sillness & Loe plaque index, DTI index. # Corresponding Author: p.khadem@khuisf.ac.ir J Mash Dent Sch 2012; 35(4): p.khadem@khuisf.ac.ir : 3 : #

2 ( ) :... ( 60 70). 130 : 7-11 ( 63 67) /26. dmft DMFT DMF. %93 %93/5 :. 0/51 0/26 dmf 0/14. 0/13 0/14 0/97 0/18 0/56 1/64 1/51.. 0/41 :..DTI DMFT : : 4 / / World ) (4). (Health Organization (5). (6).. (3) %2-5 % % (12). 360 %3-3/ (3) (9/3) 11 12

3 255 4 / 35 / 1390 / (11). Rodriguez Mitsea (12). ( ) (13). Jeng (14) ) 7-11 (I. 1 2 IQ. IQ (7) (8). Batista %30 %50 (9). (10). 1. American Association of Mental Deficiency 2. Intelegence Quotient

4 ( ) M. D. (15). F ) SPSS DTI F DMF DTI 1 F M. (Mann-Whitney) - DMF ( DMFT. 0/14. 0/51 %93/5 0/26 dmft %93 DMFT. 0/26. (F).. 0/97 (dti) 0/14 (DTI) 0/18. 0/13 1/51 1. Dental caries Treatment Index ( : II ). DMFT. ( -) () () ( -) =0 =1 =2 =3 (WHO ) D DMF (15). dmf.

5 257 4 / 35 / 1390 / /41 1/64.(1 ) 0/56 (**) (*) dmft DMFT DTI Z Mann-Whitney P-value : 1-1/32 1/516 0/106 0/73 *1/64 1/516 0/65 **1/51-1/43-2/429 0/241 0/48 *0/41-2/429 0/51 **0/56-6/04 5/687 0/010 0/33 *0/51 5/687 0/36 **0/26-5/6-5/955 0/004 0/13 *0/14-5/955 0/17 **0/26-4/57-4/288 0/000 1/85 *0/97-4/289 0/96 **0/18-2/96-1/868 0/019 5/06 *0/13-1/868 5/02 **0/14 : 1 Plaque Index

6 ( ) : 2 Plaque Index. Rodriguez. DMFT (16) Loo... (3).. (0/26). (%93/5 %93) DMFT (0/14)

7 259 4 / 35 / 1390 / DTI.. (11).. (18). Wolff (19).. (9) (17). Batista.. (10). (2/93) (2/11) 9 (0/97) (dti). (0/18) (1/83) 4 (4/34) (0/13) (DTI) (0/14)..

8 ( ) (American Academy of Periodontology) (21) (22)..... (0/56). (0/41) (13). ) ( (14) Jeng.. Thornton. (20).

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