Periodontal Status and Treatment Needs of Mentally Challenges Individuals Attending
Special School in Nashik District, Maharashtra, India
Vrushali Chaware1, Sachin Chaware2*, Vinay Kakatkar3 and Abhishek Darekar4
1Associate Professor, Department of Public Health Dentistry, MGV KBH Dental College, Panchavati, Nashik, Maharashtra, India
2Consulting Prosthodontics and Independent Researcher, India
3Professor and Head, Department of Prosthodontics and Crown and Bridge, SMBT IDSR Dental College, Dhamangaon, Nashik, India
4Professor, Department of Prosthodontics and Crown and Bridge, SMBT IDSR Dental College, Dhamangaon, Nashik, India
*Corresponding Author: Sachin Chaware, Consulting Prosthodontics and
Independent Researcher, India.
Received: August 10, 2022; Published: October 17, 2022
Abstract
Background: Mentally challenged individuals are faced with many challenges in understanding and maintain their health and are particularly vulnerable to having unmet health care needs. Periodontal status of these individuals has received a very little attention and there is paucity of information about their periodontal status and treatment needs.
Aims: A cross sectional study was conducted to assess the periodontal status and treatment needs of mentally challenged individuals attending special schools in Nasik district, Maharashtra, India.
Subjects and Methods: On the basis of convenient nonprobability sampling technique. All the mentally challenged individuals residing at special school of Nasik district was examined to assess for periodontal status and periodontal needs. A total 272 subjects were examined. Out of that 201 were male subjects and 71 were female subjects. Data was evaluated by using Statistical Package for Social Science version 20. Data comparison was done by applying Chi‑square test.
Results: The study subject were divided into two categories i.e. below 15 years (n = 161) and 15 years and above (n = 111). Healthy periodontium was present 51 ( 18.75%) study subjects. Bleeding on probing and calculus were seen 36 (13.23%), and 174(63.97%) respectively. 11(9.90%) study subjects had shallow pocket. 94(84.68) study subjects had loss of attachment (LOA) 0-3 mm (score 0). LOA of score 1 (4-5 mm), score 2 (6-8 mm), and score 3 (9-11 mm) were seen in 11.71%, 2.70% and 0.90% subjects respectively. LOA of 12 mm or above was not observed in any of the study subjects. There was no statistically significant difference between the scores of LOA between males and females (p > 0.05).
Conclusion: The most prevalent findings of the study is the presence of calculus (63.79%), followed by bleeding on probing. The study reported a smaller number of periodontal pockets as the maximum numbers of subjects were below 15 years. A strong deficit was seen in between the periodontal status and treatment needs.
Keywords:Mentally Challenged; WHO 1997 Methodology; Periodontal Status
References
- Harrison LA., et al. “The importance of sensory processing in mental health: A proposed addition to the research domain criteria (RDoC) and suggestion for RDoC 2.0”. Frontiers in Psychology 10 (2019): 103.
- Rogers RC., et al. “Findings new etiologies of mental retardation and hypotonia: X marks the spot”. Developmental Medicine and child Neurology 50 (2008): 104-111.
- Nimmo Graeme AM and Cohn RD. “The floppy infant”. Swaimans pediatric Neurology, sixth edition (2017): 1051-1056.
- May ME and Kennedy CH. “Health and problem behavior among people with intellectual disabilities”. Behavior Analysis in Practice 3 (2010): 4-12.
- Altun C., et al. “Oral health status disabled individuals attending special school”. European Journal of Dentistry 4 (2010): 361-366.
- Das UM., et al. “Importance of oral hygiene habits in mentally disabled children”. International Journal of Clinical Pediatric Dentistry 3 (2010): 39-42.
- Sigan SN., et al. “Effects of oral motor therapy in children with cerebral palsy”. Annals of Indian Academy of Neurology 16 (2013): 342-346.
- Reddy S. “Essential of clinical periodontology and periodontics”. fifth edition, Jaypee publisher India.
- Diab HA., et al. “Evaluation of periodontal status and treatment needs of institutionalized intellectually disabled individuals in Lebanon”. Journal of International Society of Preventive and Community 7 (2017): 76-83.
- Patil PB and Patil RB. “Sailva: A diagnostic biomarker of periodontal diseases”. Journal of Indian Society of Periodontology 15 (2011): 310-317.
- Alsulaiman AA., et al. “Incisor malalignment and risk of periodontal diseases progression”. American Journal of Orthodontics and Dentofacial Orthopedics 4 (2018): 512-522.
- Rahul VK., et al. “Oral manifestations in mentally challenged children”. Journal of International Oral Health 7 (2015): 37-41.
- Bhatia S. “Managing a case of crowding with associated with sever periodontitis”. Medical Journal Armed Forces India 74 (2018): 78-81.
- Abijeth B., et al. “Dental anomalies and oral hygiene status in mentally retarded children”. Asian Journal of Pharmaceutical and Clinical Research 8 (2015): 195-198.
- Zhou N., et al. “Efficacy of caries and gingivitis prevention strategies among children and adloscent with intellectual disabilities : A systematic review and meta-analysis”. Journal of Applied Research in Intellectual Disabilities 63 (2019): 507-518.
- Al-sufyani GA., et al. “Oral hygiene and gingival health status of children with down syndrome in Yeman. A Cross-sectional study”. Journal of International Society of Preventive and Community 4 (2014): 82-86.
- Rahul VK., et al. “Oral manifestation in mentally challenged children”. Journal of International Oral Health 7 (2015): 37-41.
- Ameer N., et al. “Oral hygiene and periodontal status of teenagers with special needs in the district of Nalagonda, India”. Journal of Indian Society Periodontology 16 (2012): 421-425.
- Kumar S., et al. “Determinants of oral hygiene and periodontal status among mentally disabled children and adloscent”. Journal of Indian Society of Pedodontics and Preventive Dentistry 27 (2009): 151-157.
- Vajawat M and Deepika PC. “Comparative evaluation of oral hygiene practices and oral health status in autistic and normal individuals”. Journal of Indian Society of Pedodontics and Preventive Dentistry 2 (2012): 52-63.
- Cuschieri S. “The Strobe Guidelines”. Saudi Journal of Anaesthesia 13 (2019): S31-S34.
- Oral Health surveys Basic methods, fifth edition. World Health Organization, WHO Library Cataloguing-in-publication Data.
- Cutress TW., et al. “Comparison of the Periodontal Index (PI) and Community Periodontal Index of Treatment Needs (CPITN)”. Community Dentistry and Oral Epidemiology 1 (1986): 39-42.
- Bhavsar JP and Damle SG. “Dental caries and oral hygiene amongst 12-14 years old handicapped children of Bombay”. Journal of Indian Society of Pedodontics and Preventive Dentistry 13 (1995): 1-3.
- Denloye OO. “Periodontal status and treatment need of 12-15 years old institutionalized mentally handicapped school children in Ibadan, Nigeria”. Odonto-stomatologie Tropicale 22 (1999): 38-40.
- Donnell DO., et al. “Dental findings in 4,14, and 25 to 35 year old Hong Kong resident with mental and physical disabilities”. Special Care in Dentistry 22 (2002): 231-234.
- Desai M., et al. “A study of the dental treatment needs of children with disabilities in Melbourne Australia”. Australian Dental Journal 46 (2001): 41-50.
- Forceberg H., et al. “Dental Health and dental care in severely mentally retarded children”. Swedish Dental Journal 9 (1985): 15-28.
- Vigilid M. “Prevalence of malocclusion among mentally retarded young adults”. Community Dentistry and Oral Epidemiology 13 (1985): 183-184.
- Palin T., et al. “Dental health of 9-10 year old mentally retarded children in eastern Finland”. Community Dentistry and Oral Epidemiology 10 (1982): 86-90.
- Carranza FA and Newman MG. “Clinical Periodontology, 8th ed”. Bangalore (INDIA); Pediaric Dentistry 13 (1991): 156-62.
- Kozak R. “Dental and Periodontal status and treatment needs of institutionalized mentally retarded children from the province of West Pomerania”. Annales Academiae Medicae Stetinensis 50 (2004): 149-156.
- Shaw L., et al. “Dental Study of handicapped children: A review of literature”. Community Dental Health 4 (1987): 157-168.
- Piper K., et al. “Caries, oral hygiene and periodontal diseases in handicapped adults”. Community Dentistry and Oral Epidemiology 14 (1986): 28-30.
- Oredugba FA. “Oral Health condition and treatment needs of a group of Nigerian individuals with down syndrome”. Down Syndrome Research Practice 12 (2007): 72-77.
- Storhaug K. “The mentally retarded and the dental health services. Treatment needs and preventive strategies”. Nor Tannlaegeforen 101 (1991): 262-265.
- Bhowate R and Dubey A. “Dentofacial changes and oral health status in mentally challenged children”. Journal of Indian Society of Pedodontics and Preventive Dentistry5 (2005): 63-70.
- Ajami BA., et al. “Dental Treatment Needs of children with disabilities”. Journal of Dental Research Dental Clinics Dental Prospects 1 (2017): 93-98.
- Rao DB., et al. “Oral hygiene status of disabled children and adloscent attending special school of south Canara, Karnataka, India”. Hong Kong Dental Journal 2 (2005): 107-113.
- Reuland-Bosma W and Dijk JV. “Periodontal diseases in down syndrome: a review”. Journal of Clinical Periodontology 13 (2005): 64-73.
- Adenubi JO., et al. “Dental health care at the disabled children rehabilitation center in Riyadh”. The Saudi Dental Journal 9 (1997): 9-13.
- Scott A., et al. “A survey of oral health in a population of adults with developmental disabilities: comparisons with a natural oral health survey of the general population”. Australian Dental Journal 43 (1998): 257-261.
- Shapira J., et al. “Oral Health status and dental needs of an autistic population of children and young adults”. Special Care in Dentistry 9 (1989): 38-41.
- Costello PJ. “Dental health status of mentally and physically handicapped children and adults in the Gateway Community Care Area of the Western Health Board”. Journal of the Irish Dental Association 36 (1990): 99-101.
- Cotti S., et al. “Handicapped and oral pathology. Clinico-statistical survey”. Dental Cadmos 58 (1990): 58-66.
- Nunn JH. “The dental health of mentally and physically handicapped children, A review of literature”. Community Dental Health 4 (1987): 157-168.
- Shaw L., et al. “Correlation of manual Dexterity and comprehension with oral hygiene and periodontal status in mentally handicapped adults”. Community Dentistry and Oral Epidemiology 17 (1989): 187-189.
- Svatun B and Helöe LA. “Dental status and treatment needs among institutionalized mentally subnormal persons in Norway”. Community Dentistry and Oral Epidemiology5 (1975): 208-213.
Citation
Copyright