Caregivers' Awareness and Behavior Impacting the Oral Health of Pediatric and Adolescent Patients with Disabilities
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
This study aimed to analyze the dental caries experience and dental care utilization of pediatric and adolescent patients with disabilities, and to investigate the impact of various factors and the role of caregivers on their oral health. Patients aged 4 - 18 years and their caregivers were enrolled. Data on caregivers’ oral health management practices and perceptions, as well as patients’ toothbrushing frequency and use of dental floss, were collected. Clinical examinations measured the decayed, missing, and filled teeth (DMFT/dmft) index and plaque index (PI). Among the 141 participants, the most common types of disabilities were autism spectrum disorder (45.4%) and intellectual disabilities (26.2%). Caregivers provided complete assistance with tooth brushing for 49.6% of patients, and 63.8% reported brushing their teeth twice daily. Patients with intellectual and multiple disabilities had a relatively high DMFT/dmft index. A higher level of caregiver assistance during tooth brushing was associated with a lower DMFT/dmft index. Increased frequency of tooth brushing and flossing correlated with lower PI and DMFT/dmft index. The availability of specialized care centers for individuals with disabilities was important for 89.4% when choosing a dental clinic. The main barriers to dental visits were dental anxiety (46.1%) and a lack of specialized dentists (41.8%). Caregiver involvement and regular oral hygiene practices significantly impact the oral health of pediatric and adolescent patients with disabilities. There is a need for specialized care centers, healthcare professionals, and government financial support for the care of patients with disabilities.
Abstract
This study aimed to analyze the dental caries experience and dental care utilization of pediatric and adolescent patients with disabilities, and to investigate the impact of various factors and the role of caregivers on their oral health. Patients aged 4 - 18 years and their caregivers were enrolled. Data on caregivers’ oral health management practices and perceptions, as well as patients’ toothbrushing frequency and use of dental floss, were collected. Clinical examinations measured the decayed, missing, and filled teeth (DMFT/dmft) index and plaque index (PI). Among the 141 participants, the most common types of disabilities were autism spectrum disorder (45.4%) and intellectual disabilities (26.2%). Caregivers provided complete assistance with tooth brushing for 49.6% of patients, and 63.8% reported brushing their teeth twice daily. Patients with intellectual and multiple disabilities had a relatively high DMFT/dmft index. A higher level of caregiver assistance during tooth brushing was associated with a lower DMFT/dmft index. Increased frequency of tooth brushing and flossing correlated with lower PI and DMFT/dmft index. The availability of specialized care centers for individuals with disabilities was important for 89.4% when choosing a dental clinic. The main barriers to dental visits were dental anxiety (46.1%) and a lack of specialized dentists (41.8%). Caregiver involvement and regular oral hygiene practices significantly impact the oral health of pediatric and adolescent patients with disabilities. There is a need for specialized care centers, healthcare professionals, and government financial support for the care of patients with disabilities.
참고문헌 (39)
- Oredugba FA, "Oral health status and treatment needs of children and young adults attending a day centre for individuals with special health care needs", BMC Oral Health, 8, pp.30~ (2008)
- Schmidt P, "Caries prevalence in 6-to 10-year-old German schoolchildren with and without disability", Community Dent Health, 37, pp.281~286 (2020)
- Patidar D, "Oral health status of children with special healthcare needs : A retrospective analysis", Int J Clin Pediatr Dent, 15, pp.433~437 (2022)
- Norwood KW Jr, "Oral health care for children with developmental disabilities", Pediatrics, 131, pp.614~619 (2013)
- Krause L, "Toothache, tooth brushing frequency and dental check-ups in children and adolescents with and without disabilities", J Health Monit, 7, pp.48~60 (2022)
- Lee JY, "Oral health status of the disabled compared with that of the non-disabled in Korea : A propensity score matching analysis", PLoS One, 14, pp.E0208246~ (2019)
- Liu HY, "The impact of dietary and tooth-brushing habits to dental caries of special school children with disability", Res Dev Diasbil, 31, pp.1160~1169 (2010)
- Liu HY, "Caregivers’ oral health knowledge, attitude and behavior toward their children with disabilities", J Dent Sci, 12, pp.388~395 (2017)
- American Academy of Pediatric Dentistry, "The Reference Manual of Pediatric Dentistry", pp.343~350 (2024), American Academy of Pediatric Dentistry
- Bae HS, "A Study on the Oral Health Care of Children with Disabilities Recognition", J Dent Hyg Sci, 7, pp.81~87 (2007)
- Silness J, "Periodontal Disease in Pregnancy. II. Correlation between Oral Hygiene and Periodontal Condition", Acta Odontol Scand, 22, pp.121~135 (1964)
- Shirahmadi S, "Effectiveness of theory-based educational interventions of promoting oral health among elementary school students", BMC Public Health, 24, pp.130~ (2024)
- Jose B, "Early childhood caries lesions in preschool children in Kerala, India", Pediatr Dent, 25, pp.594~600 (2003)
- de Jong-Lenters M, "Promoting parenting strategies to improve tooth brushing in children : design of a non-randomised cluster-controlled trial", BMC Oral Health, 19, pp.210~ (2019)
- Paino-Sant’Ana A, "Impact of parental care on oral health of children with Intellectual Disabilities from zero to six years of age", Rev Odontol UNESP, 51, pp.E20220036~ (2022)
- Casanova-Rosado JF, "Toothbrushing Frequency and Maternal Schooling Associated with Caries in Primary Dentition in 6-and 7-yearold Children", West Indian Med J, 69, pp.545~549 (2022)
- Prada I, "Prevalence of dental caries among 6-12 year old schoolchildren in social marginated zones of Valencia, Spain", J Clin Exp Dent, 12, pp.E399~E408 (2020)
- Liu HY, "Dental caries associated with dietary and toothbrushing habits of 6-to 12-year-old mentally retarded children in Taiwan", J Dent Sci, 4, pp.61~74 (2009)
- Sudhanthar S, "Improving oral health through dental fluoride varnish application in a primary care paediatric practice", BMJ Open Qual, 8, pp.E000589~ (2019)
- Marinho VCC, "Fluoride varnishes for preventing dental caries in children and adolescents", Cochrane Database Syst Rev, pp.CD002279~ (2013)
- "Practical oral care for people with intellectual disability"[URL]
- Alkhabuli JOS, "Oral health status and treatment needs for children with special needs : A cross-sectional study", Pesqui Bras Odontopediatria Clín Integr, 19, pp.E4877~ (2019)
- "Intellectual Disability and ASD"[URL]
- Kim M, "The Korea National Disability Registration System", Epidemiol Health, 45, pp.E2023053~ (2023)
- Perkowska M, "Caries intensity in 12-year-old children as related to hygienic and dietary habits", J Stoma, 66, pp.454~463 (2013)
- Arora V, "Efficacy of Dental Floss and Chlorhexidine Mouth Rinse as an Adjunct to Toothbrushing in Removing Plaque and Gingival Inflammation - A Three Way Cross Over Trial", J Clin Diagn Res, 8, pp.ZC01~ZC04 (2014)
- Asgari I, "Relationship between self-reported oral hygiene and clinical plaque index among adolescents in Isfahan", Caspian J Dent Res, 8, pp.56~62 (2019)
- Sheiham A, "A reappraisal of the quantitative relationship between sugar intake and dental caries : the need for new criteria for developing goals for sugar intake", BMC Public Health, 14, pp.863~ (2014)
- Mahboobi Z, "Dietary free sugar and dental caries in children : A systematic review on longitudinal studies", Health Promot Perspect, 11, pp.271~280 (2021)
- Chankanka O, "Mixed dentition cavitated caries incidence and dietary intake frequencies", Pediatr Dent, 33, pp.233~240 (2011)
- Leroy R, "Multivariate survival analysis for the identification of factors associated with cavity formation in permanent first molars", Eur J Oral Sci, 113, pp.145~152 (2005)
- Ghazal TS, "Survival analysis of caries incidence in African-American school-aged children", J Public Health Dent, 79, pp.10~17 (2019)
- Huew R, "Dental caries and its association with diet and dental erosion in Libyan schoolchildren", Int J Paediatr Dent, 22, pp.68~76 (2012)
- Vitrikas K, "Cerebral palsy : An overview", Am Fam Physician, 101, pp.213~220 (2020)
- Abdullah MAH, "Oral hygiene practices among adults with intellectual disabilities-A pilot study", Dent J, 10, pp.155~ (2022)
- Nonoyama T, "Factors related to regular dental check-ups in adults with intellectual disabilities in Japan", Int Dent J, 74, pp.953~959 (2024)
- Minihan PM, "At-home oral care for adults with developmental disabilities : a survey of caregivers", J Am Dent Assoc, 145, pp.1018~1025 (2014)
- Mac Giolla Phadraig C, "The complexity of tooth brushing among older adults with intellectual disabilities : Findings from a nationally representative survey", Disabil Health J, 13, pp.100935~ (2020)
- Anders PL, "Oral health of patients with intellectual disabilities : a systematic review", Spec Care Dentist, 30, pp.110~117 (2010)