Özel Bakım Gereksinimi Olan Bireylerde Ağız-Diş Bulgularının Değerlendirilmesi

Amaç: Özel bakım gereksinimi olan çocuklarda ağız sağlığı problemleri, genel sağlık sorunlarına ek olarak ortayaçıkan büyük bir sağlık sorunudur. Bu çalışmanın amacı, İstanbul ilinde özel eğitim veren okullarda muayene edilen özelbakım gereksinimi olan bireylerin ağız-diş sağlığı verilerinin değerlendirilmesidir.Gereç ve Yöntemler: Bu kesitsel çalışma İstanbul Üniversitesi Diş Hekimliği Fakültesi Pedodonti Anabilim Dalı ileİstanbul Üniversitesi Diş hekimliği Fakültesi Engelsiz Gülüşler Öğrenci Kulübü sosyal sorumluluk projesi olarakİstanbul ili içerisinde özel eğitim veren okullarda gerçekleştirildi. Ağız ve diş sağlığı taramaları için her bir taramaöncesi özel olarak izin alındı. Ağız muayenesi gün ışığında tek kullanımlık ayna, sond ve presel yardımı ile yapıldı.Muayenede çocukların yaşları, engel durumları, ilaç kullanıp kullanmadıkları, diş çürüğü varlığı, dental travma varlığı,diş sıkma ve maloklüzyon durumları kaydedildi. Verilerin değerlendirilmesinde uygun istatistiksel testler/analizlerkullanıldı ve anlamlılık düzeyi 0,05 olarak belirlendi.Bulgular: 42’sinde otizm, 111’inde mental retardasyon ve 10’unda Down sendromu olmak üzere 163 özel bakımgereksinimi olan bireyin ağız içi muayenesi yapıldı. Her üç grubun DMFT ve dft ortalamaları arasında istatistikselolarak anlamlı bir fark bulunmadı (p>0,05). Down sendromlu bireylerde nötral oklüzyon görülme oranı, otizmlibireylerden daha düşük bulundu (p

Evaluation of Oral-Dental Findings in Individuals with Special Care Needs

Aim: Oral health problems in children with special care needs are a major health problem that occurs in addition to general health problems. The aim of this study is to evaluate the oral and dental health data of individuals with special care needs examined in schools providing special education in Istanbul. Material and Methods: This cross-sectional study was carried out at Istanbul University Faculty of Dentistry Department of Pedodontics and Istanbul University Faculty of Dentistry Disable-Free Smile Student Club as a social responsibility project in schools providing special education in Istanbul special permissions were obtained before each screening for oral and dental health. Oral examination was done with the help of disposable dental mirror, explorer probe and cotton plier in daylight. In the examination, the ages of the children, their disability, whether they used drugs, the presence of dental caries, the presence of dental trauma, bruxism and malocclusion were recorded. Appropriate statistical tests/analyzes were used to evaluate the data and the level of significance was set to be 0.05. Results: Intraoral examination of individuals with 163 special care needs including 42 autism, 111 mental retardation and 10 Down syndrome was performed. There was no statistically significant difference between the DMFT and dft averages of all three groups (p>0.05). Neutral occlusion rate was lower in individuals with Down syndrome than in individuals with autism and people with intellectual disabilities (p0.05). It was found that the frequency of Class III relationship was higher in individuals with Down syndrome than individuals with mental retardation and autism. Also it was higher in individuals with mental retardation than individuals with autism (p

___

  • 1. Saravanakumar MS, Vasanthakumari A, Bharathan R. Oral health status of special health care needs children attending a day care centre in Chennai. Int J Students’ Res. 2013; 3(1): 12.
  • 2. Tufan İ, Arun Ö. Türkiye bilimsel ve teknik araştırma kurumu Türkiye özürlüler araştırması. 2. baskı. Ankara: DİE Matbaası; 2006.
  • 3. Owens PL, Kerker BD, Zigler E, Horwitz SM. Vision and oral health needs of individuals with intellectual disability. Ment Retard Dev Disabil Res Rev. 2006; 12(1): 28–40.
  • 4. Setiawati AD, Suharsini M, Budiardjo SB, Indiarti IS, Widyagarini A. Assessment of dental anxiety using braille leaflet and audio dental health education methods in visually impaired children. J Int Dent Med Res. 2017; 10(Special Issue): 441–4.
  • 5. Petersen P, Baez R, Ramon J, World Health Organization. Oral Health surveys: basic methods. 5th edition. Geneva: WHO Press; 2013.
  • 6. Angle EH. Classification of malocclusion. Dent Cosmos. 1899; 41: 350–75.
  • 7. Beange HP. Caring for a vulnerable population. Med J Aust. 1996; 164(3): 159–60.
  • 8. Gordon SM, Dionne RA, Snyder J. Dental fear and anxiety as a barrier to accessing oral health care among patients with special health care needs. Spec care Dent. 1998; 18(2): 88–92.
  • 9. Shore S, Lightfoot T, Ansell P. Oral disease in children with Down syndrome: causes and prevention. Community Pract. 2010; 83(2): 18–22.
  • 10. Deps TD, Angelo GL, Martins CC, Paiva SM, Pordeus IA, Borges-Oliveira AC. Association between dental caries and Down syndrome: a systematic review and meta-analysis. PLoS One. 2015; 10(6): e0127484.
  • 11.Jaber MA. Oral Health Condition and Treatment Needs of a Group of UAE Children with Down Syndrome. Ibnosina J Med Biomed Sci. 2010; 2(2): 62–71.
  • 12.Corder JP, Al Ahbabi FJS, Al Dhaheri HS, Chedid F. Demographics and co-occurring conditions in a clinic based cohort with Down syndrome in the United Arab Emirates. Am J Med Genet Part A. 2017; 173(9): 2395–407.
  • 13. Moreira MJS, Schwertner C, Jardim JJ, Hashizume LN. Dental caries in individuals with D own syndrome: a systematic review. Int J Paediatr Dent. 2016; 26(1): 3–12.
  • 14.Robertson MD, Schwendicke F, de Araujo MP, Radford JR, Harris JC, McGregor S, et al. Dental caries experience, care index and restorative index in children with learning disabilities and children without learning disabilities; a systematic review and meta-analysis. BMC Oral Health. 2019; 19(1): 146. doi: 10.1186/s12903-019-0795-4.
  • 15. Macho V, Coelho A, Areias C, Macedo P, Andrade D. Craniofacial features and specific oral characteristics of Down syndrome children. Oral Heal Dent Manag. 2014; 13(2): 408–11.
  • 16. Ghaith B, Al Halabi M, Khamis AH, Kowash M. Oral health status among children with Down syndrome in Dubai, United Arab Emirates. J Int Soc Prev Community Dent. 2019; 9(3): 232–9.
  • 17. Altun C, Guven G, Akgun OM, Akkurt MD, Basak F, Akbulut E. Oral health status of disabled individuals attending special schools. Eur J Dent. 2010; 4(4): 361–9.
  • 18. Fakroon S, Arheiam A, Omar S. Dental caries experience and periodontal treatment needs of children with autistic spectrum disorder. Eur Arch Paediatr Dent. 2015; 16(2): 205–9.
  • 19. Vellappally S, Gardens SJ, Al Kheraif A-AA, Krishna M, Babu S, Hashem M, et al. The prevalence of malocclusion and its association with dental caries among 12-18-year-old disabled adolescents. BMC Oral Health. 2014; 14(1): 123–9.
  • 20. Du RY, Yiu CKY, King NM, Wong VCN, McGrath CPJ. Oral health among preschool children with autism spectrum disorders: A case-control study. Autism. 2015; 19(6): 746–51.
  • 21. Kuter B, Guler N. Caries experience, oral disorders, oral hygiene practices and socio-demographic characteristics of autistic children. Eur J Paediatr Dent. 2019; 20(3): 237–41.
  • 22. Naidoo M, Singh S. The Oral health status of children with autism Spectrum disorder in KwaZulu-Nata, South Africa. BMC Oral Health. 2018; 18(1): 165–74.
  • 23. Kaufman L, Ayub M, Vincent JB. The genetic basis of non-syndromic intellectual disability: a review. J Neurodev Disord. 2010; 2(4): 182–209.
  • 24. Seirawan H, Schneiderman J, Greene V, Mulligan R. Interdisciplinary approach to oral health for persons with developmental disabilities. Spec Care Dent. 2008; 28(2): 43–52.
  • 25.Chiurazzi P, Pirozzi F. Advances in understanding– genetic basis of intellectual disability. F1000Research. 2016; 5: 1–16.
  • 26. Makkar A, Indushekar KR, Saraf BG, Sardana D, Sheoran N. A cross sectional study to evaluate the oral health status of children with intellectual disabilities in the National Capital Region of India (Delhi‐NCR). J Intellect Disabil Res. 2019; 63(1): 31– 9.
  • 27. Scalioni F, Carrada CF, Abreu L, Ribeiro RA, Paiva SM. Perception of parents/caregivers on the oral health of children/adolescents with Down syndrome. Spec Care Dent. 2018; 38(6): 382–90.
  • 28. Fontaine-Sylvestre C, Roy A, Rizkallah J, Dabbagh B, dos Santos BF. Prevalence of malocclusion in Canadian children with autism spectrum disorder. Am J Orthod Dentofac Orthop. 2017; 152(1): 38–41.
  • 29.Rao D, Hegde S, Naik S, Shetty P. Malocclusion in individuals with mental subnormality—a review. Oral Heal Dent Manag. 2014; 13(3): 786–91.
  • 30. Hyder M, Tanboga I, Kalyoncu I, Arain H, Marks L. Are Down syndrome children more vulnerable to tooth wear? J Intellect Disabil Res. 2019; 63(11): 1324–33.
  • 31. Önol S, Kırzıoğlu Z. Evaluation of oral health status and influential factors in children with autism. Niger J Clin Pract. 2018; 21(4): 429–35.
  • 32. Ella B, Ghorayeb I, Burbaud P, Guehl D. Bruxism in movement disorders: a comprehensive review. J Prosthodont. 2017; 26(7): 599–605.
  • 33.Berry RB, Brooks R, Gamaldo CE, Harding SM, Marcus CL, Vaughn B V. assm.org [Internet]. Illinois: The American Academy of Sleep Medicine; 2012 [Updated: 2015; Cited: 2020 Apr 24] Avaliable from: https://aasm.org/resources/pdf/scoring-manualpreface.pdf
  • 34. Stores G, Stores R. Sleep disorders and their clinical significance in children with Down syndrome. Dev Med Child Neurol. 2013; 55(2): 126–30.
  • 35. Manfredini D, Serra-Negra J, Carboncini F, Lobbezoo F. Current concepts of bruxism. Int J Prosthodont. 2017; 30(5): 437–8.
  • 36. Miamoto CB, Pereira LJ, Ramos-Jorge ML, Marques LS. Prevalence and predictive factors of sleep bruxism in children with and without cognitive impairment. Braz Oral Res. 2011; 25(5): 439–45.
  • 37. Aşıcı N, Doğan C, Odabaş ME, Alaçam A. Zihinsel Engelli Çocuklarda Diş Erozyonu ve DMFT Değerlendirilmesi-Pilot Çalışma. Acta Odontol Turcica. 2003; 20(2): 15–20.
  • 38. Marcenes W, Zabot NE, Traebert J. Socio‐economic correlates of traumatic injuries to the permanent incisors in schoolchildren aged 12 years in Blumenau, Brazil. Dent Traumatol. 2001; 17(5): 218–22.
  • 39. Ferreira MCD, Guare RO, Prokopowitsch I, Santos MTBR. Prevalence of dental trauma in individuals with special needs. Dent Traumatol. 2011; 27(2): 113–6.
  • 40.Bagattoni S, Sadotti A, D’Alessandro G, Piana G. Dental trauma in Italian children and adolescents with special health care needs. A cross-sectional retrospective study. Eur J Paediatr Dent Off J Eur Acad Paediatr Dent. 2017; 18(1): 23–6.
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Yayıncı: DÜZCE ÜNİVERSİTESİ
Sayıdaki Diğer Makaleler

Antioksidan Etkili Rutin İçeren Mikroemülsiyon ve Mikroemülsiyon Jel Formülasyonlarının Geliştirilmesi, Karakterizasyonu ve Etkinliğinin İncelenmesi

Çiğdem YÜCEL, Gökçe ŞEKER KARATOPRAK, Tuğba EREN BÖNCÜ, Rukiye Nur AKPOLAT

Gebe Kadınlarda Toxoplasma, Rubella ve Sitomegalovirüs Serum Antikorlarının Sıklığı

Mustafa GÜZEL

Bir Toplum Ruh Sağlığı Merkezindeki Hastalarda Tıbbi Tedaviye Uyumun İncelenmesi

Nevin ONAN

Ciddi Acil Tanılarıyla Karışan Nadir Bir Durum: Kist Hidatik Rüptürü, Bir Olgu Sunumu

Hasan SULTANOĞLU

Ratlarda Amiloid Beta1-42 İle Oluşturulan Deneysel Alzheimer Modelinde Tiyol Disülfit Homeostazisi

Ayhan ÇETİNKAYA

Özel Bakım Gereksinimi Olan Bireylerde Ağız-Diş Bulgularının Değerlendirilmesi

Mine KORUYUCU, Yelda KASIMOĞLU, Cansu AKAY, Özgecan Bakış ÇAYNAK, Fatma Zeynep AYTEPE

Primer Diz Osteoartritinde Total Diz Artroplastisi ve Konservatif Tedavi Sonrası Ağrı, Fiziksel Aktivite Düzeyi ve Fonksiyonellik

Zehra Betül KARAKOÇ, Emel METE, Tuğçe ÖZEN, Tuğba KURU ÇOLAK, Güven BULUT, İlker ÇOLAK

Kadınların Serviks Kanseri ve Taraması İle İlgili Sağlık İnançlarının Değerlendirilmesi

Gülcan ULUDAĞ, Zerrin GAMSIZKAN, Mehmet Ali SUNGUR

Ayakta Sıradışı bir Preaksiyel Polidaktili Olgusu; Vaka Sunumu

Yalcin TURHAN, Mehmet ARICAN, Banu TURHAN, Yunus Emre BULUM

Enteral Beslenen Yoğun Bakım Hastalarının Beslenme Süreci ve Gelişebilecek Komplikasyonlar Açısından Değerlendirilmesi

Ayşe DEMİRAY, Nagihan İLASLAN, Ayşegül AÇIL, İlknur KUZYAKA