Prevalence of dental caries in patients with intellectual disabilities from the Association of Exceptional Children’s Parents and Friends of Southern Brazil

Objective This study was conducted to determine the prevalence and severity of dental caries, missing and restored teeth (DMFT) and the efficiency of oral health programs for patients with intellectual disabilities, from age 11 to 38, who attended at the Association of Exceptional Children’s Parents and Friends (APAE) in Passo Fundo, southern Brazil. Methods The prevalence of dental caries was assessed by DMFT in 109 patients. The mean and standard deviation were evaluated by One-way ANOVA with 5% significance level. Results 47 of the evaluated students were female and 62 male, with moderate mental disability, Down syndrome, cerebral paralysis and epilepsy. The DMFT average was 3.93 for 11-14 years, 3.47 for 15-19 years, 4.74 for 20-30 years and 5.68 for the group 31-40 years. There were no significant differences among the DMFT index, gender and intellectual disability for the groups. Conclusion Patients had acceptable oral hygiene within their limitations, suggesting that prevention and dental care program developed in APAEPF/RS could be used as a model for health care for patients with intellectual disabilities in other institutions and other cities. Indexing terms: Dental auxiliaries. Dental staff. Oral health. Professional competence.

[1]  Á. Della Bona,et al.  Influence of Different Intellectual Disability Levels on Caries and Periodontal Disease. , 2016, Brazilian dental journal.

[2]  C. Huebner,et al.  Preventive dental health care experiences of preschool-age children with special health care needs. , 2015, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[3]  D. Chi,et al.  Prevention and nonsurgical management of dental caries over the life course for individuals with special health care needs. , 2014, Journal of the California Dental Association.

[4]  Ya-Wei Chen,et al.  Oral health status of children with special health care needs receiving dental treatment under general anesthesia at the dental clinic of Taipei Veterans General Hospital in Taiwan , 2014, Journal of the Chinese Medical Association : JCMA.

[5]  R. Giacaman,et al.  Caries risk assessment in Chilean adolescents and adults and its association with caries experience. , 2013, Brazilian oral research.

[6]  C. Oliveira,et al.  Dental needs and management of children with special health care needs according to type of disability. , 2012, Journal of dentistry for children.

[7]  V. Yengopal,et al.  Dental caries prevalence in children attending special needs schools in Johannesburg, Gauteng Province, South Africa. , 2012, SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging.

[8]  G. Guven,et al.  Oral Health Status of Disabled Individuals Attending Special Schools , 2010, European journal of dentistry.

[9]  P. Glassman,et al.  Creating and maintaining oral health for dependent people in institutional settings. , 2010, Journal of public health dentistry.

[10]  Shun-te Huang,et al.  The oral health status and treatment needs of institutionalized children with cerebral palsy in Taiwan , 2010 .

[11]  R. Rozier,et al.  Dental care utilization and expenditures in children with special health care needs. , 2009, Journal of the American Dental Association.

[12]  Shun-te Huang,et al.  Dental caries associated with dietary and toothbrushing habits of 6- to 12-year-old mentally retarded children in Taiwan , 2009 .

[13]  J. Morgan Why is periodontal disease more prevalent and more severe in people with Down syndrome? , 2007, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[14]  A. Wyne,et al.  Caries experience and oral hygiene status of blind, deaf and mentally retarded female children in Riyadh, Saudi Arabia. , 2004, Odonto-stomatologie tropicale = Tropical dental journal.

[15]  R. S. Wada,et al.  Dental caries experience in children at public and private schools from a city with fluoridated water , 2004 .

[16]  S. Calhoun,et al.  Similarities and Differences in Wechsler Intelligence Scale for Children—Third Edition (WISC-III) Profiles: Support for Subtest Analysis in Clinical Referrals , 2004, The Clinical neuropsychologist.

[17]  A. Sheiham,et al.  Dental findings in 4-, 14-, and 25-to 35-year-old Hong Kong residents with mental and physical disabilities. , 2002, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[18]  P. Ottolina,et al.  Oral health profile in an institutionalized population of Italian adults with mental retardation. , 2001, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[19]  D. Declerck,et al.  Oral hygiene in 12-year-old disabled children in Flanders, Belgium, related to manual dexterity. , 2000, Community dentistry and oral epidemiology.

[20]  C. Palmer,et al.  Dental caries in American Indian children , 1938 .