Oral Health Status of Special Children in Tribal Population of Southern India

2021 ◽  
Vol 8 (6) ◽  
pp. 226-231
Author(s):  
Naveen Katragadda ◽  
Teja Mounika V ◽  
Tivanani Venkata Durga Mahendra

Introduction: The oral health needs of intellectually disabled are complex and may be related to underlying congenital or developmental anomalies as well as the inability to receive adequate personal and professional care to maintain. This research suggests that people with Intellectually Disability such as Mental retardation, are more likely to have poor oral hygiene, periodontal diseases and high incidence of trauma and possibly more likely to have caries than people without Intellectual disability. Aim: The study aims to assess the oral hygiene status and prevalence of malocclusion among special children in tribal population of Southern India. Materials and Methods: Mouth mirror, periodontal probe, straight explorer were used to examine the children. Results: The obtained data are subjected to chi-square test to compare between demographical variables. Statistical significance was fixed at p-value <0.001. Conclusion: We hereby conclude that the maintenance of oral hygiene is difficult among mentally disabled children due to their improper level of understanding. Therefore it is also essential to enlight or to bring awareness and knowledge among the parents, caregivers, about maintaining the proper oral hygiene status and preventive measures. Keywords: Mental Retardation, Malocclusion, Dental Caries, Periodontal Diseases, Treatment Intervention.

Author(s):  
Sania Sania

Background: Poor periodontal conditions among pregnant women might be a risk factor for adverse pregnancy outcomes which include preeclampsia, preterm delivery, intrauterine growth restriction, and fetal demise (stillbirth). Aim: To assess the effectiveness of oral health promotion by community health workers in diminishing periodontal diseases among pregnant women in rural areas of Jammu District. Methodology: In this community-based cluster randomized controlled study, Jammu district was divided into 5 administrative provinces with a total of 16 PHCs. In our study baseline assessment of Oral Health-related Knowledge, Attitude and Practices, and Oral health status using Oral Hygiene Index was done among pregnant women. Trained ASHA workers served as a medium to impart oral health education to pregnant females on a regular basis. After 3 months of follow up in the 2nd trimester, again oral health-related knowledge, attitude and practices, and oral health status using Oral Hygiene Index were assessed and oral prophylaxis was done for all pregnant women. After 4-5 months birth outcomes were collected at PHC's. Results: The knowledge about oral health was poor in pregnant women, and it improved after providing health education in pregnant women. Scaling alone as an independent variable did not influence the reduction in the preterm birth week (p= 1.000) and birth weight (p=0.113) at 2ndtrimester of pregnancy. Conclusion: Sociocultural factors, illiteracy, misconception, and the extra burden of work on ASHA workers are the main reasons for the ineffective transfer of knowledge and very little change in oral health behavior in pregnant women.


Author(s):  
Alpesh B. Patel ◽  
Rakesh R. Shah ◽  
Vaibhav B. Ramanuj

Background: Oral hygiene should be educated and practiced at early age as it is one of the determinants of the health state later in one’s life. Dental problems are very much prevalent not only in urban slum owing to poor oral hygiene but also in well-developed urban area due to pursuing bad food habit.  The present study was undertaken to compare the oral hygienic practices among people in both areas. Methods: A cross sectional study carried out in 300 people (>10 years) residing in urban and urban slum of Vejalpur (150 from each area). A p-value of <0.05 was considered statistically significant for applied statistical tests. Results: The present study showed that only 26.7% and 17.2% people in urban and urban slum respectively had habit of brushing both time morning and at night before going to bed. Only 25.7% and 11.8% of people used correct brushing technique. Regarding oral health status 47.4% of people in urban area and 61.1% in urban slum had dental caries. Conclusions: Oral hygienic practices were poor needs educational motivation regarding duration of brushing, appropriate way to brush the teeth, and use of mouthwash. 


2019 ◽  
Vol 6 (2) ◽  
pp. 71-79
Author(s):  
Agustin Wulan Suci Dharmayanti ◽  
Suhartini Suhartini ◽  
Banun Kusumawardani

Latar belakang Kualitas hidup manusia ditentukan oleh tingkat sosiodemografi, status kesehatan umum dan rongga mulut yang saling berkaitan. Ras dan suku menentukan genetika dalam merespon keradangan, kerentanan jaringan rongga mulut terhadap bakteri atau injuri, meregulasi hormon reproduksi, dan sindrom menopause. Akan tetapi hubungan faktor tersebut masih  belum banyak terungkap, khususnya pada Suku Osing. Suku Osing merupakan salah satu suku yang masih memegang kuat adat istiadat.Tujuan penelitian ini adalah untuk mengetahui status kesehatan rongga mulut wanita suku Osing. Metode Penelitian observasional dengan desain cross sectional.Subyek penelitian dikelompokan menjadi kelompok usia produktif dan menopause. Pada subyek penelitian dilakukan pemeriksaan status kesehatan rongga mulut meliputi jumlah gigi yang tersisa di rongga mulut, indeks periodontal, karies dan kebersihan rongga mulut. Semua data dikategorikan kemudian akan dilakukan uji korelasi non parametric (p?0,05). Hasil Kelompok wanita usia menopause pada penelitian ini sudah mengalami menopause dalam kurun waktu 5-10 tahun.Jumlah gigi wanita usia menopause lebih sedikit dibanding wanita usia produksif (p?0,05). Wanita usia menopause lebih banyak menderita penyakit periodontal yang bersifat irreversible (2,65 ± 0,35) daripada wanita usia produktif (1,16 ± 0,27). Indeks karies kelompok wanita usia menopause (D=166, M=570) lebih tinggi dibanding wanita usia produktif (D=247, M=162). Akan tetapi, kedua kelompok ini mempunyai tingkat kebersihan mulut yang sama. Selain itu terdapat hubungan antara tingkat kebersihan mulut, penyakit periodontal, karies dan lamanya menopause (R>0,3). Simpulan Status kesehatan rongga mulut wanita usia menopause suku Osing di Desa Kemiren, Kecamatan Glagah, Banyuwangi lebih buruk dibanding wanita usia produktif. Akan tetapi, perlu penelitian lebih lanjut mengenai faktor-faktor yang mempengaruhi status kesehatan rongga mulut tersebut.   Background Social-demography, health status, and oral health specify a quality life, which all of them are correlated. Races and ethnic assign genetic aspect, especially in inflammation respond, oral tissue susceptibility to bacterial infection and injuries, hormone regulation, and menopause syndrome. However, the relationships are unexplored yet, especially in osingese. Osingese is one of ethnic which hold the customs strongly. The objective of this study was to know the oral health status of Osingese Women. Method This study was observational with a cross-sectional design. The subjects were classified into productive and menopause age. All of the subjects were examined their oral health, including remain teeth, periodontal index, caries index, and oral hygiene index. All of the data were categorized and analyzed by non-parametric correlation analysis (p?0.05). Result Menopause aged group experienced menopause period about 5-10 years. The number of teeth of the menopause group was less than productive group (p?0.05). The menopause group more sustained irreversible periodontal diseases (2.65 ± 0.35) than the productive group (1.16 ± 0.27). Caries index in the menopause group (D=166, M=570) was higher than the productive group (D=247, M=162). However, their oral hygiene index was the same. Moreover, there presented the relationship between oral hygiene, caries index, periodontal index, and menopause status (R>0.3). Conclusion Oral health status menopause aged osingese women was poorer than the productive group. However, it needed further study to investigate the other factor influencing oral health status. Keywords: caries, periodontal disease, oral hygiene, menopause, Osingese


2010 ◽  
Vol 04 (04) ◽  
pp. 361-366 ◽  
Author(s):  
Ceyhan Altun ◽  
Gunseli Guven ◽  
Ozlem Marti Akgun ◽  
Meltem Derya Akkurt ◽  
Feridun Basak ◽  
...  

Objectives: The purpose of this study was to determine the prevalence of the dmft-DMFT indexes and the oral hygiene status of 136 individuals attending a special school for the disabled.Methods: Participants were grouped according to disability [Mental Retardation (MR), Cerebral Palsy (CP), Autistic Disorder (AD), Down Syndrome (DS), Other (OTH)] and age [2-6 years (n=24), 7-12 years (50 children) and 13+ years (62 children]. Caries examinations were carried out in accordance with WHO criteria and oral cleanliness was evaluated by visually assessing the presence of plaque on teeth.Results: The age range of patients was 2-26 years (mean age: 11.89±5.19 years). Mean dmft and DMFT scores by age group were as follows: 2-6 years: dmft=2.04±2.24; 7-12 years: dmft=2.24±2.60, DMFT=0.98±2.58; 13+years: DMFT=2.68±2.91. Overall, 15.4% of children had no caries or fillings. While dmft and DMFT levels (P>.05) did not vary significantly by type of disability, oral cleanliness did. Children with autism were observed to maintain the best oral hygiene and those with mental retardation (MR), the poorest.Conclusions: It is important for the dentist to concentrate on a preventive approach and provide proper dental education to parents of disabled individuals. Among the children with disabilities, more attention should be paid to the oral hygiene of MR group. (Eur J Dent 2010;4:361-366)


Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Ritu Gupta ◽  
Arun Kumar Acharya

Background and Objectives. Pregnancy can be a risk factor for dental diseases as oral tissues are liable to changes due to hormonal variations. The aim of the study was to assess the oral health status and treatment needs among pregnant women of Raichur district, Karnataka, India.Methods. Cross-sectional data was collected from 300 primigravidae from all the 5 taluks of Raichur district visiting the respective community health centre at taluk headquarters. A specially designed questionnaire was used to assess the demographic variables and oral hygiene practices. A clinical examination was done according to WHO (World Health Organization) criteria 1997 and recorded using WHO Oral Health Assessment Form.Results. The mean age of the pregnant women in the study was 21.8 (2.12) years. The prevalence of caries and periodontal diseases was 62.7% and 95%, respectively. The mean DT, MT, FT, and DMFT were 2.06 (2.5), 0.03 (0.17), 0.04 (0.27), and 2.13 (2.54), respectively. The mean OHI-S was 2.87 (1.27). Chi-square test showed that CPI scores increased with the trimester of pregnancy.Conclusion. The present study demonstrates poor oral hygiene and high prevalence of periodontal diseases, as well as a large proportion of unmet dental treatment needs among pregnant women of Raichur district, India.


Author(s):  
Shibani Sushmitha Ray ◽  
Sunil Kumar Doddaiah ◽  
Chandan N. ◽  
Arun Gopi ◽  
Narayan Murthy M. R. ◽  
...  

Background: Regardless of the improvements in the field of healthcare, there is a section of people who live away from civilization known as indigenous people or tribals. Information regarding oral health status is instrumental in the planning and implementation of oral health policies and programmes related to promotion of oral health. The present study aimed to assess the oral health status of the tribal population of Chamarajanagar district.Methods: A cross‑sectional survey of 256 tribals of Chamarajanagar district was conducted. A modified WHO oral health assessment form 2013 was utilized and examined according to the WHO methodology 2013. The recorded data was statistically analysed using the statistical package for the social sciences version 24.Results: Based on the age-category, majority of them belonged to the age group of 35-44 years. All the participants belonged to the sub-caste of Soligas. The total decayed missing filled teeth (DMFT) among the subjects was 5.5±4.14, 114 (44.5%) of them had gingival bleeding, 76 (29.7%) of them had pockets of 4-5 mm depth, 14 (5.5%) of them had pockets of >6 mm depth, 74 (28.9%) had loss of attachment of 4-5 mm, 16 (6.3%) of them had loss of attachment of 6-8 mm, 3 (1.2%) had leukoplakia, 1 (0.4%) had lichen planus, 12 (4.7%) had ulceration and 12 (4.7%) had abscess.Conclusions: This study showed that a majority of tribes used toothbrush and toothpaste to routinely clean their teeth. High prevalence of dental caries and periodontal diseases was observed among the participants.


Background. Poor oral health among children is common finding in the rural regions of India. But if the existent structure of primary health care is used, favourable oral health habits and importance of oral health can be instilled in the children and their parents at a very early stage. Objective. To evaluate the effectiveness of Anganwadi workers (AWWs) in improving the oral hygiene of the preschool children through oral health education. Material and methods. 250 children in the age group of 2.5-6 years, were included in the study. The study was conducted in three phases over a period of 8 months which included a follow up of six months. Baseline oral health was determined using a questionnaire assessing the oral hygiene practices and DMFT Index, Plaque Index and Gingival Index. This was re-assessed after 6 months using the same questionnaire and indices. Statistical significance was fixed at p value Ł 0.05. Chi square and paired ‘t’ test were used to assess the difference in the variables after providing oral health education. Results. Out of 250 children, with mean age of 4.24 years, majority were girls (142, 56.8%). The use of fluoridated toothpaste among the study population significantly increased from 34.4% to 41.5% (p=0.001) with the intervention of oral health education (OHE). Decrease in consumption of sticky sugar, addition of sugar in the night-feeds and cleaning of teeth after night-feeds were also found to change significantly. Gingival index showed significant reduction after OHE (p=0.001). Conclusion. The study revealed that training of Anganwadi workers (AWWs) could be used to improve the oral health of the Anganwadi children. They represent an untapped source for delivering oral care to rural communities that otherwise have limited access.


2017 ◽  
Vol 4 (4) ◽  
pp. 128
Author(s):  
Deepika Vyas ◽  
Bharath Galra ◽  
Rishubh Dagli ◽  
Prabhu Prakash Gupta ◽  
Ashish Vyas ◽  
...  

Aim: To evaluate oral health status, periodontal status, gingival status, oral lesions and bacterial characterization among betel quid chewers and non chewers.Material and Methods: The data was collected regarding socio-demographic characteristic, oral hygiene status, gingival status, periodontal status, bacterial characterization among betel quid chewers and non chewers. The microbiological examination was carried out to assess the micro flora. The statical analysis was done by using SPSS version 21(Chicago ,USA). The p value≤ 0.05 was found to be statistically significant.Results: Aerobic as well as anaerobic bacteria were more characterized among quid chewers as compared to non quid chewers. Significant co-relation was found between oral hygiene status and gingival status ,CPI and LOA, oral lesions and bacterial characterization among quid chewers characterization  (r=0.391, 0.932, 572 respectively p-value=0.000, S) and among non quid chewers significant correlation was found between CPI and LOA scores (r=0.658 p-value=0.000, S).Conclusions: Chewing betel quid has been found in role of detoriation of oral hygiene gingival status periodontal status and also development of oral lesions.


2020 ◽  
Vol 32 (3) ◽  
pp. 166
Author(s):  
Munifah Abdat ◽  
Ivan Ramayana

Introduction: Early childhood period has a high caries risk that needs special attention from parents, especially the mothers, as their role models. Mothers’ knowledge and positive behaviour towards oral health care are essential in preventive dentistry since it is the crucial thing that can support the children’s oral hygiene. Purpose of study was aimed to analyse the relationship between the mother’s knowledge and behaviour regarding oral health with the early childhood oral health status. Methods: Type of study was a cross-sectional study with correlational research method. The material from this research were questionnaires and standard instruments for an oral examination. The study was conducted on 44 children of the early childhood period and their mothers, which was chosen as sample using a purposive sampling technique for respondents who met the inclusion criteria. The inclusion criteria were mothers who took up their children to the mother and children’s health centre, children in the early childhood period with complete deciduous teeth eruption, and willing to participate in the research. A Kendall’s-tau test was used for statistical analysis. Results: The results showed that the def-t index was 7.6 (very high) and there was a significant relationship between mother’s knowledge (p-value=0.0001) and behaviour (p-value=0.004) towards oral health status of the children (def-t index). The results also showed strong correlation coefficient to knowledge (τ = -0.643) and sufficient correlation coefficient to behaviour (τ = -0.415). Ironically, mothers with sufficient knowledge regarding the children’s oral health are not fully reflected in daily oral hygiene practice. The mean value of caries teeth in each child was seven teeth, mostly found in children with mothers with poor oral health knowledge and behaviour. Conclusion: There is a strong relationship between mother’s knowledge and oral health status of early childhood, while the mother’s behaviour and oral health status has a moderate relationship.


2020 ◽  
Vol 32 (3) ◽  
pp. 174
Author(s):  
Myrna Nurlatifah Zakaria ◽  
Yuyun Andina Suri ◽  
Badi Soerachman ◽  
Khairul Anuar Shariff ◽  
Arief Cahyanto

Introduction: Early childhood period has a high caries risk that needs special attention from parents, especially the mothers, as their role models. Mothers’ knowledge and positive behaviour towards oral health care are essential in preventive dentistry since it is the crucial thing that can support the children’s oral hygiene. Purpose of study was aimed to analyse the relationship between the mother’s knowledge and behaviour regarding oral health with the early childhood oral health status. Methods: Type of study was a cross-sectional study with correlational research method. The material from this research were questionnaires and standard instruments for an oral examination. The study was conducted on 44 children of the early childhood period and their mothers, which was chosen as sample using a purposive sampling technique for respondents who met the inclusion criteria. The inclusion criteria were mothers who took up their children to the mother and children’s health centre, children in the early childhood period with complete deciduous teeth eruption, and willing to participate in the research. A Kendall’s-tau test was used for statistical analysis. Results: The results showed that the def-t index was 7.6 (very high) and there was a significant relationship between mother’s knowledge (p-value=0.0001) and behaviour (p-value=0.004) towards oral health status of the children (def-t index). The results also showed strong correlation coefficient to knowledge (τ = -0.643) and sufficient correlation coefficient to behaviour (τ = -0.415). Ironically, mothers with sufficient knowledge regarding the children’s oral health are not fully reflected in daily oral hygiene practice. The mean value of caries teeth in each child was seven teeth, mostly found in children with mothers with poor oral health knowledge and behaviour. Conclusion: There is a strong relationship between mother’s knowledge and oral health status of early childhood, while the mother’s behaviour and oral health status has a moderate relationship.


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