Al-Jobair Asma M, Al-Sadhan Salwa A, Al-Faifi Areej A, Andijani Reem I
Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2013 May;34(5):531-6.
To evaluate the medical and dental health status of orphan children from 4 to 12-years-old, and compare them with children living with their parents.
This analytical, cross-sectional study took place in 3 government orphanages and 3 ordinary schools in Riyadh, Saudi Arabia from July 2011 to January 2012. All orphans aged 4-12 year were selected (N=90). Ninety children living with their parents were selected randomly to serve as the controls. Demographic data, medical, and dental history were obtained through a questionnaire answered by the orphans' foster mothers and children's parents. The study groups were examined to evaluate their caries status using the Decayed-Missing and-Filled Teeth/Surface indices (DMFT/DMFS) for permanent teeth and (dmft/dmfs) for primary teeth. Oral hygiene status (OHI), plaque deposition (PI), and gingival health (GI) were also assessed. Pearson Chi-square, Mann-Whitney, and Kruskal-Wallis tests were used for statistical analysis.
Approximately 36% of the orphans had medical conditions compared to 14.4% of the control children. The control children visited the dentist more than the orphans (p<0.001). Approximately 96% of the orphans had dental caries compared to 90% of the control children (p<0.001). Decayed-missing and-filled teeth/surface index scores were higher among orphans (p=0.004) compared to the control children (p<0.001). Orphans scored higher in PI (p=0.009), GI (p=0.002), and OHI (p<0.001).
Medical health conditions were more prevalent among orphans living in government orphanages, but they were provided with good and continuous medical care. However, they had more dental caries and worse oral hygiene, as dental care was provided to them only in case of emergency.
评估4至12岁孤儿的医疗和口腔健康状况，并与与父母同住的儿童进行比较。
这项分析性横断面研究于2011年7月至2012年1月在沙特阿拉伯利雅得的3所政府孤儿院和3所普通学校进行。选取了所有4至12岁的孤儿（N = 90）。随机选取90名与父母同住的儿童作为对照。通过孤儿的养母和儿童父母填写的问卷获取人口统计学数据、医疗和牙科病史。使用恒牙的龋失补牙/面指数（DMFT/DMFS）和乳牙的龋失补牙/面指数（dmft/dmfs）对研究组进行检查，以评估他们的龋齿状况。还评估了口腔卫生状况（OHI）、菌斑沉积（PI）和牙龈健康（GI）。采用Pearson卡方检验、Mann-Whitney检验和Kruskal-Wallis检验进行统计分析。
约36%的孤儿有医疗问题，而对照儿童为14.4%。对照儿童看牙医的次数比孤儿多（p<0.001）。约96%的孤儿有龋齿，对照儿童为90%（p<0.001）。与对照儿童相比，孤儿的龋失补牙/面指数得分更高（p = 0.004）（p<0.001）。孤儿在PI（p = 0.009）、GI（p = 0.002）和OHI（p<0.001）方面得分更高。
住在政府孤儿院的孤儿中医疗健康问题更普遍，但他们得到了良好且持续的医疗护理。然而，他们有更多的龋齿且口腔卫生更差，因为只有在紧急情况下才为他们提供牙科护理。
