Department of Orthodontics, Paediatric Dentistry, & Preventive Dentistry, Faculty of Dentistry, University of Khartoum, Khartoum, The Sudan.
BMC Oral Health. 2013 Jul 17;13:33. doi: 10.1186/1472-6831-13-33.
Although oral health care is a vital component of overall health, it remains one of the greatest unattended needs among the disabled. The aim of this study was to assess the oral health status and oral health-related quality of life (Child-OIDP in 11-13-year-old) of the visually challenged school attendants in Khartoum State, the Sudan.
A school-based survey was conducted in Al-Nour institute [boys (66.3%), boarders (35.9%), and children with partial visual impairment (PVI) (44.6%)]. Two calibrated dentists examined the participants (n=79) using DMFT/dmft, Simplified Oral Hygiene Index (OHI-S), dental care index, and traumatic dental injuries (TDI) index. Oral health related quality of life (C-OIDP) was administered to 82 schoolchildren.
Caries experience was 46.8%. Mean DMFT (age≥12, n=33) was 0.4 ± 0.7 (SiC 1.6), mean dmft (age<12, n=46) was 1.9 ±2.8 (SiC 3.4), mean OHIS 1.3 ± 0.9. Care Index was zero. One fifth of the children suffered TDI (19%). Almost one third (29%) of the 11-13 year old children reported an oral impact on their daily performances. A quarter of the schoolchildren (25.3%) required an urgent treatment need. Analysis showed that children with partial visual impairment (PVI) were 6.3 times (adjusted) more likely to be diagnosed with caries compared to children with complete visual impairment (CVI), and children with caries experience were 1.3 times (unadjusted) more likely to report an oral health related impact on quality of life.
Visually impaired schoolchildren are burdened with oral health problems, especially caries. Furthermore, the 11-13 year olds' burden with caries showed a significant impact on their quality of life.
尽管口腔保健是整体健康的重要组成部分，但它仍然是残疾人群体中最大的未满足需求之一。本研究旨在评估苏丹喀土穆州视障学校学生的口腔健康状况和口腔健康相关生活质量（11-13 岁的儿童-OIDP）。
在努尔学院进行了一项基于学校的调查[男生（66.3%）、寄宿生（35.9%）和部分视力障碍儿童（44.6%）]。两名经过校准的牙医使用 DMFT/dmft、简化口腔卫生指数（OHI-S）、口腔保健指数和创伤性牙齿损伤（TDI）指数检查了 79 名参与者。对 82 名学龄儿童进行了口腔健康相关生活质量（C-OIDP）评估。
龋齿患病率为 46.8%。年龄≥12 岁的儿童（n=33）DMFT 的平均值为 0.4±0.7（SiC 1.6），年龄<12 岁的儿童（n=46）dmft 的平均值为 1.9±2.8（SiC 3.4），OHIS 的平均值为 1.3±0.9。口腔保健指数为零。五分之一的儿童患有 TDI（19%）。近三分之一（29%）的 11-13 岁儿童报告说口腔问题对他们的日常活动有影响。四分之一的学龄儿童（25.3%）需要紧急治疗。分析显示，与完全视力障碍的儿童相比，部分视力障碍的儿童患龋齿的可能性高 6.3 倍（校正后），有龋齿经历的儿童报告口腔健康相关生活质量受影响的可能性高 1.3 倍（未校正）。
视障学龄儿童口腔健康问题严重，尤其是龋齿。此外，11-13 岁儿童的龋齿负担对其生活质量有显著影响。
