Shetty Vabitha, Kumar Jithendra, Hegde Amitha
Professor, Department of Pedodontics and Preventive Dentistry, A. B. Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India.
Spec Care Dentist. 2014 May-Jun;34(3):131-7. doi: 10.1111/scd.12042. Epub 2013 Aug 6.
In our study, a visual oral health education (OHE) program was specially designed for children with hearing impairment. Its efficacy in improving their oral health status was evaluated after periods of reinforcement and nonreinforcement. One hundred and ten institutionalized children with moderate-to-severe hearing impairment aged 6-14 years were selected for the study. Oral health status was evaluated at the start of the study (pre-OHE level) using the Modified Gingival Index (MGI) and the Turesky-Gilmore-Glickman modification of the Quigley Hein Plaque Index (MQPI). Salivary Streptococcus mutans levels of the children were also evaluated. Brushing skills were assessed using the Simmons index at the start of the study. Significant decreases were observed in the mean values of both the MGI and MQPI from the baseline up to the values obtained at the end of both periods of reinforcement and nonreinforcement. Significant reduction in S. mutans counts was observed, from Pre-OHE levels up to the levels at the end of the period of nonreinforcement. Brushing skills of children improved significantly at the end of study, notably in areas where brushing was previously deemed unsatisfactory. The OHE program specially formulated for the hearing impaired children was effective in improving their oral health status significantly.
在我们的研究中，专门为听力受损儿童设计了一项视觉口腔健康教育（OHE）计划。在强化期和非强化期后，评估了该计划在改善他们口腔健康状况方面的效果。选择了110名年龄在6至14岁、患有中度至重度听力障碍的机构化儿童进行研究。在研究开始时（OHE前水平），使用改良牙龈指数（MGI）和对Quigley Hein菌斑指数（MQPI）的Turesky-Gilmore-Glickman改良版评估口腔健康状况。还评估了儿童唾液中的变形链球菌水平。在研究开始时，使用西蒙斯指数评估刷牙技巧。从基线到强化期和非强化期结束时获得的值，MGI和MQPI的平均值均显著下降。观察到变形链球菌计数从OHE前水平到非强化期结束时的水平显著降低。儿童的刷牙技巧在研究结束时显著提高，特别是在以前认为刷牙不满意的区域。专门为听力受损儿童制定的OHE计划在显著改善他们的口腔健康状况方面是有效的。
