Fernandez C, Descamps I, Fabjanska K, Kaschke I, Marks L
Centre of Special care in dentistry, PAECOMEDIS, Ghent University Hospital, Belgium.
Special Olympics, Healthy Athletes Special Smiles, Poland.
Eur J Paediatr Dent. 2016 Mar;17(1):9-16.
To evaluate the oral condition and treatment needs of young athletes with intellectual disability (ID) from 53 countries of Europe and Eurasia who participated in the Special Olympics European Games held in Antwerp, October 2014.
A cross- sectional study was undertaken with data collected through standardised procedures from consenting athletes under 21 years of age. Oral hygiene habits, reports of oral pain and presence of gingival signs, sealants, untreated caries and missing teeth were recorded.
Data analysis was performed in SPSS to produce descriptive statistics and explanatory variables for untreated decay, and gingival signs of disease were tested with Multilevel Generalized Linear Mixed Models.
Five hundred three athletes participated in this study (mean age 17 yrs). Untreated decay was recorded in 33.4% of the participants and 38.7% of them had signs of gingival disease. Absence of untreated decay was associated with lower chances of gingival signs, while absence of sealants was related with higher chances of untreated decay.
There is consistent evidence of persistent need for increased promotion of oral health, as well as preventive and restorative treatment in young athletes with ID in Europe and Eurasia. Due to the limited predictive capacity of the studied variables for oral disease, further studies including other related factors are needed.
评估来自欧洲和欧亚大陆53个国家、参加2014年10月在安特卫普举行的特奥会的智障年轻运动员的口腔状况及治疗需求。
采用横断面研究，通过标准化程序收集21岁以下同意参与的运动员的数据。记录口腔卫生习惯、口腔疼痛报告、牙龈体征、窝沟封闭剂、未治疗的龋齿及缺失牙情况。
在SPSS中进行数据分析，以生成未治疗龋齿的描述性统计数据和解释变量，并使用多水平广义线性混合模型对牙龈疾病体征进行检验。
503名运动员参与了本研究（平均年龄17岁）。33.4%的参与者有未治疗的龋齿，其中38.7%有牙龈疾病体征。无未治疗龋齿与牙龈疾病体征发生率较低相关，而无窝沟封闭剂与未治疗龋齿发生率较高相关。
有确凿证据表明，欧洲和欧亚大陆的智障年轻运动员持续需要加强口腔健康促进以及预防和修复治疗。由于所研究变量对口腔疾病的预测能力有限，需要开展包括其他相关因素的进一步研究。
