Shanmugam Muthukali, Shivakumar Vetrivel, Anitha Vijayarangan, Meenapriya Bagavathi Perumal, Aishwarya Srinivasan, Anitha Ramakrishnan
Department of Periodontics, Chettinad Dental College & Research Institute, IT Highway, Rajiv Gandhi Salai, Kelambakkam, Chennai, Tamil Nadu 603112, India.
Int Sch Res Notices. 2014 Nov 18;2014:824125. doi: 10.1155/2014/824125. eCollection 2014.
Aim. Children with developmental disabilities generally experience more pain than the normal children. Description of pain is generally difficult in children and more so in children with intellectual disabilities. The study aimed at evaluating dental pain in children with intellectual disabilities. Methods. The survey was carried out in an institution caring for intellectually disabled children to determine the oral health status and the treatment needs of the special kids. 236 children were surveyed out of which the test group is comprised of 111 intellectually disabled children and the control group had 125 normal children with age ranging between five to eighteen years. A questionnaire was presented to the caregivers to elaborate about dental pain in their wards using the dental discomfort questionnaire (DDQ+). The children were examined for dental caries and periodontal status based on the WHO indices for oral hygiene status. Result. Results revealed a statistically significant difference between intellectual disability and brushing, chewing, and earache. The frequency of reporting dental pain was lesser in the intellectually disabled group. Conclusion. Children with intellectual disability tended to report dental pain of any nature with lesser frequency than typically developing peers. They also faced greater difficulty in brushing and chewing.
目的。发育障碍儿童通常比正常儿童经历更多疼痛。儿童一般难以描述疼痛，而智障儿童更是如此。本研究旨在评估智障儿童的牙齿疼痛情况。方法。在一家照顾智障儿童的机构中进行调查，以确定这些特殊儿童的口腔健康状况和治疗需求。共对236名儿童进行了调查，其中测试组由111名智障儿童组成，对照组有125名年龄在5至18岁之间的正常儿童。向照顾者发放问卷，使用牙齿不适问卷（DDQ+）详细了解其病房内儿童的牙齿疼痛情况。根据世界卫生组织的口腔卫生状况指数对儿童进行龋齿和牙周状况检查。结果。结果显示，智障与刷牙、咀嚼及耳痛之间存在统计学上的显著差异。智障组报告牙齿疼痛的频率较低。结论。与正常发育的同龄人相比，智障儿童报告任何性质牙齿疼痛的频率往往较低。他们在刷牙和咀嚼方面也面临更大困难。
