Pavithran Varsha K, Murali R, Krishna Madhusudan, Shamala A, Yalamalli Maanasi, Kumar A Vinod, Raina Romshi
Department of Public Health Dentistry, Rajah Muthiah Dental College and Hospital, Annamalai University, Chidambaram, Tamil Nadu, India.
Department of Public Health Dentistry, Krishnadevaraya College of Dental Sciences and Hospital, Bengaluru, Karnataka, India.
Indian J Dent Res. 2020 May-Jun;31(3):396-402. doi: 10.4103/ijdr.IJDR_260_18.
As parents are the primary decision-makers of child's health, a study was conducted to assess and compare the oral health status and impact of oral diseases on daily activities among 12- to 15-year-old institutionalized orphan and non-orphan children in Bengaluru city.
This cross-sectional analytical study was conducted among 210 orphans and 210 government school children living with parents. Data with regard to the impact of oral diseases on daily activities were collected by means of Child Oral Impacts on Daily Performances (C-OIDP) index, and oral health status was determined using WHO Oral Health Assessment Form 1997.
Descriptive statistics of the key variables were reported and data were analyzed using Pearson's Chi-square test, Mann-Whitney U-test, One-way analysis of variance and Step-wise multiple linear regression analysis. Statistical significance was set at P < 0.05 for this study.
Common oral health problems perceived by orphans and non-orphans were bleeding gums (16.8% and 12.4%) and toothache (12.7% and 13.7%), respectively. The daily performances most affected were cleaning mouth (33.3%; orphans 5.35 ± 4.22; non-orphans 7.05 ± 7.55; P = 0.000) and eating (33.1%; orphans 6.91 ± 6.09; non-orphans 7.07 ± 6.78; P = 0.003). Oral mucosal condition, dental fluorosis, dentofacial anomalies, and calculus showed significant difference among orphans and non-orphans (P = 0.000).
C-OIDP score was high in orphans. Age, dental fluorosis, and decayed teeth were the significant factors for determining C-OIDP score. More than half of the study subjects were suffering from oral diseases which required treatment to improve their quality of life.
由于父母是孩子健康的主要决策者，因此开展了一项研究，以评估和比较班加罗尔市12至15岁的机构收养孤儿和非孤儿儿童的口腔健康状况以及口腔疾病对日常活动的影响。
这项横断面分析研究在210名孤儿和210名与父母同住的公立学校儿童中进行。通过儿童口腔疾病对日常表现的影响（C-OIDP）指数收集有关口腔疾病对日常活动影响的数据，并使用世界卫生组织1997年口腔健康评估表确定口腔健康状况。
报告关键变量的描述性统计数据，并使用Pearson卡方检验、Mann-Whitney U检验、单因素方差分析和逐步多元线性回归分析对数据进行分析。本研究设定的统计学显著性水平为P <0.05。
孤儿和非孤儿认为常见的口腔健康问题分别是牙龈出血（16.8%和12.4%）和牙痛（12.7%和13.7%）。受影响最大的日常表现是口腔清洁（33.3%；孤儿5.35±4.22；非孤儿7.05±7.55；P = 0.000）和进食（33.1%；孤儿6.91±6.09；非孤儿7.07±6.78；P = 0.003）。口腔黏膜状况、氟斑牙、牙颌面异常和牙结石在孤儿和非孤儿之间存在显著差异（P = 0.000）。
孤儿的C-OIDP评分较高。年龄、氟斑牙和龋齿是决定C-OIDP评分的重要因素。超过一半的研究对象患有口腔疾病，需要进行治疗以改善他们的生活质量。
