Senirkentli Güler Burcu, Tirali Resmiye Ebru, Bani Mehmet
Baskent University, Turkey.
Gazi University, Turkey.
J Intellect Disabil. 2021 Jan 27:1744629520981318. doi: 10.1177/1744629520981318.
This study aimed to compare the Dental Discomfort Questionnaire (DDQ) scores in children with and without intellectual disability (ID) and to measure correlation between the total DDQ and the Decayed, Missing, and Filled Teeth (DMFT/dmft) scores, as well as the condition of the tooth causing pain.
This cross-sectional study included 81 children with normal intellectual development who attended the Departments of Pediatric Dentistry at two Turkish Universities and 80 children with different levels of intellectual disability who reported dental pain in special education centers. The 12-question DDQ (Turkish version) was applied to the parents of the patients with their consent. The relationship of the DDQ scores with tha of the DMFT/dmft, dental status, and demographic data was evaluated.
When the DDQ scores of children with intellectual disabilities were evaluated, it was found that the majority of the answers given to the questions were statistically similar (p < 0.05) to those of children with normal cognitive level. In the questions in which "pain when eating and brushing teeth" was evaluated, a higher score was obtained, which led to an increase in the total DDQ score (p < 0.001). There was a statistically significant difference between the groups in terms of the distribution of dental conditions (p < 0.001). When compared to the normal cognitive group, patients with mild and severe intellectual disabilities had more deep dentin caries, thoughy, frequent periapical abscess was less common in those groups (p < 0.001 and p = 0.022). There was no statistically significant relationship between DMFTscores.
The DDQ was found to be a descriptive, functional, and easy-to-use questionnaire for children with intellectual disabilitiesin terms of detecting the presence of dental pain. No correlation was found between DMFT/dmft, dental status and DDQ scores.
本研究旨在比较有和没有智力障碍（ID）儿童的牙科不适问卷（DDQ）得分，并测量DDQ总分与龋失补牙数（DMFT/dmft）得分之间的相关性，以及引起疼痛牙齿的状况。
这项横断面研究纳入了81名在两所土耳其大学的儿童牙科部门就诊的智力发育正常的儿童，以及80名在特殊教育中心报告有牙齿疼痛的不同程度智力障碍儿童。经患者父母同意，向他们发放了包含12个问题的DDQ（土耳其语版本）。评估了DDQ得分与DMFT/dmft得分、牙齿状况和人口统计学数据之间的关系。
在评估智力障碍儿童的DDQ得分时，发现对这些问题给出的大多数答案在统计学上与认知水平正常的儿童相似（p<0.05）。在评估“进食和刷牙时疼痛”的问题中，得分较高，导致DDQ总分增加（p<0.001）。两组在牙齿状况分布方面存在统计学显著差异（p<0.001）。与正常认知组相比，轻度和重度智力障碍患者有更多的深龋，不过，这些组中频繁发生的根尖周脓肿较少见（p<0.001和p = 0.022）。DMFT得分之间没有统计学显著关系。
发现DDQ在检测智力障碍儿童牙齿疼痛方面是一种描述性、功能性且易于使用的问卷。未发现DMFT/dmft、牙齿状况与DDQ得分之间存在相关性。
