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澳大利亚特奥会智障儿童的口腔健康状况和治疗需求。

Oral Health Conditions and Treatment Needs of Children with Intellectual Disabilities Attending Special Olympics Australia.

机构信息

Dr. Pradhan is a honorary senior lecturer, Department of Special Needs Dentistry, The University of Queensland Faculty of Social and Behavioural Sciences, Brisbane, Queensland, Australia.

Dr. Zachar is an associate lecturer, Department of Oral Surgery, The University of Queensland Faculty of Social and Behavioural Sciences, Brisbane, Queensland, Australia.

出版信息

J Dent Child (Chic). 2021 Jan 15;88(1):23-28.

PMID:33875048
Abstract

To describe and evaluate the oral health status and dental treatment needs of children with intellectual disabilities attending Special Olympics in Australia from 2010 to 2018.
This was a retrospective observational study. Children aged 18 years and younger with intellectual disabilities attending Special Olympics with their caregivers were screened between 2010 and 2018. Trained volunteer dentists performed the screening using the standardized Special Olympics Special Smiles protocol. Reported findings included presence or absence of untreated decay, filled teeth, missing teeth, trauma, fluorosis, and gingivitis as well as treatment urgency.
A total of 155 children with a mean age of 15 years participated in the dental screening in 2010, 2014, and 2018. Twelve percent reported oral pain, 15 percent needed urgent care, 21 percent had untreated caries, 39 percent had filled teeth, 39 percent had missing teeth, 59 percent had signs of gingival disease, 8.4 percent had fluorosis, and 13 percent had dental trauma. Mouthguards were recommended for 17 percent of child athletes. Missing teeth and filled teeth were significantly lower in 2014 compared to 2010 and 2018 ( <0.001).
The burden of the untreated caries was not high in athletes attending the Special Olympics in Australia.

摘要

描述和评估 2010 年至 2018 年期间参加澳大利亚特奥会的智障儿童的口腔健康状况和牙科治疗需求。
这是一项回顾性观察研究。2010 年至 2018 年间,年龄在 18 岁以下、患有智障并与照顾者一起参加特奥会的儿童接受了筛查。经过培训的志愿者牙医使用标准化的特奥会特殊微笑方案进行了筛查。报告的结果包括有无未经治疗的龋齿、补牙、缺牙、外伤、氟斑牙和牙龈炎以及治疗紧迫性。
共有 155 名平均年龄为 15 岁的儿童参加了 2010 年、2014 年和 2018 年的牙科筛查。12%的儿童报告有口腔疼痛,15%的儿童需要紧急护理,21%的儿童有未经治疗的龋齿,39%的儿童有补牙,39%的儿童有缺牙,59%的儿童有牙龈炎迹象,8.4%的儿童有氟斑牙,13%的儿童有牙齿外伤。建议 17%的儿童运动员使用护齿套。与 2010 年和 2018 年相比,2014 年缺牙和补牙的情况明显减少(<0.001)。
在澳大利亚参加特奥会的运动员中,未经治疗的龋齿负担并不高。

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