Suresh Sushanthi, Indiran Meignana A, Doraikannan Srisakthi, Prabakar Jayashri, Balakrishnan Satheesh
Department of Public Health Dentistry, Saveetha Dental College, Saveetha University, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India.
Department of Prosthodontics and Crown and Bridge, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India.
J Family Med Prim Care. 2022 Feb;11(2):526-530. doi: 10.4103/jfmpc.jfmpc_1038_21. Epub 2022 Feb 16.
Oral health is an integral part of general health. In certain populations, especially among intellectually and physically disabled individuals, oral health is neglected. People with disabilities deserve the same opportunities for oral health and hygiene as those who are abled, but sadly dental care is the most common unmet health care need of the disabled people.
The purpose of the study is to assess the oral health status and dental care utilization of people above 15 years with intellectual and physical disability in Chennai.
A descriptive cross-sectional study was carried out to assess the dental caries experience, gingival status, prevalence of fluorosis and lesion, and dental service utilization among 132 intellectually and physically disabled people in Chennai. After obtaining the caregivers consent of the participants, oral health was assessed using the World Health Organization (WHO) proforma, 2013. Statistical analysis was done using Statistical Package for the Social Sciences Version 23.
When DMFT indexes were examined with regard to sex, the mean DMFT was found to be higher for males with 1.453 ± 1.847 whereas females have 1.403 ± 1.73, and mean DMFT was found to be more for the 26-35 years age group with 2.3 ± 2.01. 81.8% of the population had no gingival bleeding whereas only 18.18% had gingival bleeding.
With the obtained results, people with physical disability have a high mean DMFT compared with intellectual disability. The present study showed dental negligence among mentally disabled population where the parents, caretakers, and dentists are responsible.
口腔健康是整体健康的一个组成部分。在某些人群中，尤其是智力和身体有残疾的个体，口腔健康被忽视。残疾人应享有与健全人同等的口腔健康和卫生机会，但遗憾的是，牙科护理是残疾人最常见的未得到满足的医疗需求。
本研究的目的是评估钦奈15岁以上智力和身体有残疾人群的口腔健康状况及牙科护理利用情况。
开展了一项描述性横断面研究，以评估钦奈132名智力和身体有残疾者的龋齿经历、牙龈状况、氟斑牙和病变的患病率以及牙科服务利用情况。在获得参与者护理人员的同意后，使用世界卫生组织（WHO）2013年的表格对口腔健康进行评估。使用社会科学统计软件包第23版进行统计分析。
在按性别检查DMFT指数时，发现男性的平均DMFT较高，为1.453±1.847，而女性为1.403±1.73，26 - 35岁年龄组的平均DMFT更高，为2.3±2.01。81.8%的人群没有牙龈出血，而只有18.18%的人有牙龈出血。
根据所得结果，身体有残疾的人群与智力有残疾的人群相比，平均DMFT较高。本研究表明，精神残疾人群存在牙科护理疏忽的情况，父母、护理人员和牙医都有责任。
