Kumar Puneet, Kumar Prince, Tiwari Anushree, Patel Mimansha, Gadkari Soumeen Niteen, Sao Divya, Paiwal Kapil
Department of Public Health Dentistry, Shree Bankey Bihari Dental College & Research Centre, Ghaziabad, IND.
Department of Prosthodontics, Rama Dental College, Hospital, and Research Centre, Kanpur, IND.
Cureus. 2022 Jul 31;14(7):e27511. doi: 10.7759/cureus.27511. eCollection 2022 Jul.
Incarcerated individuals usually exhibit high oral health needs than the average population. Several factors contribute to these needs both before incarceration and during the sentence itself. Inmates are a marginalized group, who are at a higher risk for a variety of medical, dental, and emotional disorders than the general population. The aim of the study was to assess of effects of the imprisonment period on the oral health status of inmates.
A total of 532 inmates with imprisonment up to three years, three to six years, and six to ten years were included in the study. Incidence and prevalence of dental caries, decayed, missing, filled teeth (DMFT) index, and periodontal and prosthetic status were evaluated in detail.
Results showed that the prevalence of dental caries was relatively high among the convicts. It was found that 98.2% of the inmates had one or more teeth decayed. Additionally, 31.2% (pocket >4mm) of the inmates had poor periodontal status with 4.5% of the subjects having a loss of attachment score of 4-5mm or more. A total of 3.5% of the inmates had full dentures, either upper or lower arch. The relative need for full prosthesis was projected to be around 1.4% of the studied population.
Within the limitations of the study, the authors found that dental healthcare delivered and received by the inmates is much below the acceptable limit. Additionally, the incidence of dental caries in inmates was unexpectedly higher with tooth decay in 98.2% of subjects. Hence, the need of the hour is to critically incorporate and reinforce our efforts with a special focus on the risk factors of oral health.
被监禁者通常比普通人群表现出更高的口腔健康需求。在监禁前和服刑期间，有几个因素导致了这些需求。囚犯是一个边缘化群体，他们比普通人群更容易患各种医学、牙科和情绪障碍。本研究的目的是评估监禁期对囚犯口腔健康状况的影响。
本研究共纳入532名被监禁三年以下、三至六年和六至十年的囚犯。详细评估了龋齿的发病率和患病率、龋失补牙（DMFT）指数以及牙周和修复状况。
结果显示，罪犯中龋齿的患病率相对较高。发现98.2%的囚犯有一颗或多颗牙齿龋坏。此外，31.2%（牙周袋>4mm）的囚犯牙周状况不佳，4.5%的受试者附着丧失评分在4-5mm或更高。共有3.5%的囚犯佩戴了全口假牙，无论是上颌还是下颌。预计全口义齿的相对需求约为研究人群的1.4%。
在本研究的局限性范围内，作者发现囚犯接受和获得的牙科保健远低于可接受的限度。此外，囚犯中龋齿的发病率意外地更高，98.2%的受试者有蛀牙。因此，当务之急是认真整合并加强我们的努力，特别关注口腔健康的风险因素。
