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印度智障儿童和青少年的龋齿患病率:范围综述。

Prevalence of dental caries among children and adolescents with intellectual disability in India: A scoping review.

机构信息

Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.

Department of Pediatric and Preventive Dentistry, D.A.Pandu Memorial R.V Dental College, Bengaluru, India.

出版信息

J Appl Res Intellect Disabil. 2024 Sep;37(5):e13278. doi: 10.1111/jar.13278.

DOI:10.1111/jar.13278
PMID:39072860
Abstract

BACKGROUND

Children with intellectual and developmental disabilities are at a higher risk of developing dental caries. Few scoping reviews have been conducted in India to understand their issues. We aimed to summarise the distribution and risk factors of dental caries among children and adolescents with intellectual disabilities in India.

METHODS

A scoping review was conducted based on the Arksey O Malley framework. Quality assessment of studies, descriptive and thematic analyses were also conducted.

RESULTS

We charted, collated, and summarised from four databases. Thirty-one studies met the study criteria consisting of children and adolescents with intellectual disabilities. Median caries prevalence was 70%, decayed missing and fIlled permenant teeth (DMFT) was 2.4, decayed missing and filled decidous teeth (dmft) was 2.36, and DMFS was 3.7. Major determinants were the severity of disability, socioeconomic status and parents' education. Oral care and dental visits were inadequate.

CONCLUSION

Further exploration is required to improve access and reduce caries experience and prevalence among children with intellectual and developmental disabilities in India.

摘要

背景

智障和发育障碍儿童发生龋齿的风险更高。印度进行的此类范围界定综述很少,我们旨在总结印度智障儿童和青少年龋齿的分布和危险因素。

方法

根据 Arksey O Malley 框架进行范围界定综述。还对研究进行了质量评估、描述性和主题分析。

结果

我们从四个数据库中进行了图表绘制、整理和总结。符合标准的 31 项研究纳入了智障儿童和青少年。龋齿患病率中位数为 70%,失牙、补牙永久牙(DMFT)为 2.4,失牙、补牙乳牙(dmft)为 2.36,DMFS 为 3.7。主要决定因素是残疾严重程度、社会经济地位和父母教育程度。口腔保健和牙科就诊不足。

结论

需要进一步探索,以提高印度智障和发育障碍儿童的就诊机会,并减少其龋齿患病和流行。

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