Ghannam Alemar N, Nahas Louei, Dashash Mayssoon
Pediatric Dentistry, Damascus University, Damascus, SYR.
Department of Surgery, Division of Otorhinolaryngology, Syrian Private University, Damascus, SYR.
Cureus. 2024 Jul 2;16(7):e63650. doi: 10.7759/cureus.63650. eCollection 2024 Jul.
Background Hearing-impaired children may face challenges in communication, social interaction, academic performance, and emotional well-being, which can have a notable impact on their overall quality of life. Beyond these challenges, oral health can also be significantly impacted. The relationship between hearing impairment and dental diseases is an intriguing and interconnected aspect of overall well-being that merits attention and exploration. This study aimed to assess the relationship between various oral health factors and hearing impairments. Methodology This cross-sectional study involved 90 hearing-impaired children aged 6-12 years. To evaluate the children's hearing abilities, diagnostic tools such as pure-tone audiometry were employed. To measure dental health, the decayed, missing, and filled teeth (DMFT) and decayed, missing, and filled primary teeth (dmft) indices, as well as plaque index (PI) and gingival index (GI) were calculated. The chi‑square test was used to identify significant differences between genders. Spearman's test was used to determine the correlation between variables. Results The severity of hearing impairment varied, with 5.6% having severe hearing loss, 8.9% having profound hearing loss, and 85.6% having complete hearing loss. The mean DMFT score was 2.5 ± 1.86, with no significant difference observed between males and females. The mean dmft score was 4.2 ± 3.12, with no significant difference between genders. However, there was a difference in the PI scores between males and females. Males presented a higher PI score of 2.6 ± 0.09 compared to 1.8 ± 0.08 for females. The overall mean PI was 2.1 ± 0.80. The mean GI was 1.5 ± 0.90, and no significant difference was observed between males and females. Spearman's test identified a significant positive correlation between the severity of hearing impairment and both PI scores (p = 0.000) and GI scores (p = 0.000). Conversely, the severity of hearing impairment showed a weak positive correlation with both DMFT scores (p = 0.487) and dmft scores (p = 0.229), but these correlations were not statistically significant. Conclusions The connection between oral health and severe hearing impairment in children is significant and has potential implications. Pediatric healthcare providers, including dentists and audiologists, need to work collaboratively to monitor the oral and aural health of young patients.
听力受损儿童在沟通、社交互动、学业成绩和情绪健康方面可能面临挑战,这会对他们的整体生活质量产生显著影响。除了这些挑战之外,口腔健康也会受到重大影响。听力障碍与牙科疾病之间的关系是整体健康中一个有趣且相互关联的方面,值得关注和探索。本研究旨在评估各种口腔健康因素与听力障碍之间的关系。
这项横断面研究涉及90名6至12岁的听力受损儿童。为评估儿童的听力能力,采用了纯音听力测定等诊断工具。为测量牙齿健康状况,计算了龋失补牙(DMFT)指数、乳牙龋失补牙(dmft)指数、菌斑指数(PI)和牙龈指数(GI)。采用卡方检验来确定性别之间的显著差异。使用斯皮尔曼检验来确定变量之间的相关性。
听力障碍的严重程度各不相同,5.6%的儿童有重度听力损失,8.9%的儿童有极重度听力损失,85.6%的儿童有全聋。DMFT平均得分为2.5±1.86,男性和女性之间未观察到显著差异。dmft平均得分为4.2±3.12,性别之间无显著差异。然而,男性和女性的PI得分存在差异。男性的PI得分较高,为2.6±0.09,而女性为1.8±0.08。总体平均PI为2.1±0.80。GI平均为1.5±0.90,男性和女性之间未观察到显著差异。斯皮尔曼检验确定听力障碍的严重程度与PI得分(p = 0.000)和GI得分(p = 0.000)之间存在显著正相关。相反,听力障碍的严重程度与DMFT得分(p = 0.487)和dmft得分(p = 0.229)均呈弱正相关,但这些相关性无统计学意义。
儿童口腔健康与重度听力障碍之间的联系显著且具有潜在影响。包括牙医和听力学家在内的儿科医疗服务提供者需要共同合作,监测年轻患者的口腔和耳部健康。