Sabila Afina, Riyanti Eriska, Indriyanti Ratna, Tjahajawati Sri, Rikmasari Rasmi, Rakhmatia Yunia Dwi
Paediatric Dentistry Department, Faculty of Dentistry, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Oral Biology Department, Faculty of Dentistry, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Clin Cosmet Investig Dent. 2024 Oct 30;16:431-439. doi: 10.2147/CCIDE.S486015. eCollection 2024.
: Children with Intellectual Disabilities (ID) have a higher rate of untreated caries and often progress to caries with pulpal involvement or odontogenic infections. This can be assessed using the Caries Assessment Spectrum and Treatment (CAST) index and the Pulp Ulcer Fistula Abscess (PUFA) index. Dental problems often have an impact on quality of life, so Oral Health-Related Quality of Life (OHRQoL) assessment is needed for ID children.
To identify and analyze the correlation between odontogenic infection, the total spectrum of caries, and OHRQoL in ID children.
: The subjects of the research were 70 ID children who attended Special Needs Schools (SNS) Type D of the Foundation for the Development of Disabled Children (FDDC). This research uses an analytical survey using questionnaires and interviews to assess OHRQoL. The sampling technique, namely Total Sampling, obtained 43 ID child subjects who met the inclusion criteria. The data were tested statistically using the Spearman Correlation non-parametric test and the -test.
: The average value of odontogenic infection in the population was 1.79, including in the poor category, and the total spectrum of dental caries was 51.16%, including severe morbidity. Multivariate analysis showed a significant correlation between odontogenic infection, total spectrum of caries, and OHRQoL; odontogenic infection with total dental caries spectrum was significantly associated with each p-value = 0.0000, while the correlation between OHRQoL and both odontogenic infection and total caries spectrum had p-values > 0.05, respectively, so it is considered not significant.
: Odontogenic infection in ID children is a poor category. The total spectrum of dental caries in ID children mostly includes severe morbidity. There is a correlation between odontogenic infections, the total spectrum of dental caries, and OHRQoL, as well as between odontogenic infections and the total spectrum of dental caries.
智力残疾（ID）儿童未经治疗的龋齿发生率较高，且常进展为伴有牙髓受累或牙源性感染的龋齿。这可使用龋病评估谱与治疗（CAST）指数和牙髓溃疡瘘管脓肿（PUFA）指数进行评估。牙齿问题通常会对生活质量产生影响，因此ID儿童需要进行口腔健康相关生活质量（OHRQoL）评估。
识别并分析ID儿童牙源性感染、龋病全谱与OHRQoL之间的相关性。
本研究的对象是70名就读于残疾儿童发展基金会D类特殊需求学校（SNS）的ID儿童。本研究采用问卷调查和访谈的分析性调查方法来评估OHRQoL。抽样技术即整体抽样，获得了43名符合纳入标准的ID儿童受试者。使用Spearman相关非参数检验和t检验对数据进行统计学检验。
人群中牙源性感染的平均值为1.79，属于较差类别，龋齿全谱为51.16%，属于严重发病情况。多变量分析显示牙源性感染、龋齿全谱与OHRQoL之间存在显著相关性；牙源性感染与龋齿全谱之间的相关性显著，每个p值 = 0.0000，而OHRQoL与牙源性感染和龋齿全谱之间的相关性p值分别>0.05，因此认为不显著。
ID儿童的牙源性感染属于较差类别。ID儿童的龋齿全谱大多包括严重发病情况。牙源性感染、龋齿全谱与OHRQoL之间以及牙源性感染与龋齿全谱之间存在相关性。
