Asiri Faris Yahya I, Tennant Marc, Kruger Estie
Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Al-Ahsa 31982, Saudi Arabia.
International Research Collaboration-Oral Health and Equity, School of Allied Health, The University of Western Australia, Perth, WA 6009, Australia.
Medicina (Kaunas). 2024 Dec 4;60(12):2005. doi: 10.3390/medicina60122005.
: In Saudi Arabia, persons with disabilities (PWDs) face considerable oral health challenges, including a higher prevalence of dental caries and gingival inflammation, which adversely affects their oral health-related quality of life (OHRQoL). This population experiences distinct and substantial barriers in accessing adequate dental care. This systematic review and meta-analysis aims to quantify disparities in OHRQoL between PWDs and individuals without disabilities in Saudi Arabia, focusing on caries and gingivitis prevalence, and to identify specific areas for intervention. : A structured search of PubMed, Scopus, Web of Science, and Google Scholar yielded 803 articles, of which seven met the inclusion criteria. These studies reported on OHRQoL and oral health outcomes in populations with autism, Down syndrome, cerebral palsy, and hearing impairments. Data on caries rates, gingival health, and self- or caregiver-reported quality of life were extracted and analysed. : PWDs in Saudi Arabia exhibit significantly higher caries prevalence (ranging from 60% to over 80%) and moderate-to-severe gingival inflammation (up to 60%) compared to individuals without disabilities. The caregivers of children with disabilities reported heightened stress levels, and PWDs experienced reduced functional and social well-being. These disparities were compounded by limited preventive care access and high unmet treatment needs, particularly among those with severe disabilities and limited caregiver support. : PWDs in Saudi Arabia face marked oral health disparities, with notably higher rates of dental caries and gingivitis, severely impacting their quality of life. The findings underscore the need for targeted oral health policies and community-based interventions to enhance care accessibility, promote preventive measures, and address the unique needs of this vulnerable population.
在沙特阿拉伯，残疾人面临着诸多口腔健康挑战，包括龋齿和牙龈炎症的患病率较高，这对他们与口腔健康相关的生活质量产生了不利影响。这一人群在获得充分的牙科护理方面面临明显且巨大的障碍。本系统评价和荟萃分析旨在量化沙特阿拉伯残疾人与非残疾人在与口腔健康相关的生活质量方面的差异，重点关注龋齿和牙龈炎的患病率，并确定具体的干预领域。：对PubMed、Scopus、科学网和谷歌学术进行结构化检索，共获得803篇文章，其中7篇符合纳入标准。这些研究报告了自闭症、唐氏综合征、脑瘫和听力障碍人群的与口腔健康相关的生活质量和口腔健康结果。提取并分析了龋齿率、牙龈健康状况以及自我或照顾者报告的生活质量数据。：与非残疾人相比，沙特阿拉伯的残疾人龋齿患病率显著更高（从60%到超过80%不等），牙龈炎症为中度至重度（高达60%）。残疾儿童的照顾者报告压力水平升高，残疾人的功能和社会幸福感下降。这些差异因预防保健机会有限和未满足的治疗需求较高而更加复杂，特别是在那些重度残疾且照顾者支持有限的人群中。：沙特阿拉伯的残疾人面临明显的口腔健康差异，龋齿和牙龈炎的发病率明显更高，严重影响了他们的生活质量。研究结果强调需要制定有针对性的口腔健康政策和基于社区的干预措施，以提高护理可及性，促进预防措施，并满足这一弱势群体的独特需求。
