Stanje oralnog zdravlja dece sa posebnim potrebama
Sažetak
Apstrakt
Uvod/Cilj. Deca sa posebnim potrebama često zbog svoje primarne bolesti, imaju niži nivo oralne higijene i veću prevalencu karijesa i drugih oralnih oboljenja. Cilj rada bio je da se proceni prevalenca karijesa, nivoa oralne higijene i prisustvo malokluzija kod dece sa posebnim potrebama, kao i vreme erupcije stalnih molara. Metode. Ispitivanjem oralnog zdravlja obuhvaćeno je 107 dece sa posebnim potrebama na Klinici za dečju i preventivnu stomatologiju Stomatološkog fakulteta u Beogradu. Kontrolnu grupu je činilo 104 zdrave školske dece. Rezultati. Deca sa posebnim potrebama imala su statistički značajno viši nivo indeksa karijesnih, ekstrahovanih i plombiranih zuba (KEP) u obe denticije, u odnosu na kontrolnu grupu (p < 0.05). Nivo oralne higijene bio je lošiji kod dece sa posebnim potrebama. Takođe, primećeno je statistički značajno povećanje malokluzija klase II, kao i kasnije vreme erupcije stalnih molara kod dece sa posebnim potrebama u odnosu na kontrolnu grupu. Zaključak. Zbog lošijeg stanja oralnog zdravlja i povećane verovatnoće razvoja malokluzija i odloženog nicanja zuba, neophodno je formirati preventivne stomatološke programe za decu sa posebnim potrebama, kao i poboljšati informisanost javnosti o ovom problemu.
Reference
REFERENCES
Institute of Public Health of Serbia “Dr Milan Jovanovic Ba-tut”. Health Statistical Year Book of Republic of Serbia. 2014. ISSN 2217-3714. [cited 2015 Jan 29]. Available from: http://www.batut.org.rs/uploads/pub2014.pdf (Serbian)
Rodrigues dos Santos MT, Masiero D, Novo NF, Simionato MR. Oral conditions in children with cerebral palsy. J Dent Child (Chic) 2003; 70(1): 40‒6.
Asokan S, Muthu MS, Sivakumar N. Dental caries prevalence and treatment needs of Down syndrome children in Chennai, India. Indian J Dent Res 2008; 19(3): 224‒9.
Oliveira JS, Prado Júnior RR, de Sousa Lima KR, de Oliveira Amaral H, Moita Neto JM, Mendes RF. Intellectual disability and impact on oral health: a paired study. Spec Care Dentist 2013; 33(6): 262‒8.
World Medical Association Declaration of Helsinki [cited 2015 Apr 13]. Available from: http://www.wma.net/en/ 30publications/10policies/b3/17c.pdf
World Health Organization. Oral health surveys: Basic methods. 4th ed. Geneva. 1997. [cited 2015 Jul 24]. Available from: http://www2.paho.org/hq/dmdocuments/ 2009/OH_st_Esurv.pdf
James PM, Jackson D, Slack GL, Lawton FE. Gingival health and dental cleanliness in English school children. Arch Oral Biol 1960; 3: 57‒66.
Moslemi M, Vejdani J, Sadrabad ZK, Shadkar MM. A study on the eruption timing of permanent dentition in patients with cerebral palsy. Spec Care Dentist 2013; 33(6): 275‒9.
Fisher K. Is There Anything to Smile about? A Review of Oral Care for Individuals with Intellectual and Developmental Dis-abilities. Nurs Res Pract 2011; 2012: 1‒6.
Nunn JH, Gordon PH, Carmichael CL. Dental disease and cur-rent treatment needs in a group of physically handicapped children. Community Dent Health 1993; 10(4): 389‒96.
Pope JE, Curzon ME. The dental status of cerebral palsied children. Pediatr Dent 1991; 13(3): 156‒62.
Owens PL, Kerker BD, Zigler E, Horwitz SM. Vision and oral health needs of individuals with intellectual disability. Ment Retard Dev Disabil Res Rev 2006; 12(1): 28‒40.
de Camargo MA, Antunes JL. Untreated dental caries in children with cerebral palsy in the Brazilian context. Int J Paediatr Dent 2008; 18(2): 131‒8.
Choi NK, Yang KH. A study on the dental disease of the handi-capped. J Dent Child (Chic) 2003; 70(2): 153‒8.
Desai M, Messer LB, Calache H. A study of the dental treatment needs of children with disabilities in Melbourne, Australia. Aust Dent J 2001; 46(1): 41‒50.
Namal N, Vehit HE, Koksal S. Do autistic children have higher levels of caries? A cross-sectional study in Turkish children. J Indian Soc Pedod Prev Dent 2007; 25(2): 97‒102.
Costa AA, Della Bona Á, Trentin MS. Influence of Different Intellectual Disability Levels on Caries and Periodontal Disease. Braz Dent J 2016; 27(1): 52‒5.
Duddu MK, Muppa R, Nallanchakrava S, Bhupatiraju P. Preva-lence of dental caries in people attending special schools in Hyderabad-Secunderabad, India. J NTR Univ Health Sci 2016; 5: 137‒41.
Tsai CL, Tsai YL, Lin YT, Lin YT. A retrospective study of dental treatment under general anesthesia of children with or without a chronic illness and/or a disability. Chang Gung Med J 2006; 29(4): 412‒8.
Shmarak K, Bernstein J. Caries incidence among cerebral palsied children. A preliminar study. J Dent Child 1961; 28(1): 154‒6.
Nielsen L. Caries among children with cerebral palsy: relation to CP diagnosis, mental and motor handicap. J Dent Child 1990; 57(4): 267‒73.
Swallow JN. Dental disease in handicapped children--an epide-miological study. Refuat Hapeh Vehashinayim 1972; 21: 41‒51.
Morgan CN, Roy M, Nasr A, Chance P, Hand M, Mlele T. A community survey establishing the prevalence rate of authistic disorder in adults with learning disability. Psychiatr Bull 2002; 26(4): 127‒30.
Pilebro C, Backman B. Teaching oral hygiene to children with autism. Int J Paediatr Dent 2005; 15(1): 1‒9.
Brown J, Schodel B. A review of controlled surveys of dental dis-ease in handicapped persons. ASDC J Dent Child 1976; 43(5): 313‒20.
Jovanović S, Milovanović SD, Gajić I, Mandić J, Latas M, Janković L. Oral Health Status of Psychiatric In-patients in Serbia and Implications for Their Dental Care. Croat Med J 2010; 51(5): 443‒50.
Faulks D, Hennequin M. Defining the population requiring spe-cial care dentistry using the International Classification of Functioning, Disability and Health: Personal view. J Disabil Oral Health 2006; 7(3): 143‒52.
