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VOLUME 15 , ISSUE 2 ( March-April, 2014 ) > List of Articles

RESEARCH ARTICLE

The Impact of Handicap Severity on Oral and Periodontal Status of Patients with Mental Retardation

Tolga F Tözüm, Ozkan Ozgul, Erhan Dursun, Betul Memis Ozgul, Yasemin Kartal, Fatih Mehmet Coskunses, Ismail Doruk Kocyigit

Citation Information : Tözüm TF, Ozgul O, Dursun E, Ozgul BM, Kartal Y, Coskunses FM, Kocyigit ID. The Impact of Handicap Severity on Oral and Periodontal Status of Patients with Mental Retardation. J Contemp Dent Pract 2014; 15 (2):218-222.

DOI: 10.5005/jp-journals-10024-1518

Published Online: 00-04-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

Mental retardation (MR) subjects comprise a considerable amount of the community and are susceptible to oral and periodontal problems due to insufficient oral care. The aim of this cross-sectional study was to determine the oral health and periodontal status of MR patients in Turkey with regard to periodontal indices and Decay missed filling teeth (DMFT) scores and compare findings according to severity of the MR.

Materials and methods

One hundred and five MR patients were included to the study and divided into 3 groups according to MR severity diagnoses. Demographic variables like age, gender, disabled sibling, BMI, living an institution and clinical parameters like plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing depth (PD), clinical attachment level (CAL), missing teeth and DMFT scores were recorded from all subjects. Appropriate statistical analyses were used to compare the findings.

Results

There were no statistically significant differences between groups according to age, gender, disabled sibling, living status and DMFT scores. Clinical periodontal indices and the number of missing teeth were showed a statistically significant increasing trend with the severity of MR (p < 0.05). Correlation analysis showed significant positive correlations between PI and periodontal disease measures like GI, PD, CAL and BOP and also between PI and DMFT (p < 0.05).

Conclusion

The deteriorated teeth condition and deprived periodontal health of MR patients may be most likely caused by the poor oral hygiene and may be worsen with the severity of the MR.

Clinical significance

Knowledge of oral and periodontal status of mental retardation patients has great importance for public health and family education.

How to cite this article

Ozgul O, Dursun E, Ozgul BM, Kartal Y, Coskunses FM, Kocyigit ID, Tözüm TF. The Impact of Handicap Severity on Oral and Periodontal Status of Patients with Mental Retardation. J Contemp Dent Pract 2014;15(2):218-222.


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  1. Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC:1994.
  2. Barriers, discrimination and prejudice. In: Nunn J, Editor. Disability and oral care. London: FDI world dental press; 2000:15-28.
  3. Oral health needs of persons with physical or mental disabilities. Dent Clin North Am 1994;38:483-498.
  4. Oral health in America: A report of the Surgeon General. Rockville, Md: US Public Health Service, Department of Health and Human Services; 2000.
  5. A review of controlled surveys of dental disease in handicapped persons. ASDC J Dent Child. 1976;43:313-320.
  6. Age, degree of mental retardation, institutionalization, and socioeconomic status as determinants in the oral hygiene status of mentally retarded individuals. Commun Dent Oral Epidemiol 1980;8:355-359.
  7. Caries, oral hygiene and periodontal disease in handicapped adults. Commun Dent Oral Epidemiol 1986;14:28-30.
  8. Dental health and dental care requirements for young handicapped adults in Wessex. Community Dent Health 1991;8:131-137.
  9. Dental health education in an adult handicapped centre. Dent Update 1982;9:283-284.
  10. Differences in dental health observed within a group of non-institutionalised mentally handicapped adults attending day centres. Community Dent Health 1992;9:31-38.
  11. The oral health in different groups of adults with mental handicaps attending Birmingham (UK) adult training centres. Community Dent Health 1990;7:135-141.
  12. The dental condition of mentally handicapped adults attending adult training centres in Hull. Community Dent Health 1988;5:151-162.
  13. Mortality in the mentally handicapped: a 50 year survey at the Stoke Park group of hospitals (1930-1980). J Ment Defic Res 1983;27(Pt 2):143-156.
  14. Management of the handicapped and the anxious child: a retrospective study of dental treatment carried out under general anaesthesia. J Paediatric Dent 1985;1:9-14.
  15. Periodontal Disease in Pregnancy. I. Prevalence and Severity. Acta Odont Scand 1963;21:533-551.
  16. Periodontal Disease in Pregnancy. Correlation between Oral Hygiene and Periodontal Condition. Acta Odont Scand 1964;22:121-135.
  17. The dental health of handicapped children in Newcastle and Northumberland. British Dent J 1987;162:9-14.
  18. Determinants for oral hygiene and periodontal status among mentally disabled children and adolescents. J Ind Soc Pedodont Prevent Dent 2009;27:151-157.
  19. Improvement in the oral hygiene of institutionalized mentally retarded individuals through training of direct care staff: a longitudinal study. Spec Care Dentist 1982;2:217-221.
  20. Oral hygiene in 12-year-old disabled children in Flanders, Belgium, related to manual dexterity. Commun Dent Oral Epidemiol 2000;28:73-80.
  21. Four years of monthly professional tooth cleaning and topical fluoride application in Brazilian schoolchildren. I. Effect on gingivitis. J Clin Periodontol 1981;8:231-238.
  22. The oral health of adults with learning disabilities living within the community in North warwickshire who do not access the Community Dental Service. MDentSci Dissertation, University of Birmingham, Birmingham; 1997.
  23. Body mass index in adults with intellectual disability: Distribution, associations and service implications: A population-based prevalence study. J Intellect Disabil Res 2008;54:287-298.
  24. Underweight, obesity and exercise among adults with intellectual disabilities in supported accommodation in Northern England. J Intellect Disabil Res 2005;49:134-143.
  25. Overweight and obesity in older people with intellectual disability. Res in Dev Disabil 2012;33:398-405.
  26. Obesity and periodontal disease in young, middle-aged, and older adults. J Periodontol 2003;74:610-615.
  27. Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist 2010;30:110-117.
  28. Modifications of treatment for the severely handicapped adult patient under general anesthesia. Spec Care Dentist 1981;1:262-266.
  29. Accuracy of estimation of dental treatment need in special care patients. J Dentist 2000;28:131-136.
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