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A comparative study on oral health status in Greek preschool children with neurodevelopmental disorders with movement

Aikaterini Tzouanaki1, Andreas Agouropoulos1, Katerina Kavvadia1

  • 1Department of Pediatric Dentistry, National and Kapodistrian University of Athens, Faculty of Dentistry, Greece.

Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
|May 28, 2019
PubMed

Insights

Preschool children with neurodevelopmental disorders (NDD) have less tooth decay but more white spot lesions (WSL). Both groups need better oral hygiene, highlighting early intervention needs for children with NDD.

Area of Science:

  • Pediatric Dentistry
  • Neurodevelopmental Disorders
  • Public Health

Background:

  • Oral health disparities exist in children with neurodevelopmental disorders (NDD).
  • Early assessment of oral health in NDD populations is crucial for timely intervention.
  • Understanding oral health status in Greek preschool children with NDD is under-researched.

Purpose of the Study:

  • To evaluate and compare the oral health status of preschool children with NDD in Greece against healthy controls.
  • To identify specific oral health parameters needing improvement in NDD populations.
  • To inform targeted early intervention strategies for children with NDD.

Main Methods:

  • A comparative study involving 146 preschool children with NDD and 165 healthy controls in Greece.
  • Assessment of caries prevalence, dmft index, white spot lesions (WSL), plaque index (VPI), and Mutans Streptococci (MS) levels.
  • Analysis using parametric and nonparametric tests to compare oral health indicators between groups.

Main Results:

  • Children with NDD exhibited significantly lower caries prevalence, dmft index, VPI, and MS levels compared to healthy children.
  • The NDD group showed a significantly higher prevalence of WSL and later dental visit ages.
  • VPI and MS presence were significant determinants of WSL in the NDD group.

Conclusions:

  • Preschool children with NDD present with less manifest caries but a higher prevalence of WSL.
  • Oral health parameters in both NDD and healthy preschool children require improvement.
  • There is a critical need for early, targeted oral health interventions, particularly for children with NDD.
Abstract

Keywords:
neurodevelopmental disordersoral health statuspreschool children

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