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Oral Health Assessment by Lay Personnel for Older Adults
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Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

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Oral hygiene and oral status of institutionalized children with motor and intellectual disabilities

Daisuke Nasu1, Ayako Uematsu1, Satoshi Nakamura1

  • 1Department of Oral and Maxillofacial Surgery, Saitama Medical Center, Saitama Medical University.

Journal of Oral Science
|January 31, 2020
PubMed

Insights

Oral hygiene in institutionalized children with disabilities and medical complications was assessed. Caregiver management proved effective, demonstrating satisfactory oral health despite challenges like swallowing dysfunction.

Area of Science:

  • Pediatric Dentistry
  • Oral Health Management
  • Disability Studies

Background:

  • Children with severe disabilities often have complex medical needs, including nutritional and respiratory issues.
  • Institutionalized children rely on caregivers for daily oral hygiene practices.
  • Understanding the oral status of this population is crucial for targeted care.

Purpose of the Study:

  • To investigate the oral hygiene and oral status of institutionalized children with severe disabilities.
  • To evaluate the effectiveness of caregiver-led oral hygiene management in this population.

Main Methods:

  • A study was conducted at Karugamonoie (KNI), a facility for children with disabilities.
  • Thirty children (average age 7.6 years) with tracheotomy and feeding tubes were included.
  • Oral characteristics, Decayed, Missing, Filled Teeth (DMFT) scores, Gingival Index (GI), and Simplified Oral Hygiene Index (SOHI) were assessed.

Main Results:

  • 100% of children experienced swallowing dysfunction; 63.3% had poor tongue control and anterior open-bite.
  • The mean DMFT score was low (0.13 ± 0.57).
  • Gingivitis was mild to moderate (53.3% mild, 46.7% moderate), with 50% achieving excellent SOHI scores.

Conclusions:

  • Oral hygiene management by caregivers at KNI was of high quality.
  • Despite challenges like swallowing dysfunction and anterior open-bite, overall oral health was satisfactory.
  • On-site dental specialist intervention may not be essential for maintaining good oral hygiene in this setting.

Keywords:
childrendental cariesmotor and intellectual disabilityoral hygieneperiodontal disease

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