World Journal of Dentistry

Register      Login

VOLUME 9 , ISSUE 5 ( September-October, 2018 ) > List of Articles

ORIGINAL ARTICLE

Oral Health Status of Mentally Subnormal Sample Saudi Populace–A Cross-sectional Study

Bayann D Almoghamer, Nadyah M Alghamdi, Rafi A Togoo

Keywords : Mentally sub-normal population, DMFT, Plaque, Oral health

Citation Information : Almoghamer BD, Alghamdi NM, Togoo RA. Oral Health Status of Mentally Subnormal Sample Saudi Populace–A Cross-sectional Study. World J Dent 2018; 9 (5):406-411.

DOI: 10.5005/jp-journals-10015-1571

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Aim: To assess the oral health status and oral hygiene of mentally subnormal population of Abha, Kingdom of Saudi Arabia. Materials and methods: A cross-sectional study was conducted among 300 mentally sub-normal people of Abha, Kingdom of Saudi Arabia. All the subjects who were willing to participate and were suffering from mental retardation were included in the study. Those subjects with any other medical ailment such as epilepsy, and those having any physical disability were excluded from the study. All the subjects were examined by the investigator for dental caries experience using dental caries experience using (DMFT) (WHO 1997), type of Angle's molar relation was recorded on a recording proforma for all the study participants. Subjects' plaque score was assessed using Silness P. and Loe H. Plaque Index (1964). Results: The overall prevalence of dental caries (D) found in the present study was 82.6%. On comparing the mean DMFT scores based on different plaque scores, it was found that the subjects with plaque score as 3 had the highest mean DMFT (5.5376 ± 3.02367); those subjects with least plaque score (1) had mean DMFT of 3.9677 ± 2.31862 while those subjects with no plaque had the least mean DMFT (1.9375 ± 2.01506). A statistically significant (p = 0.000) difference was found between the mean plaque scores when compared on the basis of brushing frequency. Conclusion: It was concluded that the oral health status of the mentally subnormal study population was poor with increased mean plaque scores indicating the neglect of oral hygiene maintenance and dental care and treatment by the study population. Clinical significance: Oral health of mentally disabled persons is deteriorated owing to various reasons such as social, economic, behavioral factors, the effect of medicines and also difficulty faced by caregivers in providing oral health care including oral hygiene methods. In order to appropriately explore ways and methods for adequately reducing the disease burden on the populace, dentists essentially need to know the oral health status of disabled section thereof.


PDF Share
  1. Duckworth K. Mental Illness: What you Need to Know. Arlington VA: National Alliance on Mental Illness; 2013.
  2. Doran CM. Prescribing Mental Health Medication: The Practitioner's Guide. New York, NY: Routledge; 2005.
  3. World Health Organization. WHO Mental Health Gap Action Programme (mhGAP). Geneva: World Health Organization; 2013.
  4. World Health Organization. Mental Health Atlas 2011. Geneva: World Health Organization; 2011:82.
  5. Al-Sughayr AM, Ferwana MS. Prevalence of mental disorders among high school students in National Guard Housing, Riyadh, Saudi Arabia. J Fam Community Med. 2012 Jan; 19(1): 47-51.
  6. Park K. Park's textbook of preventive and social medicine. 19th edn. Jabalpur: Banarasi Das Bhanot Publishers, 2007.
  7. United Nations Children's Fund. Children and disability in transition in CEE/CIS and Baltic States. Florence, 2005.
  8. Hennequin M, Faulks D, Roux D. Accuracy of estimation of dental treatment need in special care patients. J Dent. 2000 Feb; 28(2):131-136.
  9. Becker A, Shapira J. Orthodontics for the handicapped child. Europeon Journal of Orthodontics 1996 Jan;18(1):55-67.
  10. FFaulks D, Hennequin M. Evaluation of a long-term oral health program by carers of children and adults with intellectual disabilities. Spec Care Dentist 2000 Sep-Oct;20(5): 119-208.
  11. Jurek GH, Reid WH. Oral health of institutionalized individuals with mental retardation. Am J Ment Retard 1994 Mar;98(5):656-660.
  12. Beange H. Caring for a vulnerable population: Who will take responsibility for those getting a raw deal from the health care system? Med J Aust 1996;164:159-160.
  13. World Health Organization, 2000. Global Data on Dental Caries Prevalence (DMFT) in Children Aged 12 years. Global Oral Data Bank. Oral health country/area profile programme, Management of noncommunicable diseases. Geneva, May 2000 WHO/NMH/ MNC/ORH/ Caries.12y.00.3.
  14. Klein H, Palmer CE, Knutson JW. Studies on dental caries: I. Dental status and dental needs of elementary school children. Public Health Reports (1896-1970). 1938 May 13:751-765.
  15. Jakobsen JR, Hunt RJ. Validation of oral status indicators. Community Dental Health. 1990 Sep;7(3):279-284.
  16. Shyama M, Al-Mutawa SA, Morris RE, Sugathan T, Honkala E. Dental caries experience of disabled children and young adults in Kuwait. Community Dent Health 2001 Sep;18(3): 181-186.
  17. Shukla D, Bablani D, Chowdhry A, Jafri Z, Ahmad N, et al. Oral Health Status and Dental Caries Experience in Mentally Challenged Individuals. Ann Public Health Res 2014 Oct; 1(2): 1008.
  18. Lindemann R, Zaschel-Grob D, Opp S, Lewis MA, Lewis C. Oral health status of adults from a California regional center for developmental disabilities. Spec Care Dentist 2001;21(1): 9-14.
  19. Gordon SM, Dionne RA, Snyder J. Dental fear and anxiety as a barrier to accessing oral health care among patients with special health care needs. Spec Care Dentist 1998 Mar-Apr; 18(2):88-92.
  20. Cumella S, Ransford N, Lyons J, Burnham H. Needs for oral care among people with intellectual disability not in contact with Community Dental Services. J Intellect Disabil Res 2000 Feb;44:45-52.
  21. Reichard A, Turnbull HR, Turnbull AP. Perspectives of dentists, families, and case managers on dental care for individuals with developmental disabilities in Kansas. Ment Retard 2001 Aug;39(4):268-285.
  22. Franks AS, Winter GB. Management of the handicapped and chronic sick patient in the dental practice. Br Dent J 1974 Feb 19; 136(4):145-150.
  23. Organization WH. Oral health surveys: basic methods. World Health Organization; 1971.
  24. Shaw MJ, Shaw L. The effectiveness of different dental health education programs in improving the oral health of adults with mental handicaps attending Biminghham training centres. Community Dent Health 1991;8:139-145.
  25. Al-Qahtani Z, Wyne AH. Caries experience and oral hygiene status of blind, deaf and mentally retarded female children in Riyadh, Saudi Arabia. Odontostomatol Trop 2004 Mar;27(105):37-40.
  26. Price JH. The dental health education for the mentally and physically handicapped. J Sch Health 1978 Mar;48(3):171-174.
  27. Angle EH. Classification of malocclusion. Dental Cosmos. 1899 Mar;41(3):248-264.
  28. Vittek J, Winik S, Winik A, Sioris C, Tarangelo AM, Chou M. Analysis of orthodontic anomalies in Mentally Retarded Developmentally Disabled (MRDD) persons. Special Care in Dentistry 1994 Sep-Oct;14(5):198-202.
  29. Jain M, Mathur A, Sawla L, Choudhary G, Kabra K, Duraiswamy P, Kulkarni S. Oral health status of mentally disabled subjects in India. Journal of oral science. 2009;51(3):333-340.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.