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Scripta Scientifica Medicinae Dentalis

Evaluation of the dental status in special needs children

Radosveta Andreeva


Introduction: Contemporary literature suggests that individuals with chronic diseases or special needs tend to have worse oral health, compared to the healthy population.

Aim: The aim of this study is tо research the distribution of caries lesions in children with special needs.

Materials and Methods: The observation was performed using the dmft/DMFT index.

Results and Discussion: The total average dmft/dmf(T+t)/DMFT index was 14.28± 2.95. The final value of the index was higher in children from the youngest group <6 years (20.18 ± 3.66), compared to the 6- to 12-year-old patients (11.94 ± 1.89) and the patients >12 years (0.37 ± 0.59). The results from the registration of the dental status described a high prevalence of carious lesions in special needs children (SNC) treated under general anesthesia, which was a result of the main systemic disease and the side effects, experienced from the prescribed medicaments. Other reasons for the high carious lesion count in these children were the absence of proper oral hygiene habits due to sensory impairment and pain from complicated carious lesions, as well as neglected oral health due to care for the main systemic disorder.

Conclusion: In SNC it is very important to focus on prophylaxis and special care for control of oral hygiene.


children with special needs, dental status, evaluation

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Purohit BM, Singh A. Oral health status of 12-year-old children with disabilities and controls in Southern India. WHO South East Asia J Public Health. 2012;1(3):330-8. doi: 10.4103/2224-3151.207029.

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; 27(105):37-40.

Ajami BA, Shabzendedar M, Rezay YA, Asgary M. Dental treatment needs of children with disabilities. J Dent Res Dent Clin Dent Prospects. 2007 Summer;1(2):93-8. doi: 10.5681/joddd.2007.016.

Peneva M. Dental Caries Impact Levels.In: Dental Caries in the 21st Century. East-West; 2008. p. 29-33. (in Bulgarian).

Chen CY, Chen YW, Tsai TP, Shih WY. Oral health status of children with special health care needs receiving dental treatment under general anesthesia at the dental clinic of Taipei Veterans General Hospital in Taiwan. J Chin Med Assoc. 2014;77(4):198-202. doi: 10.1016/j.jcma.2014.01.008.

Ackerman A, Wiltshire WA.The occlusal status of disabled children. J Dent Asoc S Afr. 1999;49(9):447-51.

Curzon M,Toumba KJ. The case for secondary and tertiary care by specialist dental services. Community Dent Health. 1998;15 Suppl 1:312-5.

Desai M, Messer L, Calache H. A study of dental treatment needs of children with disabilities in Melbourne, Australia. Aust Dent J. 2001;46(1):41-50. doi: 10.1111/j.1834-7819.2001.tb00273.x.

Federation Dentaire International.Goals for oral health in the year 2010. Br Dent J. 2002;152:21-2.

National Conference on Dental Care for Handicapped Americans. J Dent Educ. 1980; 44(3):154-7.

Mitsea AG, Karidis AG, Donta-Bakoyianni C, Spyropoulos ND. Oral health status in Greek children and teenagers with disabilities. J Clin Pediatr Dent. 2001;26(1):111-8. doi: 10.17796/jcpd.26.1.705x15693372k1g7.

Pope JEK, Cruzon MEJ. The dental status of cerebral palsied children. Pediatr Dent. 1991;13(3):156-62.

Shaw L, Harris BM, Maclaurin ET, Foster TD. Oral hygiene in handicapped. Dent Health (London). 1983;22(1):4-5.

Tesini DA. An annotated review of the literature of dental caries and periodontal disease in mentally retarded individuals. Spec Care Dentist. 1981;1(2):75-87. doi: 10.1111/j.1754-4505.1981.tb01232.x.

Ak G, Sepet E, Pinar A, Aren G, Turan N. Reasons for early loss of primary molars. Oral Health Prev Dent. 2005;3(2):113-7.

Мahejabeen R, Sudha P. Dental caries prevalence among preschool children of Hubli. J Indian Soc Pedod Prev Dent. 2006;24(1):19-22. doi: 10.4103/0970-4388.22829.

Olivera AC, Czeresnia D, Paiva SM, Campos MR, Ferreria EF. Utilization of oral health care for Down syndrome patients. Rev Saude Publica 2008; 42(4):693-9. doi: 10.1590/s0034-89102008000400016.

Orner G. Dental caries experience among children with Down’s syndrome and their sibs. Arch Oral Biol. 1975; 20(7):627-34. doi: 10.1016/0003-9969(75)90129-6.

Al-Johara AH, Salwa AS. Oral hygiene practices and dietary habits among children with Down’s syndrome in Riyadh Saudi Arabia. Saudi Dental J. 2006; 18(1):141- 8.

Nunn J. Chilhood impairment and disability. In:Welbury R, Duggal M, Hosey MT, editors. Pediatric Dentistry. 3rd Edition. Oxford; 2005. p. 413-32.



About The Author

Radosveta Andreeva
Medical University of Varna

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