Clinical investigation of the effects of oral health education in children with Down Syndrome
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Abstract
Objective: The objective of this study is to evaluate the effects of oral health education, which includes parents on children with Down Syndrome (DS).
Material and Methods: The present study included 35 children with DS. Oral hygiene education was given through a program that included parents. The oral hygiene and periodontal health status of all the children were clinically assessed using clinical index measurements such as Bleeding on Probing (BOP), Gingival Index (GI) and Plaque Index (PI) at the baseline, 1st month, 3rd month and 6th month after oral health education programme. Statistical analyses were performed.
Results: All the mean PI, GI and BP measurements showed a statistically significant decrease according to the baseline mean values (p<0.05). Moreover, oral hygiene education, in which parents are involved, the fact that the clinical measurements on the posterior teeth are higher than on the anterior teeth. Results clearly indicate the difficulty of brushing on the posterior teeth in children with special needs.
Conclusion: Oral health education has been determined to be rather effective on all clinical measurements. Scientific studies and educational programs in which sufficient information is provided to parents about oral health should be encouraged.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Accepted 2022-06-19
Published 2022-06-08
References
Horwitz SM, Kerker BD, Owens PL, Zigler E. Dental health among individuals with mental retardation. The health status and needs of individuals with mental retardation: Department of Epidemiology and Public Health, Yale University School of Medicine 2000;119-28.
Schwertner, C., Silva, C. D. D., Grando, D., Hilgert, J. B., & Hashizume, L. N. Oral health status and quality of life of the parental caregivers of children with Down syndrome: A case-control study. Journal of Intellectual Disabilities, 2022, 17446295211048737. DOI: https://doi.org/10.1177/17446295211048737
Gorlin RJ, Cohen MM, Hennekam RC. Syndromes of the Head and Neck. 4th ed. Oxford University Press: Oxford, England 2001; 35-41.
Shukla D, Bablani D, Chowdhry A. Dentofacial and cranial changes in Down syndrome. Osong Public Health Res Perspect 2014;5:339-44. DOI: https://doi.org/10.1016/j.phrp.2014.09.004
Hasegawa K, Furuichi Y, Shimotsu A. Associations between systemic status periodontal status serum cytokine levels and delivery outcomes in pregnant women with a diagnosis of threatened premature labor. J Periodontol 2003;74:1764-70. DOI: https://doi.org/10.1902/jop.2003.74.12.1764
Perry DA. Plaque control for the periodontal patient. In: Newman MG, Takei HH, Carranza FA, eds. Carranza’s Clinical Periodontology. 9th ed. W.B.Saunders: Philadelphia, USA; 2002:653-655.
Allison PJ, Hennequin M, Faulks D. Dental care access among individuals with Down syndrome in France. Spec Care Dentist 2000;20:28-34. DOI: https://doi.org/10.1111/j.1754-4505.2000.tb00007.x
Randell DM, Harth S, Seow WK. Preventive dental health practices of noninstitutionalized Down syndrome children: a controlled study. J Clin Pediatr Dent 1992 ;16:225-29.
Martens L, Marks L, Goffin G, Gizani S, Vinckier F, Declerck D. Oral hygiene in 12-yearold disabled children in Flanders, Belgium, related to manual dexterity. Community Dent Oral Epidemiol 2000; 28:73-80. DOI: https://doi.org/10.1034/j.1600-0528.2000.280110.x
Krishnan C, Archana A. Evaluation of oral hygiene status and periodontal health in mentally retarded subjects with or without Down’s syndrome in comparison with normal healthy individuals. J Oral Health Community Dent 2014;8:91. DOI: https://doi.org/10.5005/johcd-8-2-91
Ostermaier, K. K. Down syndrome: Clinical features and diagnosis. UpToDate: UpToDate, Post TW (Ed), UpToDate. Waltham. Accessed, 2019, Feb, 4.
Reuland-Bosma W, van Dijk LJ. Periodontal disease in Down’s syndrome: a review. J Clin Periodontol 1986;13:64-73. DOI: https://doi.org/10.1111/j.1600-051X.1986.tb01416.x
Yoshihara T, Morinushi T, Kinjyo S, Yamasaki Y. Effect of periodic preventive care on the progression of periodontal disease in young adults with Down’s syndrome. J of Clinical Periodontology 2005;32:556-60. DOI: https://doi.org/10.1111/j.1600-051X.2005.00712.x
Morunishi T, Lopatin D, Nakao R, Kinjyo S. A comparison of the gingival health of children with Down syndrome to healthy children residing in an institution. Spec Care Dentist 2006;26:13-19. DOI: https://doi.org/10.1111/j.1754-4505.2006.tb01504.x
Zigmond M, Stabholz A, Shapira J, et al. The outcome of a preventive dental care programme on the prevalence of localized aggressive periodontitis in 112 Down’s syndrome individuals. J Intellect Disabil Res 2006;50:492-500. DOI: https://doi.org/10.1111/j.1365-2788.2006.00794.x
Khocht A, Yaskell T, Janal M, Turner BF, Rams TE. Subgingival microbiota in adult Down syndrome periodontitis. J Periodontal Res 2012;47:500-07. DOI: https://doi.org/10.1111/j.1600-0765.2011.01459.x
Tanaka MH, Rodrigues TO, Finoti LS, Teixeira SR, Mayer MP, Scarel-Caminaga RM. The effect of conventional mechanical periodontal treatment on red complex microorganisms and clinical parameters in Down syndrome periodontitis patients: A pilot study. Eur J Clin Microbiol Infect Dis 2015;34:601-08. DOI: https://doi.org/10.1007/s10096-014-2268-7
Saxén L, Aula S. Periodontal bone loss in patients with Down’s syndrome: A follow-up study. J Periodontol 1982;53:158-62. DOI: https://doi.org/10.1902/jop.1982.53.3.158
Sakellari D, Belibasakis G, Chadjipadelis T, Arapostathis K, Konstantinidis A. Supragingival and subgingival microbiota of adult patients with Down’s syndrome. Changes after periodontal treatment. Oral Microbiol Immunol 2001;16:376-82. DOI: https://doi.org/10.1034/j.1399-302X.2001.160610.x
Tsilingaridis G, Yucel-Lindberg T, Concha Quezada H. The relationship between matrix metalloproteinases (MMP-3,-8,-9) in serum and peripheral lymphocytes (CD8+, CD+) in Down syndrome children with gingivitis. J Periodont res 2014;49:742. DOI: https://doi.org/10.1111/jre.12157