Abstract
This study evaluated the caries risk profile of patients with severe intellectual disabilities (IDs) who received dental treatment under general anesthesia. One hundred and two patients with ID [ID group, mean age (SD); 23.8(9.3)] and 100 healthy patients without ID [NID group, mean age (SD); 23.19(3.3)] were included. Medication, disability type, oral hygiene maintenance, and cooperation of the patients were investigated. Dietary habits, plaque index, mutans streptococci counts, fluoride availability, and salivary buffering were scored and analyzed using the Cariogram. The mean chance of avoiding caries (SD) was 28.1(20.4) in the ID group and 54.7(18.4) in the NID group. The ID group had significantly higher numbers of decayed and missing teeth, but fewer filled teeth than the NID group (p <.05). Significant disparities existed in the distributions of all caries-related factors except for mutans streptococci counts between the two groups (p <.05). The low chance to avoid future caries in ID patients was closely associated with insufficient oral hygiene maintenance (p <.05). Fluoride availability was strongly associated with the chance of avoiding caries in the ID group. Dental patients with severe ID exhibited a higher risk of developing caries than normal patients. Among several caries-related factors, insufficient oral hygiene maintenance and low fluoride availability most contributed to the high risk.
| Original language | English |
|---|---|
| Pages (from-to) | 201-207 |
| Number of pages | 7 |
| Journal | Special Care in Dentistry |
| Volume | 34 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2014 Jan 1 |
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ASJC Scopus subject areas
- Dentistry(all)
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Caries risk profile of Korean dental patients with severe intellectual disabilities. / Chang, Juhea; Lee, Jung Hyun; Son, Ho Hyun; Kim, Hae-Young.
In: Special Care in Dentistry, Vol. 34, No. 4, 01.01.2014, p. 201-207.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Caries risk profile of Korean dental patients with severe intellectual disabilities
AU - Chang, Juhea
AU - Lee, Jung Hyun
AU - Son, Ho Hyun
AU - Kim, Hae-Young
PY - 2014/1/1
Y1 - 2014/1/1
N2 - This study evaluated the caries risk profile of patients with severe intellectual disabilities (IDs) who received dental treatment under general anesthesia. One hundred and two patients with ID [ID group, mean age (SD); 23.8(9.3)] and 100 healthy patients without ID [NID group, mean age (SD); 23.19(3.3)] were included. Medication, disability type, oral hygiene maintenance, and cooperation of the patients were investigated. Dietary habits, plaque index, mutans streptococci counts, fluoride availability, and salivary buffering were scored and analyzed using the Cariogram. The mean chance of avoiding caries (SD) was 28.1(20.4) in the ID group and 54.7(18.4) in the NID group. The ID group had significantly higher numbers of decayed and missing teeth, but fewer filled teeth than the NID group (p <.05). Significant disparities existed in the distributions of all caries-related factors except for mutans streptococci counts between the two groups (p <.05). The low chance to avoid future caries in ID patients was closely associated with insufficient oral hygiene maintenance (p <.05). Fluoride availability was strongly associated with the chance of avoiding caries in the ID group. Dental patients with severe ID exhibited a higher risk of developing caries than normal patients. Among several caries-related factors, insufficient oral hygiene maintenance and low fluoride availability most contributed to the high risk.
AB - This study evaluated the caries risk profile of patients with severe intellectual disabilities (IDs) who received dental treatment under general anesthesia. One hundred and two patients with ID [ID group, mean age (SD); 23.8(9.3)] and 100 healthy patients without ID [NID group, mean age (SD); 23.19(3.3)] were included. Medication, disability type, oral hygiene maintenance, and cooperation of the patients were investigated. Dietary habits, plaque index, mutans streptococci counts, fluoride availability, and salivary buffering were scored and analyzed using the Cariogram. The mean chance of avoiding caries (SD) was 28.1(20.4) in the ID group and 54.7(18.4) in the NID group. The ID group had significantly higher numbers of decayed and missing teeth, but fewer filled teeth than the NID group (p <.05). Significant disparities existed in the distributions of all caries-related factors except for mutans streptococci counts between the two groups (p <.05). The low chance to avoid future caries in ID patients was closely associated with insufficient oral hygiene maintenance (p <.05). Fluoride availability was strongly associated with the chance of avoiding caries in the ID group. Dental patients with severe ID exhibited a higher risk of developing caries than normal patients. Among several caries-related factors, insufficient oral hygiene maintenance and low fluoride availability most contributed to the high risk.
KW - caries risk assessment
KW - Cariogram
KW - general anesthesia
KW - intellectual disabilities
UR - http://www.scopus.com/inward/record.url?scp=84904045788&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84904045788&partnerID=8YFLogxK
U2 - 10.1111/scd.12047
DO - 10.1111/scd.12047
M3 - Article
VL - 34
SP - 201
EP - 207
JO - Special Care in Dentistry
JF - Special Care in Dentistry
SN - 0275-1879
IS - 4
ER -