Perception of Oral Health and Medical Conditions As Possible Predictors of Oral Health Status in Visually Impaired Adolescents: a Cross-sectional Study

Overview

Journal BMC Oral Health

Publisher Biomed Central

Specialty Dentistry

Date 2021 Feb 28

PMID 33639907

Citations 4

Authors

Nasrin Sharififard

Katayoun Sargeran

Mahdia Gholami

Affiliations

Soon will be listed here.

Abstract

Background: We aimed to assess oral health and oral hygiene status among visually impaired adolescents and also to evaluate the factors related to their oral health.

Methods: This was a cross-sectional study among 130 visually impaired adolescents in Tehran, Iran, in December 2018. Of three schools for visually impaired children in Tehran, children in the sixth to the tenth grade (aged 12-17 years) were included after obtaining their parents' consent. WHO oral health questionnaire for children was filled out through face to face interviews. General characteristics were age, gender, status of visual impairment, place of residence, and parental education level. Oral health-related questions were perceived dental and gingival health, dental self-care, dental visits, medical conditions, and dietary habits. Oral examinations included Decayed, Missing, and Filled Teeth (DMFT) index, the Simplified Oral Hygiene Index (OHI‑S), and Bleeding on Probing (BOP). Univariate and multiple logistic regression tests were applied using STATA.

Results: The mean age (SD) of the adolescents was 14.45 (1.61) years. The fully blind children were 33.8%, and those with low vision were 66.2%. Regarding the perception of dental and gingival health, nearly half of the adolescents were satisfied. The mean DMFT and decayed component (DT) were 2.43 ± 2.24 and 1.92 ± 2.12, respectively. The frequency of DMFT ≥ 3 was 45.4%. The mean OHI-S was 2.01 ± 0.70, and OHI-S > 1.8 was reported in 60% of children. The prevalence of BOP was 79.2%. DMFT was significantly associated with toothache (P = 0.003, OR = 3.70, 95% CI: 1.54-9.09), perceived dental health (P = 0.005, OR = 3.06, 95% CI: 1.40-6.67), and medical conditions (P = 0.03, OR = 3.13, 95% CI: 1.13-8.68). In addition, OHI-S was related to gender (P = 0.02, OR = 0.36, 95% CI: 0.15-0.83), perceived dental health (P = 0.006, OR = 2.87, 95% CI: 1.35-6.12) and medical conditions (P = 0.04, OR = 3.05, 95% CI: 1.04-8.97). BOP was associated with perceived gingival health (P = 0.02, OR = 2.94, 95% CI: 1.18-7.33).

Conclusions: Medical conditions and perceived dental and gingival health are possible predictors for oral health status in these adolescents. Although these children could not visualize caries or gingival bleeding during the brushing time, they could perceive the status of their oral health correctly. Also, being involved in medical problems can make more ignorance of oral health.

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Oral health and dental caries experience among students aged 7-15 years old with autism spectrum disorders in Tehran, Iran.

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References

Jain A, Gupta J, Aggarwal V, Goyal C . To evaluate the comparative status of oral health practices, oral hygiene and periodontal status amongst visually impaired and sighted students. Spec Care Dentist. 2013; 33(2):78-84. DOI: 10.1111/j.1754-4505.2012.00296.x. View

Zimmermann H, Hagenfeld D, Diercke K, El-Sayed N, Fricke J, Greiser K . Pocket depth and bleeding on probing and their associations with dental, lifestyle, socioeconomic and blood variables: a cross-sectional, multicenter feasibility study of the German National Cohort. BMC Oral Health. 2015; 15:7. PMC: 4324664. DOI: 10.1186/1472-6831-15-7. View

Suresan V, Das D, Jnaneswar A, Jha K, Kumar G, Bala Subramaniam G . Assessment of dental caries, oral hygiene status, traumatic dental injuries and provision of basic oral health care among visually impaired children of Eastern Odisha. J Indian Soc Pedod Prev Dent. 2017; 35(4):284-290. DOI: 10.4103/JISPPD.JISPPD_48_17. View

Liu L, Zhang Y, Wu W, He M, Lu Z, Zhang K . Oral health status among visually impaired schoolchildren in Northeast China. BMC Oral Health. 2019; 19(1):63. PMC: 6487059. DOI: 10.1186/s12903-019-0752-2. View

Puteri M, Ruslan F, Wibowo T . Oral health behavior and its association with the Caries Index in visually impaired children. Spec Care Dentist. 2019; 40(1):79-83. DOI: 10.1111/scd.12439. View

Alavi S, Mohammadi M, Souri H, Mohammadi Kalhori S, Jannatifard F, Sepahbodi G . Personality, Driving Behavior and Mental Disorders Factors as Predictors of Road Traffic Accidents Based on Logistic Regression. Iran J Med Sci. 2017; 42(1):24-31. PMC: 5337762. View

Hasheminejad N, Malek Mohammadi T, Mahmoodi M, Barkam M, Shahravan A . The association between beverage consumption pattern and dental problems in Iranian adolescents: a cross sectional study. BMC Oral Health. 2020; 20(1):74. PMC: 7079373. DOI: 10.1186/s12903-020-01065-y. View

Skeie G, Sandvaer V, Grimnes G . Intake of Sugar-Sweetened Beverages in Adolescents from Troms, Norway-The Tromsø Study: . Nutrients. 2019; 11(2). PMC: 6412924. DOI: 10.3390/nu11020211. View

Ohlsson C, Bygdell M, Sonden A, Jern C, Rosengren A, Kindblom J . BMI increase through puberty and adolescence is associated with risk of adult stroke. Neurology. 2017; 89(4):363-369. PMC: 5574671. DOI: 10.1212/WNL.0000000000004158. View

10.

Kelishadi R, Qorbani M, Motlagh M, Ardalan G, Heshmat R, Hovsepian S . Socioeconomic Disparities in Dietary and Physical Activity Habits of Iranian Children and Adolescents: the CASPIAN-IV Study. Arch Iran Med. 2016; 19(8):530-7. DOI: 0161908/AIM.003. View

11.

Eid S, Khattab N, Elheeny A . Untreated dental caries prevalence and impact on the quality of life among 11 to14-year-old Egyptian schoolchildren: a cross-sectional study. BMC Oral Health. 2020; 20(1):83. PMC: 7083010. DOI: 10.1186/s12903-020-01077-8. View

12.

Reddy K, Sharma A . Prevalence of oral health status in visually impaired children. J Indian Soc Pedod Prev Dent. 2011; 29(1):25-7. DOI: 10.4103/0970-4388.79922. View

13.

Tagelsir A, Khogli A, Mostafa Nurelhuda N . Oral health of visually impaired schoolchildren in Khartoum State, Sudan. BMC Oral Health. 2013; 13:33. PMC: 3720199. DOI: 10.1186/1472-6831-13-33. View

14.

Ishtiaq R, Chaudhary M, Rana M, Jamil A . Psychosocial implications of blindness and low vision in students of a school for children with blindness. Pak J Med Sci. 2016; 32(2):431-4. PMC: 4859038. DOI: 10.12669/pjms.322.8737. View

15.

Bekiroglu N, Acar N, Kargul B . Caries experience and oral hygiene status of a group of visually impaired children in Istanbul, Turkey. Oral Health Prev Dent. 2012; 10(1):75-80. View

16.

Greene J, VERMILLION J . THE SIMPLIFIED ORAL HYGIENE INDEX. J Am Dent Assoc. 1964; 68:7-13. DOI: 10.14219/jada.archive.1964.0034. View

17.

Leary S, Do L . Changes in oral health behaviours between childhood and adolescence: Findings from a UK cohort study. Community Dent Oral Epidemiol. 2019; 47(5):367-373. DOI: 10.1111/cdoe.12475. View

18.

John J, Daniel B, Paneerselvam D, Rajendran G . Prevalence of Dental Caries, Oral Hygiene Knowledge, Status, and Practices among Visually Impaired Individuals in Chennai, Tamil Nadu. Int J Dent. 2017; 2017:9419648. PMC: 5387819. DOI: 10.1155/2017/9419648. View

19.

Al-Darwish M, El Ansari W, Bener A . Prevalence of dental caries among 12-14 year old children in Qatar. Saudi Dent J. 2014; 26(3):115-25. PMC: 4095054. DOI: 10.1016/j.sdentj.2014.03.006. View

20.

Shetty V, M Hegde A, Bhandary S, Rai K . Oral health status of the visually impaired children--a south Indian study. J Clin Pediatr Dent. 2010; 34(3):213-6. DOI: 10.17796/jcpd.34.3.j4781g2w8891848u. View