Comparison of dental caries status among visually impaired children based on risk factors: a cross-sectional study

Yufitri Mayasari, Risqa Rina Darwita, Febriana Setiawati, Herry Novrinda

Abstract


Introduction: According to the World Health Organization (WHO), over 2.2 billion people globally are affected by visual impairment, which significantly affects their dental and oral hygiene behaviors. Consequently, the prevalence of dental caries among visually impaired children remains high, primarily due to challenges in maintaining proper hygiene. This study aims to analyze differences in dental caries status among visually impaired children based on risk factors. Method: The study procedures were carried out using a cross-sectional design. The sample population comprised 94 students at the National Special School (SLB) A Pembina, who were selected using a purposive sampling method. Data collection was conducted in 2 stages. The first stage involved gathering information on risk factors through interviews regarding toothache experience, visits to the dentist, tooth brushing frequency, and fluoride toothpaste use. The second stage consisted of dental and oral examinations conducted by five trained investigators. Results: The overall prevalence of dental caries among visually impaired children was 42.6%, with a deft/DMFT index of 1.05/0.8. In addition, there were significant differences in dental caries status based on risk factors, such as toothache experience (p=0.001, ≤0.05, Pearson’s Chi-square, 95% CI), visits to the dentist (p=0.000, ≤0.05, Pearson’s Chi-square, 95% CI), tooth brushing frequency (p=0.000, ≤0.05, Pearson’s Chi-square, 95% CI), and fluoride toothpaste use (p=0.000, ≤0.05, Pearson’s Chi-square, 95% CI). Conclusion: Based on these results, the prevalence of dental caries among visually impaired children is relatively high. Caries experience is significantly associated with toothache experience, visits to the dentist, tooth brushing frequency, and fluoride toothpaste use.

Keywords


visually impaired, dental caries, risk factor

Full Text:

PDF

References


World Health Organization. World Report on Vision. Vol 214.; 2019. Available from: https://www.who.int/publications/i/item/9789241516570

Sharififard N, Sargeran K, Gholami M. Perception of oral health and medical conditions as possible predictors of oral health status in visually impaired adolescents : a cross ‐ sectional study. BMC Oral Health. Published online 2021:1-11.https://doi.org/10.1186/s12903-021-01447-w

Sharififard N, Sargeran K, Gholami M, Zayeri F. A music- And game-based oral health education for visually impaired school children; Multilevel analysis of a cluster randomized controlled trial. BMC Oral Health. 2020;20(1):1-9. https://doi.org/10.1186/s12903-020-01131-5

Ghasemi Fard F, Mirzaei H, Hosseini SA, Riazi A, Ebadi A, Hooshmandzadeh N. Development and clinimetric assessment of a performance-based functional vision tool in visually impaired children. Front Pediatr. 2023;11(November):1-10. https://doi.org/10.3389/fped.2023.1275726

John JR, 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. https://doi.org/10.1155/2017/9419648

Ghebreyesus TA. World Report on Vision. Vol 214.; 2019. https://www.who.int/health-topics/blindness-and-vision-loss#tab=tab_1

Burton MJ, Ramke J, Marques AP, et al. The Lancet Global Health Commission on Global Eye Health: vision beyond 2020. Lancet Glob Heal. 2021;9(4):e489-e551. https://doi.org/10.1016/S2214-109X(20)30488-5

Bourne RRA, Steinmetz JD, Flaxman S, et al. Trends in prevalence of blindness and distance and near vision impairment over 30 years: An analysis for the Global Burden of Disease Study. Lancet Glob Heal. 2021;9(2):e130-e143. https://doi.org/10.1016/S2214-109X(20)30425-3

Taipale J, Mikhailova A, Ojamo M, et al. Low vision status and declining vision decrease Health-Related Quality of Life: Results from a nationwide 11-year follow-up study. Qual Life Res. 2019;28(12):3225-3236. https://doi.org/10.1007/s11136-019-02260-3

Amrollahi N, Amini A, Jafarzadeh M. Parental Awareness about Oral Health Preventive Care and its Relation to DMFT Index in Visually Impaired Children. J Dent (Shiraz, Iran). 2020;21(2):106-110. https://doi.org/10.30476/DENTJODS.2019.80995.0

Kwarteng MA, Mashige KP, Kyei S, Dogbe DSQ, Govender-Poonsamy P. Prevalence and causes of visual impairment amongst hearing impaired school-going children in sub-Saharan Africa: a scoping review. Afr Health Sci. 2022;22(4):199-204. https://doi.org/10.4314/ahs.v22i4.24

Nair DJ, Shetty AA, Hegde AM. Efficacy of a modified audio-tactile performance technique with braille (ATPB) on the oral hygiene status of visually-impaired children. J Clin Pediatr Dent. 2021;45(1):15-21. https://doi.org/10.17796/1053-4625-45.1.4

Chałas R, Mikuľáková WB, Maksymiuk P, et al. Are Teachers Working with Visually Impaired Children Prepared to Be Advocates of Oral Health? Pilot Study. Children. 2023;10(7):1-9. https://doi.org/10.3390/children10071235

Anand S, Kavita K, Pandey A, Verma S, Singh R, Singh R. Assessment of Oral Health Status with Visually Impaired Children in Patna City, Bihar. J Pharm Bioallied Sci. 2021;13(2):1710-1712. https://doi.org/10.4103/jpbs.JPBS

Masoumi S, Askarizadeh N, Ghasemi M. Effectiveness of Different Educational Methods on Oral Health in 7-13-year-old Visually Impaired Children in Tehran: A Randomized Trial. J Compr Pediatr. 2021;12(4). https://doi.org/10.5812/compreped.112406

Ganapathi AK, Namineni S, Vaakavaaka PH, et al. Effectiveness of various sensory input methods in dental health education among blind children- a comparative study. J Clin Diagnostic Res. 2015;9(10):ZC75-ZC78. https://doi.org/10.7860/JCDR/2015/15499.6686

Petersen PE, Baez RJ. - Basic Methods. 5th ed. WHO Press; 2020. https://doi.org/10.1201/b19267-8

Mishra P, Pandey C, Singh U, Keshri A, Sabaretnam M. Selection of appropriate statistical methods for data analysis. Ann Card Anaesth. 2019;22(3):297-301. https://doi.org/10.4103/aca.ACA_248_18

Kumar S, Tyagi R, Kalra N, Khatri A, Khandelwal D, Kumar D. Comparison of dental health, treatment needs in visually impaired and normal healthy school-going children of 6–14-year age group. Saudi J Oral Sci. 2020;7(1):46. https://doi.org/10.4103/sjos.sjoralsci_38_19

Al Shehri M, Alghamdi N, Abdellatif H, Assery M, Al Saffan A. Assessment of oral health knowledge, status and awareness among visually impaired children in Saudi Arabia. J Dent Heal Oral Disord Ther. 2018;9(3). https://doi.org/10.15406/jdhodt.2018.09.00381

Li J, Zhang K, Cha C, Lu Z, Liu L. Oral health status of students with visual or hearing impairments in Northeast China. BMC Oral Health. 2023;23(1):1-9. https://doi.org/10.1186/s12903-023-02923-1

Gautam K, Ali A, Agrawal D, Choudhary A, Shekhawat A, Jain R. New vision for improving oral hygiene status of visually impaired students aged from 9 to 17 years. J Fam Med Prim Care. 2020;9(10). https://doi.org/10.4103/jfmpc.jfmpc

Kannappan J, Srinivasan D, Chiriyankandath JL, Arumugam SE, Natarajan D, Annamalai SSR. Assessment of Oral Hygiene Status and Prevalence of Dental Caries and Traumatic Injuries to Anterior Teeth among Visually Impaired Children in Chennai City. Int J Clin Pediatr Dent. 2023;16(1):93-96. https://doi.org/10.5005/jp-journals-10005-2509

Sharififard N, Sargeran K, Gholami M, Zayeri F. A music- And game-based oral health education for visually impaired school children; Multilevel analysis of a cluster randomized controlled trial. BMC Oral Health. 2020;20(1):1-10. https://doi.org/10.1186/s12903-020-01131-5

Darwita RR, Mayasari Y, Danaswari PVS. Potential Factors of Dental Health Behavior as a Predictor of Dental Caries Status in Visually Impaired Children: A Pilot Study. J Contemp Dent Pract. 2024;25(2):174-179. https://doi.org/10.5005/jp-journals-10024-3639

Lee JKY, Yuen AWT, Leung KPY, et al. Oral Health Status and Oral Health-Related Behaviours of Hong Kong Students with Vision Impairment. Healthc. 2024;12(3):1-11. https://doi.org/10.3390/healthcare12030391

MacHiulskiene V, Campus G, Carvalho JC, et al. Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries Res. 2020;54(1):7-14. https://doi.org/10.1159/000503309

Ismail AD, Faisal MT, Mohammed MAM, Manawar A, Mosa AS, Hussain MK. Knowledge and oral health related behavior among visually impaired subjects in Jazan Region, Kingdom of Saudi Arabia. J Dent Oral Hyg. 2015;7(3):33-39. https://doi.org/10.5897/jdoh2014.0136

Pontigo-Loyola AP, Mendoza-Rodriguez M, de la Rosa-Santillana R, et al. Control of Dental Caries in Children and Adolescents Using Fluoride: An Overview of Community-Level Fluoridation Methods. Pediatr Rep. 2024;16(2):243-253. https://doi.org/10.3390/pediatric16020021

Nishi M, Harding M, Kelleher V, Whelton H, Allen F. Knowledge of caries risk factors/indicators among Japanese and Irish adult patients with different socio-economic profiles: A cross-sectional study. BMC Oral Health. 2017;17(1):1-10. https://doi.org/10.1186/s12903-017-0345-x

Kumar D, Gandhi K, Maywad S, Malhotra R, Ahuja S, Kapoor R. Prevalence and correlation of dental caries with its specific risk factors in 5–15-year-old school-going children in urban population of Ghaziabad. Int J Clin Pediatr Dent. 2020;13(1):72-78. https://doi.org/10.5005/jp-journals-10005-1714

Goldenfum GM, Silva NC, Almeida IA, et al. Risk indicators of caries lesion activity in children. Eur J Paediatr Dent. 2019;20(3):179-182. https://doi.org/10.23804/ejpd.2019.20.03.02

Cui Z, Wang W, Si Y, et al. Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study. BMC Oral Health. 2023;23(1):1-9. https://doi.org/10.1186/s12903-023-03506-w

Gerung AY, Wowor VNS, Mintjelungan CN. Perilaku Pemeliharaan Kesehatan Gigi Mulut Siswa SD Dengan dan Tanpa Usaha Kesehatan Gigi Sekolah (UKGS). e-GiGi. 2021;9(2):124. https://doi.org/10.35790/eg.9.2.2021.32958

Arora A, Kumbargere Nagraj S, Khattri S, Ismail NM, Eachempati P. School dental screening programmes for oral health. Cochrane Database Syst Rev. 2022;2022(7). https://doi.org/10.1002/14651858.CD012595.pub4




DOI: https://doi.org/10.24198/pjd.vol37no1.58457

Refbacks

  • There are currently no refbacks.


Visitor Stat

Creative Commons License
Padjadjaran Journal of Dentistry is licensed under Creative Commons Attribution 4.0 International License