Oral health status and barriers to utilization of services among down syndrome children in Bengaluru City: A cross-sectional, comparative study
Introduction: Down syndrome (DS) is a common genetic disorder caused by the presence of an extra chromosome 21. Individuals with DS present with high prevalence of oral health conditions but oral health services are underutilized due to various reasons. Aim: The aim is to assess oral health status a...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Indian Association of Public Health Dentistry |
| Subjects: | |
| Online Access: | http://www.jiaphd.org/article.asp?issn=2319-5932;year=2018;volume=16;issue=1;spage=4;epage=10;aulast=Sabbarwal |
| _version_ | 1818549674625204224 |
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| author | Bhavna Sabbarwal Manjunath P Puranik S R Uma |
| author_facet | Bhavna Sabbarwal Manjunath P Puranik S R Uma |
| author_sort | Bhavna Sabbarwal |
| collection | DOAJ |
| description | Introduction: Down syndrome (DS) is a common genetic disorder caused by the presence of an extra chromosome 21. Individuals with DS present with high prevalence of oral health conditions but oral health services are underutilized due to various reasons. Aim: The aim is to assess oral health status and barriers to utilization of oral health services among children with DS in Bengaluru city. Materials and Methods: A cross-sectional, comparative study was conducted among 100 DS children and compared with 100 non-DS (NDS) children in Bengaluru city. Clinical levels of oral hygiene were assessed using Oral Hygiene Index-Simplified (OHI-S) and caries according to WHO criteria (1997). Parents completed a structured questionnaire used to determine barriers to utilization of oral health services. Chi-square test, unpaired t-test, and Spearman's correlation were applied. Statistical significance was considered at P < 0.05. Results: Children with DS had a significantly higher mean OHI-S (3.05 ± 1.26) as compared to NDS children (1.65 ± 1.02) (P < 0.001). Mean decayed, missing, and filled teeth for DS and NDS group was 2.38 ± 3.41 and 0.66 ± 1.19, respectively, (P < 0.001), whereas mean Decayed, Missing, and Filled Teeth for DS and NDS group was 1.22 ± 1.63 and 1.78 ± 1.9, respectively, (P = 0.03). Mean awareness about child's dental problem was found to be significantly higher among DS group compared to NDS group. Accessibility was found to be positively correlated to dental visits among DS group (r = 0.30, P = 0.003). Conclusion: DS children had poor oral hygiene and considerable caries experience and faced certain barriers to utilization of oral health care services. Parental education as an integral component of oral health promotion programs should be introduced in special schools for better oral health. |
| first_indexed | 2024-12-12T08:36:26Z |
| format | Article |
| id | doaj.art-e3b9320e97eb4957b73c44a56fa5dc21 |
| institution | Directory Open Access Journal |
| issn | 2319-5932 2350-0484 |
| language | English |
| last_indexed | 2024-12-12T08:36:26Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Public Health Dentistry |
| spelling | doaj.art-e3b9320e97eb4957b73c44a56fa5dc212022-12-22T00:30:55ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Public Health Dentistry2319-59322350-04842018-01-0116141010.4103/jiaphd.jiaphd_138_17Oral health status and barriers to utilization of services among down syndrome children in Bengaluru City: A cross-sectional, comparative studyBhavna SabbarwalManjunath P PuranikS R UmaIntroduction: Down syndrome (DS) is a common genetic disorder caused by the presence of an extra chromosome 21. Individuals with DS present with high prevalence of oral health conditions but oral health services are underutilized due to various reasons. Aim: The aim is to assess oral health status and barriers to utilization of oral health services among children with DS in Bengaluru city. Materials and Methods: A cross-sectional, comparative study was conducted among 100 DS children and compared with 100 non-DS (NDS) children in Bengaluru city. Clinical levels of oral hygiene were assessed using Oral Hygiene Index-Simplified (OHI-S) and caries according to WHO criteria (1997). Parents completed a structured questionnaire used to determine barriers to utilization of oral health services. Chi-square test, unpaired t-test, and Spearman's correlation were applied. Statistical significance was considered at P < 0.05. Results: Children with DS had a significantly higher mean OHI-S (3.05 ± 1.26) as compared to NDS children (1.65 ± 1.02) (P < 0.001). Mean decayed, missing, and filled teeth for DS and NDS group was 2.38 ± 3.41 and 0.66 ± 1.19, respectively, (P < 0.001), whereas mean Decayed, Missing, and Filled Teeth for DS and NDS group was 1.22 ± 1.63 and 1.78 ± 1.9, respectively, (P = 0.03). Mean awareness about child's dental problem was found to be significantly higher among DS group compared to NDS group. Accessibility was found to be positively correlated to dental visits among DS group (r = 0.30, P = 0.003). Conclusion: DS children had poor oral hygiene and considerable caries experience and faced certain barriers to utilization of oral health care services. Parental education as an integral component of oral health promotion programs should be introduced in special schools for better oral health.http://www.jiaphd.org/article.asp?issn=2319-5932;year=2018;volume=16;issue=1;spage=4;epage=10;aulast=SabbarwalBarrierschildrendental cariesDown syndromeoral health care servicesoral hygieneutilization |
| spellingShingle | Bhavna Sabbarwal Manjunath P Puranik S R Uma Oral health status and barriers to utilization of services among down syndrome children in Bengaluru City: A cross-sectional, comparative study Journal of Indian Association of Public Health Dentistry Barriers children dental caries Down syndrome oral health care services oral hygiene utilization |
| title | Oral health status and barriers to utilization of services among down syndrome children in Bengaluru City: A cross-sectional, comparative study |
| title_full | Oral health status and barriers to utilization of services among down syndrome children in Bengaluru City: A cross-sectional, comparative study |
| title_fullStr | Oral health status and barriers to utilization of services among down syndrome children in Bengaluru City: A cross-sectional, comparative study |
| title_full_unstemmed | Oral health status and barriers to utilization of services among down syndrome children in Bengaluru City: A cross-sectional, comparative study |
| title_short | Oral health status and barriers to utilization of services among down syndrome children in Bengaluru City: A cross-sectional, comparative study |
| title_sort | oral health status and barriers to utilization of services among down syndrome children in bengaluru city a cross sectional comparative study |
| topic | Barriers children dental caries Down syndrome oral health care services oral hygiene utilization |
| url | http://www.jiaphd.org/article.asp?issn=2319-5932;year=2018;volume=16;issue=1;spage=4;epage=10;aulast=Sabbarwal |
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