1. The prevalence of malocclusion and its association with dental caries among 12-18-year-old disabled adolescents.
- Author
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Vellappally S, Gardens SJ, Al Kheraif AA, Krishna M, Babu S, Hashem M, Jacob V, and Anil S
- Subjects
- Adolescent, Autistic Disorder epidemiology, Cerebral Palsy epidemiology, Child, Cross-Sectional Studies, DMF Index, Diastema, Down Syndrome epidemiology, Esthetics, Dental, Female, Hearing Disorders epidemiology, Humans, Index of Orthodontic Treatment Need statistics & numerical data, India epidemiology, Intellectual Disability epidemiology, Learning Disabilities epidemiology, Male, Needs Assessment statistics & numerical data, Overbite epidemiology, Prevalence, Speech Disorders epidemiology, Dental Caries epidemiology, Disabled Children statistics & numerical data, Malocclusion epidemiology
- Abstract
Background: To assess the prevalence of malocclusion among 12-18-year-old disabled adolescents in Chennai, Tamil Nadu, India, by using the Dental Aesthetic Index (DAI) and to determine the association of malocclusion with dental caries., Methods: This cross-sectional study included 243 children with various mental disabilities with or without physical infirmities. The Dental Aesthetic Index (DAI) and the dentition status were recorded using the World Health Organization Oral Health Surveys - Basic Methods (1997) Pro-forma. The Decayed (D), Missing (M) and Filled (F) components of the DMF index were calculated using the Dentition Status and Treatment Need (DSTN). A Chi-square test, ANOVA, and t-test were used to derive inferential statistics., Results: The mean DAI score ± standard deviation was 39.0 ± 12.3. A total of 123 (50.6%) participants (74 males and 49 females) had DAI scores of 36 and above, which indicated a handicapping malocclusion requiring mandatory orthodontic treatment. Sixty-nine (28.4%) adolescents (36 males and 33 females) had DAI scores between 31 and 35, which indicated severe malocclusion, for which orthodontic intervention was desirable. Incisal segment crowding (84.8%) was the most common aspect of the malocclusion. The mean DMFT score was 4.36 ± 3.81, and 82.8% of the participants had a DMFT score > 0. There was no statistically significant correlation between the mean DAI and DMFT scores (r = 0.090, p = 0.15). Only 16 (6.6%) of the adolescents had minor or no anomaly not needing orthodontic treatment., Conclusions: The prevalence of malocclusion and dental caries was found to be high. However, there was no positive correlation between the severity of malocclusion and dental caries among the surveyed disabled adolescents.
- Published
- 2014
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