Oral health of visually impaired and sighted children residing in institutions: A comparative cross-sectional study

Kavyashree Gururaj Hebbar1image, Girish Babu KL2image✉

Highlights

Visual impairment may impact psychomotor, social, and emotional development, thus adversely affecting the quality of life.

Visually impaired children had a significantly higher prevalence of dental caries, traumatic dental injuries and gingival inflammation with poor oral hygiene compared to sighted children.

This study emphasizes the urgent need for oral health promotion and effective implementation of tailor-made preventive and corrective dental treatment for visually impaired children.

Abstract

Aim: To evaluate the oral health status among Visually Impaired (VI) and sighted children residing in institutions. Methods: VI and sighted children aged 6 to 14 years and residing in the institutions participated. The data on the chronological age and the status of visual impairment of children were collected from the medical records available with the institutional authorities. Oral health-related quality of life (OHRQoL) was recorded using a questionnaire. The status of oral hygiene, dental caries, gingiva, and traumatic dental injury were assessed. Results: A total of 206 children participated (103 of VI and 103 sighted children). Among VI children, the prevalence of dental caries in primary and permanent dentition was 32% and 45%, respectively, which was higher than sighted children. The mean difference of DMFT between VI and sighted children was statistically significant but not deft. The mean value of oral hygiene status was 1.52±0.94 in VI children and 0.76±0.02 in sighted children. Twenty-seven percent, 44%, and 28% of VI children had moderate gingivitis, mild gingivitis, and normal gingiva. Elli’s Class I and II fracture was seen in 12% and 9% of VI children, respectively. The quality of life due to oral health was compromised in VI children compared to sighted children. There was a strong correlation between assessed oral health parameters and the various domains of OHRQoL between VI and sighted children. Conclusions: The VI children had a significantly higher prevalence of dental caries, traumatic dental injuries and gingival inflammation with poor oral hygiene compared to sighted children. The poor oral health influenced the quality of life of VI children more than sighted children.

Keywords: Dental Caries; Oral Hygiene; Sighted Children; Traumatic Dental Injury; Visually Impaired

Author Affiliations

  1. Junior Resident, Department of Dentistry, Hassan Institute of Medical Sciences, India
  2. Professor and Head, Department of Dentistry, Hassan Institute of Medical Sciences, India (Correspondece: docgirish77@gmail.com)
  1. World Health Organization. Preventing blindness in children: Report of WHO/IAPB scientific meeting. Programme for the Prevention of Blindness and Deafness, and International Agency for Prevention of Blindness. [Internet] 2022 [cited 2022 Sep 17] Available from: https://apps.who.int/iris/handle/10665/66663
  2. Dandona R, Dandona L. Childhood blindness in India: a population-based perspective. Br J Ophthalmol 2003;87:263-265 
  3. Gilbert C, Awan H. Blindness in children. BMJ 2003; 4;327:760-771 
  4. Wadhwani M, Vashist P, Singh SS, Gupta V, Gupta N, Saxena R. Prevalence and causes of childhood blindness in India: A systematic review. Indian J Ophthalmol 2020;68:311-315
  5. Mahantesha T, Nara A, Kumari PR, Halemani PK, Buddiga V, Sarpangala M. A comparative evaluation of oral hygiene using Braille and audio instructions among institutionalized visually impaired children aged between 6 years and 20 years: A 3-month follow-up study. J Int Soc Prevent Communit Dent 2015;5:S129-132
  6. Solanki J, Gupta S, Arora G, Bhateja S. Prevalence of dental caries and oral hygiene status among blind school children and normal children, Jodhpur city: a comparative study. J Adv Oral Res. 2013; 22:213–21.
  7. Shetty V, Hegde AM, Bhandary S, Rai K. Oral health status of the visually impaired children–a south Indian study. J Clin Pediatr Dent 2010; 34:213–216
  8. 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; 33:78–84
  9. Reddy K, Sharma A. Prevalence of oral health status in visually impaired children. J Indian Soc Pedod Prev Dent 2011;29:25–37
  10. Ozdemir-Ozenen D, Sungurtekin E, Cildir S, Sandalli N. A comparison of the oral health status of children who are blind and children who are sighted in Istanbul. J Vis Impair Blind 2012; 106:362–367
  11. Parkar S, Patel N, Patel N, Zinzuwadia H. Dental health status of visually impaired individuals attending special school for blind in Ahmedabad city, India. Indian J Oral Sci 2014;5:73–77
  12. Al-Qahtani Z, Wyne AH. Caries experience and oral hygiene status of blind, deaf and mentally retarded female children in Riyadh. Saudi Arabia. Odontostomatol Trop 2004; 27:37–40
  13. Shyama M, Al-Mutawa SA, Morris RE, Sugathan T, Honkala E.  Dental caries experience of disabled children and young adults in Kuwait. Community Dent Health 2001;18:181–186 
  14. Rao D, Amitha H, Munshi AK. Oral hygiene status of disabled children and adolescents attending special schools of South Canara, India. Hong KongDent J 2005;2:107–113
  15. Prashanth S, Bhatnagar S, Mohan Das U, Gopu H. Oral health knowledge, practice, oral hygiene status, and dental caries prevalence among visually impaired children in Bangalore. J Indian Soc Pedod Prev Dent 2011;29:102–105
  16. Bimstein E, Jerrell R, Weaver J, Dailey L. Oral characteristics of children with visual or auditory impairments. Pediatr Dent 2013;36:336–342
  17. Rathore K, Rao D, Masih U. Dental trauma experience of visually impaired and sighted children residing in residential schools – a comparative cross-sectional study. Spec Care Dentist 2021;4:195-201
  18. AlSarheed M, Bedi R, Hunt NP. Traumatised permanent teeth in 11-16-year-old Saudi Arabian children with a sensory impairment attending special schools. Dent Traumatol 2003;19:123–125
  19. Ferreira MC, Guare RO, Prokopowitsch I, Santos MT. Prevalence of dental trauma in individuals with special needs. Dent Traumatol 2011; 27:113–116
  20. Shyama M, Al-Mutawa SA, Honkala S. Malocclusions and traumatic injuries in disabled school children and adolescents in Kuwait. Spec Care Dentist 2001; 2:104–108
  21. Bhat N, Agrawal A, Nagrajappa R, Roy SS, Singh K, Chaudhary H, Asawa K. Teeth fracture among visually impaired and sighted children of 12 and15 years age groups of Udaipur city, India–a comparative study. Dent Traumatol 2011;27:389–92
  22. Fleiss JL. Statistical methods for rates and proportions. 2nd ed. New York: Wiley;1982
  23. Jokovic A, Locker D, Tompson B, Guyatt G. Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent 2004; 26:512-518
  24. WHO: Oral Health Surveys–Basic methods. 5th ed. Geneva: WHO Library Cataloguing;2013.
  25. Greene JC, Vermillion JR.  The simplified oral hygiene index. J Am Dent Assoc 1964; 68:7–13
  26. Loe H, Silness J. Periodontal disease in pregnancy.  Prevalence and severity.  Acta Odontol Scand 1963; 21:533–551
  27. Theunissen NC, Vogels TG, Koopman HM, Verrips GH, Zwinderman KA, Verloove-Vanhorick SP et al. The proxy problem: child report versus parent report in health-related quality of life research. Qual Life Res 1998;7:387-397
  28. Verrips GH, Vogels AG, den Ouden AL, Paneth N, Verloove-Vanhorick SP. Measuring health-related quality of life in adolescents: agreement between raters and between methods of administration. Child Care Health Dev 2000; 26:457-469
  29. Barbosa TS, Gavião MB. Oral health-related quality of life in children: Part I. How well do children know themselves? A systematic review. Int J Dent Hyg 2008;6:93-99
  30. Barbosa TS, Gavião MB. Oral health-related quality of life in children: Part II. Effects of clinical oral health status. A systematic review. Int J Dent Hyg 2008;6:100-107
  31. Gathercole SE. The development of memory. J Child Psychol Psychiatry 1988;39:3-27
  32. AlSadhan SA, Al-Jobair AM, Bafaqeeh M, Abusharifa H, Alagla M. Dental and medical health status and oral health knowledge among visually impaired and sighted female schoolchildren in Riyadh: a comparative study. BMC Oral Health 2017;17:154
  33. 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;7:46-55
  34. Khan AJ, Ahmad MS, Zakaria ASI, Mahyuddin A, Rosli TI. Oral health status of a group of visually impaired school children in Kuala Lumpur. Mal J Med Health Sci 2020;16:100-105
  35. 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; 10:75-80
  36. Mann J, Wolneman JS, Lavie G. Periodontal treatment needs and oral hygiene for institutionalized individuals with handicapping conditions. Spec Care Dent 1984;4:173-186
  37. Suresan V, Das D, Jnaneswar A, Jha K, Kumar G, Subramaniam GB. 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; 35:284-290
  38. Tagelsir A, Khogli AE, Nurelhuda NM. Oral health of visually impaired schoolchildren in Khartoum State, Sudan. BMC Oral Health 2013;17:13:33
  39. 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 2021;27:89-97
  40. Ahmad MS, Jindal MK, Khan S, Hashmi SH. Oral health knowledge, practice, oral hygiene status and dental caries prevalence among visually impaired students in residential institute of Aligarh. J Dent Oral Hyg 2009:1:22-26
  41. 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;20:144-150
  42. Gautam K, Ali AR, Agrawal D, Choudhary A, Shekhawat A, Jain RL. New vision for improving oral hygiene status of visually impaired students aged from 9 to 17 years. J Family Med Prim Care 2020;9:5303-5308
  43. 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;5:1-6
  44. Nandini NS. New insights into improving the oral health of visually impaired children. J Indian Soc Pedod Prev Dent 2003;21:142-153
  45. Liu L, Zhang Y, Wu W, He M, Lu Z, Zhang K, et al. Oral health status among visually impaired school children in Northeast China. BMC Oral Health 2019;19:1-7
  46. Singh A, Dhawan P, Gaurav V, Rastogi P, Singh S. Assessment of oral health-related quality of life in 9–15-year-old children with visual impairment in Uttarakhand, India. Dent Res J (Isfahan) 2017;14:43-49
  47. Chand BR, Kulkarni S, Swamy NK, Bafna Y. Dentition status, treatment needs and risk predictors for dental caries among institutionalised disabled individuals in central India. J Clin Diagn Res 2014;8: ZC56–59
  48. Jain M, Bharadwaj SP, Kaira LS, Bharadwaj SP, Chopra D, Prabu D, et al. Oral health status and treatment need among institutionalised hearing-impaired and blind children and young adults in Udaipur, India. A comparative study. Oral Health Dent Manag 2013;12:41–49
  49. Sanjay V, Shetty SM, Shetty RG, Managoli NA, Gugawad SC, Hitesh D. Dental health status among sensory impaired and blind institutionalized children aged 6 to 20 years. J Int Oral Health 2014; 6:55–58
  50. Babu KL, Rai K, Hedge AM. Pediatric liquid medicaments–do they erode the teeth surface? An in vitro study: Part I. J Clin Pediatr Dent 2008;32:189-194
  51. Babu KL, Rai K, Hegde AM. pH of medicated syrups–does it really matter? –an in-vitro study: Part-II. J Clin Pediatr Dent. 2008; 33:137-142
  52. Babu KL, Doddamani GM, Kumaraswamy Naik LR, Jagadeesh KN. Pediatric liquid medicaments – Are they cariogenic? An in vitro study. J Int Soc Prevent Communit Dent 2014;4:108-112
  53. Ohito FA, Opinya GN, Wang’ombe J. Dental caries, gingivitis and dental plaque in handicapped children in Nairobi, Kenya. East Afr Med J 1993;70:71-84
  54. Bhavsar JP, Damle SG. Dental caries and oral hygiene amongst 12-14 years old handicapped children of Bombay, India. J Indian Soc Pedod Prev Dent 1995;13:1-3
  55. Mann J, Wolnerman JS, Lavie G, Carlin Y, Garfunkel AA. Periodontal treatment needs and oral hygiene for institutionalized individuals with handicapping conditions. Spec Care Dentist 1984; 4:173-176
  56. Gautam A, Bhambal A, Moghe S. Effect of oral health education by audio aids, Braille & tactile models on the oral health status of visually impaired children of Bhopal city. J Oral Biol Craniofac Res. 2018;8:168-170
  57. Poureslami H,Nazarian M, Horri A, Sharifi H, Barghi H. Comparison of the traumatic dental injuries between visually impaired and their peer sighted children in Kerman, Iran. J Oral Health Oral Epidemiol 2013;2:75-80
  58. Munot H, Avinash A, Kashyap N, Baranwal R, Kumar B, Sagar MK. Prevalence of traumatic dental injuries among visually impaired children attending special schools of Chhattisgarh. J Indian Soc Pedod Prev Dent 2017;35:209-215
  59. Agrawal A, Bhatt N, Singh K, Chaudhary H, Mishra P, Asawa K. Prevalence of anterior teeth fracture among visually impaired individuals. India. Int J Dent Clinics 2010;2:3-7
  60. Varghese RK, Agrawal A, Mitra A, Fating C. Anterior teeth fracture among visually impaired individuals, India. J Adv Oral Res 2011;2:39-44
  61. Maciel MAS, Cordeiro PM, d’Avila S, Godoy GP, Alves RD, Lins RDAU.Assessing the oral condition of visually impaired individuals attending the Paraíba Institute of the Blind.  Revista Odonto Ciencia 2009; 24:354-60
  62. O’Donnell D. The prevalence of nonrepaired fractured incisors in visually impaired Chinese children and young adults in Hong Kong. Quintessence Int 1992; 23:363-375
  63. Meštrović S,Pandurić DG, Milošević SA, Ribarić D. Risk Factors of Traumatic Injuries to the Upper Incisors. Acta Stomatol Croat 2008;42:3-10
  64. Kamatchy KR, Joseph J, Krishnan CG. Dental caries prevalence and experience among the group of institutionalized hearing-impaired individuals in Pondicherry–a descriptive study. Indian J Dent Res 2003; 14:29-32
  65. Eid SA, Khattab NMA, Elheeny AAH. 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;20:83-89
  66. Ishtiaq R, Chaudhary MH, Rana MA, Jamil AR. Psychosocial implications of blindness and low vision in students of a school for children with blindness. Pak J Med Sci 2016;32:431-444
  67. Oredugba FA, Akindayomi Y. Oral health status and treatment needs of children and young adults attending a day centre for individuals with special health care needs. BMC Oral Health 2008;8:30-38
  68. Ajami BA, Shabzendedar M, Rezay YA, Asgary M. Dental treatment needs of children with disabilities. J Dent Res Dent Clin Dent Prospects 2007;1:93-98

Article Info

Contemp Pediatr Dent 2022:3(3):112-124

Received: 20 July 2022

Accepted: 25 November 2022

Online First: 29 December 2022

DOI: 10.51463/cpd.2022.120

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					Kavyashree Gururaj Hebbar, Girish Babu KL. Oral health of visually impaired and sighted children residing in institutions: A comparative cross-sectional study. Contemp Pediatr Dent 2022:3(3):112-124.

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