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Deng S, Gao Q, Zhang L, Xie J, Chen Y, Peng X. Prefabricated Zirconia Crowns and Preformed Metal Crowns in the Treatment of Severely Childhood Caries and Anterior Crossbite in a Child with Autistic Spectrum Disorder. Case Rep Dent 2024; 2024:5556502. [PMID: 38390344 PMCID: PMC10883740 DOI: 10.1155/2024/5556502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 11/29/2023] [Accepted: 01/29/2024] [Indexed: 02/24/2024] Open
Abstract
Crowns have been recommended to treat decayed teeth and rebuild teeth function. The dental management of children with autism is a tremendous challenge for pediatric dentists due to the impaired behaviors and communication disorders. In this context, a 5-year-old boy with autism was treated to solve carious lesions under the assistance of general anesthesia. The posterior occlusal function was restored, and the crossbite existing in the primary anterior teeth was approached merely by NuSmile® zirconia crowns (ZCs) rather than orthodontic intervention. We conducted an 18-month period. Throughout the long-term follow-up, the boy's masticatory efficiency was remarkably improved and the anterior teeth had transferred into the correct position with adequate overbite to maintain the new relationship, thus ameliorating the appearance of tissue on the labial surface and enhancing his quality of life and oral health.
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Affiliation(s)
- Shuman Deng
- Shenzhen Children's Hospital of China Medical University (CMU), Shenzhen 518026, China
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen, Guangdong 518026, China
| | - Qi Gao
- Department of Maxillofacial Surgery, Shenzhen Second People's Hospital, Shenzhen, Guangdong 518029, China
| | - Li Zhang
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen, Guangdong 518026, China
| | - Jing Xie
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen, Guangdong 518026, China
| | - Ying Chen
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen, Guangdong 518026, China
| | - Xuezhen Peng
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen, Guangdong 518026, China
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Baumstarck K, Hamouda I, Aim MA, Anzola AB, Khaldi-Cherif S, Felce A, Maincent K, Lind K, Auquier P, Billette de Villemeur T, Rousseau MC. Health care management adequacy among French persons with severe profound intellectual and multiple disabilities: a longitudinal study. BMC Health Serv Res 2024; 24:99. [PMID: 38238747 PMCID: PMC10795329 DOI: 10.1186/s12913-024-10552-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Accepted: 01/03/2024] [Indexed: 01/22/2024] Open
Abstract
BACKGROUND The care organization of persons with profound intellectual and multiple disabilities (PIMD) varies by country according to the health care system. This study used a large sample of French individuals with severe PIMD/polyhandicap to assess: 1) the adequacy of care setting over a 5-year period and 2) health care consumption. METHODS The longitudinal study used data from the French EVALuation PoLyHandicap (EVAL-PLH) cohort of persons with severe PIMD/polyhandicap who were receiving managed in specialized care centres and residential facilities. Two assessments were performed: wave 1 (T1) in 2015-2016 and wave 2 (T2) in 2020-2021. The inclusion criteria were as follows: age > 3 years at the time of inclusion; age at onset of cerebral lesion younger than 3 years old; and severe PIMD. The adequacy of the care setting was based on the following: i) objective indicators, i.e., adequacy for age and adequacy for health status severity; ii) subjective indicators, i.e., self-perception of the referring physician about medical care adequacy and educational care adequacy. Health care consumption was assessed based on medical and paramedical care. RESULTS Among the 492 persons assessed at the 2 times, 50% of individuals at T1 and 46% of individuals at T2 were in an inadequate care setting based on age and severity. Regarding global subjective inadequacy, the combination of medical adequacy and educational adequacy, 7% of individuals at T1 and 13% of individuals at T2 were in an inadequate care setting. At T2, a majority of individuals were undermonitored by medical care providers (general practitioners, physical medicine rehabilitation physicians, neurologists, orthopaedists, etc.). Important gaps were found between performed and prescribed sessions of various paramedical care (physiotherapy, occupational therapy, psychomotor therapy, etc.). CONCLUSIONS This study revealed key elements of inadequate care management for persons with severe PIMD/polyhandicap in France. Based on these important findings, healthcare workers, familial caregivers, patients experts, and health decision-makers should develop appropriate care organizations to optimize the global care management of these individuals. TRIAL REGISTRATION NCT02400528, registered 27/03/2015.
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Affiliation(s)
- Karine Baumstarck
- EA 3279, CEReSS - Research Centre On Health Services and Quality of Life, Aix Marseille University, 27 Boulevard Jean-Moulin, 13385, Marseille, France.
- Epidemiology and Health Economy Department, Assistance Publique Hôpitaux de Marseille, 27, Boulevard Jean-Moulin, 13385, Marseille, France.
| | - Ilyes Hamouda
- EA 3279, CEReSS - Research Centre On Health Services and Quality of Life, Aix Marseille University, 27 Boulevard Jean-Moulin, 13385, Marseille, France
- Epidemiology and Health Economy Department, Assistance Publique Hôpitaux de Marseille, 27, Boulevard Jean-Moulin, 13385, Marseille, France
| | - Marie-Anastasie Aim
- UR 849, LPS - Social Psychology Laboratory, Aix-Marseille University, 29 Av. Robert Schuman, 13621, Aix-en-Provence, France
| | - Any Beltran Anzola
- EA 3279, CEReSS - Research Centre On Health Services and Quality of Life, Aix Marseille University, 27 Boulevard Jean-Moulin, 13385, Marseille, France
| | - Sherezad Khaldi-Cherif
- General Union Health Insurance Fund (Union Générale Caisse Assurance Maladie, UGECAM), 26-50 Avenue du Professeur-André-Lemierre, 75986, Paris, Ile de France, France
| | - Agnès Felce
- Hendaye Hospital, Route Corniche, 64700, Hendaye, Assistance Publique-Hôpitaux de Paris, France
| | - Kim Maincent
- Committee for Studies, Education and Care for People With Multiple Disabilities (Comité d'Études, d'Éducation Et de Soins Auprès Des Personnes Polyhandicapées, CESAP), 62 Rue de La Glacière, 75013, Paris, France
| | - Katia Lind
- General Union Health Insurance Fund (Union Générale Caisse Assurance Maladie, UGECAM), 26-50 Avenue du Professeur-André-Lemierre, 75986, Paris, Ile de France, France
| | - Pascal Auquier
- EA 3279, CEReSS - Research Centre On Health Services and Quality of Life, Aix Marseille University, 27 Boulevard Jean-Moulin, 13385, Marseille, France
- Epidemiology and Health Economy Department, Assistance Publique Hôpitaux de Marseille, 27, Boulevard Jean-Moulin, 13385, Marseille, France
| | - Thierry Billette de Villemeur
- Service de Polyhandicap Pédiatrique, Roche Guyon Hospital, Assistance Publique Hôpitaux de Paris, 1 Rue Justinien Blazy 95780, La Roche-Guyon, France
- Hospital Fédération Des Hôpitaux de Polyhandicap Et Multihandicap, San Salvadour Hospital, Assistance Publique Hôpitaux de Paris, 4312 Rte de L'Almanarre, 83400, Hyères, France
| | - Marie-Christine Rousseau
- EA 3279, CEReSS - Research Centre On Health Services and Quality of Life, Aix Marseille University, 27 Boulevard Jean-Moulin, 13385, Marseille, France
- Hospital Fédération Des Hôpitaux de Polyhandicap Et Multihandicap, San Salvadour Hospital, Assistance Publique Hôpitaux de Paris, 4312 Rte de L'Almanarre, 83400, Hyères, France
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Shalini S, Sharma S, Anand A, Almalki SA, Biswas A, Sharma M, Sihag T, Ojha A, Garg Y, Paiwal K. An Assessment of the Prevalence of Dental Caries, Oral Hygiene Status, Deft Index, and Oral Hygiene Habits Among Children With Special Healthcare Needs. Cureus 2023; 15:e42416. [PMID: 37637578 PMCID: PMC10448303 DOI: 10.7759/cureus.42416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/25/2023] [Indexed: 08/29/2023] Open
Abstract
Background and objective Children with special healthcare needs are at an increased risk of oral health problems, including dental caries. Understanding the prevalence of dental caries, oral hygiene status, deft (decayed, extracted, filled teeth) index, and oral hygiene habits in this population is crucial for effective oral healthcare planning and interventions. The aim of this study was to assess the prevalence of dental caries, oral hygiene status, deft index, and oral hygiene habits among children aged 4-15 years with special healthcare needs in Jodhpur District, Rajasthan, India. Methods A cross-sectional study was conducted among 124 children from various, government and non-governmental organizations (NGO)-run special schools. Data on dental caries, oral hygiene status, deft index, and oral hygiene habits were collected using standardized tools and techniques. Descriptive statistics, including frequencies and percentages, were used to analyze the data. Results The prevalence of dental caries among children with special healthcare needs was 65%. The severity of dental caries varied, with 40% classified as mild, 20% as moderate, and 5% as severe. Additionally, 75% of the children exhibited poor oral hygiene, as indicated by the oral hygiene status assessment. The mean deft index score was 2.8, indicating an average dental caries experience among the participants. Regarding oral hygiene habits, 60% reported brushing their teeth once a day, while 40% reported brushing twice a day. However, a significant proportion (70%) reported non-fluoride use, and 55% stated they did not perform regular flossing. Conclusion This study highlights a high prevalence of dental caries, poor oral hygiene status, and suboptimal oral hygiene habits among children with special healthcare needs in Jodhpur District. The findings emphasize the need for targeted interventions focusing on preventive measures, oral health education, and improving access to oral healthcare for this vulnerable population. Further research with larger sample sizes and longitudinal study designs is warranted to validate these findings and develop effective strategies for enhancing oral health outcomes in children with special healthcare needs.
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Affiliation(s)
- Shikha Shalini
- Department of Orthodontics and Dentofacial Orthopaedics, Smitam Arogyam Dental Centre, Patna, IND
| | - Swati Sharma
- Department of Pedodontics and Preventive Dentistry, Dental College RIMS, Ranchi, IND
| | - Abhishek Anand
- Department of Pedodontics and Preventive Dentistry, Netaji Subhas Medical College and Hospital, Patna, IND
| | - Sultan A Almalki
- Department of Preventive Dental Sciences, Prince Sattam Bin Abdul Aziz University, Al Kharj, SAU
| | - Arpan Biswas
- Department of Public Health Dentistry, Vyas Dental College and Hospital, Jodhpur, IND
| | - Mridul Sharma
- Faculty of Dentistry, McGill University, Montreal, CAN
| | - Tarun Sihag
- Department of Pedodontics and Preventive Dentistry, Geetanjali Dental College, Udaipur, IND
| | - Akshaya Ojha
- Department of Pedodontics and Preventive Dentistry, Private Practice, Jammu, IND
| | - Yogesh Garg
- Department of Public Health Dentistry, JCD Dental College, Sirsa, IND
| | - Kapil Paiwal
- Department of Oral and Maxillofacial Pathology, Daswani Dental College and Research Center, Kota, IND
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Anwar DS, Mohd Yusof MYP, Ahmad MS, Md Sabri BA. Family Influences on the Dental Caries Status of Children with Special Health Care Needs: A Systematic Review. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9121855. [PMID: 36553300 PMCID: PMC9777056 DOI: 10.3390/children9121855] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 10/21/2022] [Accepted: 11/03/2022] [Indexed: 12/02/2022]
Abstract
Oral health is a likely source of health inequalities in children with special health care needs (CSHCN), according to multiple studies. This systematic review aimed to explore the evidence of family influence—as well as family features, such as societal variables and parents’ perspectives—on these children’s dental caries status. Embase, Ebsco, Scopus, PubMed, and Web of Science databases were all searched. All cross-sectional research published on the variables of family impact ranging from 2010 to 2021 were considered. The DMFT and dmft index was utilised for the report data of dental caries, whereas the National Heart, Lung, and Blood Institute (NHLBI) was used for the purposes of assessing quality. Of the 3861 records identified, 14 were eligible. Further, most of the studies had a caries prevalence of over 50%, (p-value < 0.005). Family influences imparted a significant relationship and association towards the dental caries status of the demographic being studied. The influences on the children included tooth brushing behaviour, parents’ education level, parents’ occupation level, diet pattern, dental visit, snacking frequency, parents’ psychological status, family size, and parents’ knowledge towards oral health. Future research should further explore the family functioning domains, specifically among the CSHCN population. This study was registered on PROSPERO, number CRD42021274923.
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Affiliation(s)
- Diyana Shereen Anwar
- Centre of Population Oral Health and Clinical Prevention Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh 47000, Selangor, Malaysia
| | - Mohd Yusmiaidil Putera Mohd Yusof
- Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA, Sungai Buloh 47000, Selangor, Malaysia
| | - Mas Suryalis Ahmad
- Centre of Special Care Dentistry, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh 47000, Selangor, Malaysia
| | - Budi Aslinie Md Sabri
- Centre of Population Oral Health and Clinical Prevention Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh 47000, Selangor, Malaysia
- Correspondence:
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