Background: The most prevalent non-communicable disease worldwide is oral health-related disease, with dental caries and periodontal conditions being common. Oral health status significantly impacts overall health and quality of life. Barriers to dental care affect children with special needs. This study evaluates the oral health status and treatment requirements of people with special needs. Methodology: This descriptive cross-sectional study in Kumasi, Ghana examined oral health status among people, 121 children with special needs over two months, in June-July 2022. Dental caries, periodontal changes, malocclusion, and trauma were assessed. The data was analyzed using SPSS 20.0. Results: The oral health status among people with special needs in this study was generally moderate, with a range from very good to very poor. The prevalence of dental caries was 37%, with a mean DMFT score of 2.82. Periodontal health showed unsatisfactory indicators such as mobile teeth, poor gingival health, high plaque scores, and the presence of halitosis. Conclusion: This descriptive study aimed to provide baseline data on the oral health status of special needs students in Kumasi, addressing the lack of knowledge in this area. It highlighted the importance of dental care in maintaining good oral health and overall well-being in individuals with special needs. Coordinated efforts by dental professionals are needed to provide dental health education and preventive interventions for these children.
References
[1]
Kassebaum, N.J., Smith, A.G.C., Bernabé, E., Fleming, T.D., Reynolds, A.E., Vos, T., Murray, C.J.L., Marcenes, W. and GBD 2015 Oral Health Collaborators (2017) Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990-2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. Journal of Dental Research, 96, 380-387. https://doi.org/10.1177/0022034517693566
[2]
Peres, M.A., Macpherson, L.M.D., Weyant, R.J., Daly, B., Venturelli, R., Mathur, M.R., et al. (2019) Oral Diseases: A Global Public Health Challenge. The Lancet, 394, 249-260. https://doi.org/10.1177/0022034517693566
[3]
WHO (2018) The ICD-11 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. https://icd.who.int/en
[4]
Ghana Statistical Service (2021) Ghana 2021 Population and Housing Census. General Report Volume 3F. https://statsghana.gov.gh/gssmain/fileUpload/pressrelease/2021%20PHC%20General%20Report%20Vol%203F_Difficulty%20in%20Performing%20Activities_final_161221.pdf
[5]
Shah, A.H., Refeai, M.A., Alolaywi, F.M., et al. (2021) Satisfaction of Oral Health Education among Parents and Caregivers Regarding Children with Special Healthcare Needs in Riyadh, Saudi Arabia. The Journal of Contemporary Dental Practice, 22, 894-899. https://doi.org/10.5005/jp-journals-10024-3141
[6]
United Nations. Sustainable Development Goals. http://www.un.org/sustainabledevelopment/sustainable-development-goals/
[7]
Hobdell, M., Petersen, P.E., Clarkson, J. and Johnson, N. (2003) Global Goals for Oral Health 2020. International Dental Journal, 53, 285-288. https://doi.org/10.1111/j.1875-595X.2003.tb00761.x
[8]
World Health Organisation (WHO) (2017) African Regional Survey. https://www.afro.who.int/publications/2017-annual-report
[9]
Lim, M., Liberali, S.A.C., Calache, H., Parashos, P. and Borromeo, G.L. (2021) Perceived Barriers Encountered by Oral Health Professionals in the Australian Public Dental System Providing Dental Treatment to Individuals with Special Needs. Special Care in Dentistry, 41, 381-390. https://doi.org/10.1111/scd.12581
[10]
Lebrun-Harris, L.A., Canto, M.T., Vodicka, P., et al. (2021) Oral Health among Children and Youth with Special Health Care Needs. Pediatrics, 148, e2020025700. https://doi.org/10.1542/peds.2020-025700
[11]
Kassebaum, N.J., Bernabé, E., Dahiya, M., Bhandari, B., Murray, C.J.L. and Marcenes, W. (2015) Global Burden of Untreated Caries: A Systematic Review and Metaregression. Journal of Dental Research, 94, 650-658. https://doi.org/10.1177/0022034515573272
Watt, R.G., Daly, B., Allison, P., Macpherson, L.M.D., Venturelli, R., List, S., Weyant, R.J., et al. (2019) Ending the Neglect of Global Oral Health: Time for Radical Action. The Lancet, 394, 261-272. https://doi.org/10.1016/S0140-6736(19)31133-X
[14]
Braimoh, O.B., Umanah, U. and Ilochonwu, N.A. (2014) Caries Distribution, Prevalence and Treatment Needs among 12-15-Year-Old Secondary School Students in Port Harcourt, Rivers State, Nigeria. Journal of Dental Surgery, 2014, Article ID: 483760. https://doi.org/10.1155/2014/483760
[15]
Tobin, A.O. and Ajayi, I.O. (2017) Common Oral Conditions and Correlates: An Oral Health Survey in Kwara State Nigeria. BMC Research Notes, 10, Article No. 568. https://doi.org/10.1186/s13104-017-2894-0
[16]
Frencken, J.E., Sharma, P., Stenhouse, L., Green, D., Laverty, D. and Dietrich, T. (2017) Global Epidemiology of Dental Caries and Severe Periodontitis—A Comprehensive Review. Journal of Clinical Periodontology, 44, S94-S105. https://doi.org/10.1111/jcpe.12677
[17]
Tonetti, M.S., Jepsen, S., Jin, L. and Otomo-Corgel, J. (2017) Impact of the Global Burden of Periodontal Diseases on Health, Nutrition and Wellbeing of Mankind: A Call for Global Action. Journal of Clinical Periodontology, 44, 456-462. https://doi.org/10.1111/jcpe.12732
[18]
Blankson, P.K., Amoah, G., Thadani, M., Newman-Nartey, M., Amarquaye, G., Hewlett, S., Ampofo, P. and Sackeyfio, J. (2022) Prevalence of Oral Conditions and Associated Factors among Schoolchildren in Accra, Ghana: A Cross-Sectional Study. International Dental Journal, 72, 93-99. https://doi.org/10.1016/j.identj.2021.02.004
[19]
Alamri, H. (2022) Oral Care for Children with Special Healthcare Needs in Dentistry: A Literature Review. Journal of Clinical Medicine, 11, Article No. 5557. http://dx.doi.org/10.3390/jcm11195557
[20]
Ajayi, D.M., Abiodun-Solanke, I.M., Sulaiman, A.O. and Ekhalufoh, E.F. (2012) A Retrospective Study of Traumatic Injuries to Teeth at a Nigerian Tertiary Hospital. Nigerian Journal of Clinical Practice, 15, 320-325. https://doi.org/10.4103/1119-3077.100631
[21]
Gawlak, D., Luniewska, J., Stojak, W., Hovhannisyan, A., Strózyńska, A., et al. (2017) The Prevalence of Orodental Trauma during Epileptic Seizures in Terms of Dental Treatment—Survey Study. Neurologia I Neurochirurgia Polska, 51, 361-365. https://doi.org/10.1016/j.pjnns.2017.06.004
[22]
Petersen, P.E., Bourgeois, D., Ogawa, H., Estupinan-Day, S. and Ndiaye, C. (2005) The Global Burden of Oral Diseases and Risks to Oral Health. Bulletin of the World Health Organization, 83, 661-669. https://pubmed.ncbi.nlm.nih.gov/16211157
[23]
Doriguêtto, P.V.T., Carrada, C.F., Scalioni, F.A.R., Abreu, L.G., Devito, K.L., Paiva, S.M. and Ribeiro, R.A. (2019) Malocclusion in Children and Adolescents with Down Syndrome: A Systematic Review and Meta-Analysis. International Journal of Paediatric Dentistry, 29, 524-541. https://doi.org/10.1111/ipd.12491
[24]
Fleck, A.M. (2011) Analysis of Dental Management of Those with Physical and Mental Disabilities. Honors Theses. 99. https://scholarworks.wmich.edu/honors_theses/99
[25]
Alkhabuli, J.O.S., Al-Zuhair, A.M. and Jaber, A.A. (2019) Oral Health Status and Treatment Needs for Children with Special Needs: A Cross-Sectional Study. https://www.scielo.br/j/pboci/a/WCpGnfFkjfLsdKBn9SFsQZF/?lang=en
[26]
Rane, J.V., Winnier, J. and Bhatia, R. (2017) Comparative Assessment of Oral Health Related Quality of Life of Children before and after Full Mouth Rehabilitation under General Anaesthesia and Local Anaesthesia. Journal of Clinical and Diagnostic Research, 11, ZC23-ZC26. https://www.doi.org/10.7860/JCDR/2017/23699/9163
[27]
Nik Adib, N.A., Ibrahim, M.I., Ab Rahman, A., et al. (2019) Perceived Stress among Caregivers of Children with Autism Spectrum Disorder: A State-Wide Study. International Journal of Environmental Research and Public Health, 16, Article No. 1468. https://doi.org/10.3390/ijerph16081468
[28]
Vogan, V., Lake, J.K., Tint, A., Weiss, J.A. and Lunsky, Y. (2017) Tracking Health Care Service Use and the Experiences of Adults with Autism Spectrum Disorder without Intellectual Disability: A Longitudinal Study of Service Rates, Barriers and Satisfaction. Disability and Health Journal, 10, 264-270. https://doi.org/10.1016/j.dhjo.2016.11.002
[29]
WHO (2013) Oral Health Surveys: Basic Methods. 5th Edition. https://cappmediaprodst.blob.core.windows.net/media/1016/who-oral-health-surveys-basic-methods-5th-ed.pdf
[30]
Dheepthasri, S., Taranath, M., Garla, B.K., Karuppaiah, M. and Umesh, S. (2018) Oral Health Status and Treatment Needs among Intellectually Disabled in Madurai. Journal of Advanced Oral Research, 9, 45-48. https://doi.org/10.1177/2229411218762044
[31]
Niraj, L.K., Singla, A., Gupta, R., Patthi, B., Dhama, K. and Ali, I. (2017) The One with No-One: Oral Health and Quality of Life among Rohingya Refugee. Journal of Indian Association of Public Health Dentistry, 15, 334-339. https://doi.org/10.4103/jiaphd.jiaphd_96_17
[32]
Kyeremateng, J.D.A., Edusei, A. and Dogbe, J.A. (2019) Experiences of Primary Caregivers of Children with Cerebral Palsy across the Trajectory of Diagnoses in Ghana. African Journal of Disability, 8, a577. https://doi.org/10.4102/ajod.v8i0.577
[33]
WHO (2018) Disability and Health. https://www.who.int/en/news-room/fact-sheets/detail/disability-and-health
[34]
Prabhu, N.T., Nunn, J.H., Evans, D.J. and Girdler, N.M. (2010) Access to Dental Care-Parents’ and Caregivers’ Views on Dental Treatment Services for People with Disabilities. Special Care in Dentistry, 30, 35-45. https://doi.org/10.1111/j.1754-4505.2009.00127.x
[35]
Ningrum, V., Bakar, A., Shieh, T.M. and Shih, Y.H. (2021) The Oral Health Inequities between Special Needs Children and Normal Children in Asia: A Systematic Review and Meta-Analysis. Healthcare (Basel), 9, Article No. 410. https://doi.org/10.3390/healthcare9040410
[36]
Uwayezu, D., Gatarayiha, A. and Nzayirambaho, M. (2020) Prevalence of Dental Caries and Associated Risk Factors in Children Living with Disabilities in Rwanda: A Cross-Sectional Study. The Pan African Medical Journal, 36, Article No. 193.
[37]
Gufran, K., Alqutaym, O.S., Alqahtani, A.A.M., et al. (2019) Prevalence of Dental Caries and Periodontal Status among Down’s Syndrome Population in Riyadh City. Journal of Pharmacy & Bioallied Sciences, 11, S252-S255. https://doi.org/10.4103/jpbs.jpbs_2_19
[38]
Anandan, S., Lakshminarayan, N., et al. (2022) Comparison of Dental Caries Experience and Salivary Parameters among Children with Down Syndrome and Healthy Controls in Chennai, Tamil Nadu. Journal of Indian Society of Pedodontics and Preventive Dentistry, 40, 274-280.
[39]
Mokhtar, S.M., Jalil, L.A., Noor, N., Tan, B.C., Shamdol, Z. and Hanafiah, H. (2016) Dental Status and Treatment Needs of Special Needs Children in Negeri Sembilan, Malaysia. World Journal of Research and Review, 2, 64-70.
[40]
Franklin, D.L., Luther, F. and Curzon, M.E. (1996) The Prevalence of Malocclusion in Children with Cerebral Palsy. European Journal of Orthodontics, 18, 637-643. https://doi.org/10.1093/ejo/18.6.637
