ORIGINAL ARTICLE

 

Prevalence of periodontal disease in special needs patients at APAE-PF/RS and the effect of local prevention programs

 

 

Micheline Sandini Trentin^I; Soluete Oliveira da Silva^I; Maria Salete Sandini Linden^I; Bruna Hickmann Motta^II; Janaína Rigo Panazzolo^II; João Paulo De Carli^III

^IPhD, Professor, Dental School, University of Passo Fundo, Passo Fundo, RS, Brazil
^IIDDS, Dental School, University of Passo Fundo, Passo Fundo, RS, Brazil
^IIIMS, PhD, Professor, Dental School, University of Passo Fundo, Passo Fundo, RS, Brazil

Correspondence to

 

 

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ABSTRACT

AIM: The objective of this study was to assess the prevalence and severity of periodontal disease and the efficiency of oral health programs in patients with special needs under treatment at APAE/PF-RS (Association of Parents and Friends of Special Needs Individuals - Passo Fundo/RS).
METHODS: The periodontal condition of 109 patients was evaluated through clinical examination by two undergraduate students calibrated for the Periodontal Screening and Recording (PSR) index. The data collected were analyzed by SPSS 15.0 for Windows focusing on qualitative research. A descriptive analysis of data (percentile, frequency, mean and standard deviation) was performed, as well as statistical analysis by the chi-square at 5% significance level, and Pearson's t-test to verify the correlation of the variables age, gender, handicap level and PSR index.
RESULTS: Age was a significant factor for PSR1, PSR2, PSR4 and PSR5, where younger patients showed better periodontal health than older ones; however, gender and handicap level did not show significant differences when correlated with the PSR. The patients presented prevalence of periodontal health in the majority of sextants, followed by gingivitis. Few patients showed more severe degrees of periodontal disease.
CONCLUSIONS: This study demonstrated that the patients had acceptable oral hygiene, and low prevalence of gingivitis and periodontitis, suggesting that the program of prevention and dental care adopted at the facility was efficient and may represent a model for periodontal health care for patients in other institutions and towns.

Keywords: special patients, periodontal disease, PSR, prevention programs.

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References

1. Gullikson JS. Oral findings in children with down's syndrome. J Dent Child. 1973; 40: 293-7.         [ Links ]

2. Carvalho EMC, Araújo RPC. A saúde bucal em portadores de transtornos mentais e comportamentais. Pesq Bras Odontoped Clin Integr. 2004; 4: 65- 75.         [ Links ]

3. Forsberg H, Nilsson IQ, Gustavson KH, Jagell S. Dental health and dental care in severely mentally retarded children. Swed Dent J. 1985; 9:15-28.         [ Links ]

4. Tesini DA. Age, degree of mental retardation, institutionalization, and socioeconomic status is determinants in the oral hygiene status of mentally retarded individuals. Community Dent. Oral Epidemiol. 1980; 8: 355-59.         [ Links ]

5. Vigild M. Periodontal conditions in mentally retarded children. Community Dent Oral Epidemiol. 1985; 13: 180-2.         [ Links ]

6. Yoshihara T, Morinushi T, Kiniuo S, Yamasaki Y. Effect of periodic preventive care on the progression of periodontal disease in young with Down's syndrome. J Clin Periodontol. 2005; 32: 556-60.         [ Links ]

7. Morgan J. Why is periodontal disease more prevalent and more severe in people with Down syndrome? Spec Care Dentist. 2007; 27: 169-201.         [ Links ]

8. Saraiva APVP, Nóbrega MSG. Avaliação da qualidade de vida em pacientes com síndrome de down na APAE – João Pessoa – Paraíba. Pesq. Bras. Odontopediatria Clin Integr. 2003; 3: 59-64.         [ Links ]

9. World Health Organization: Oral Health surveys: basic methods. 4th. ed Genebra: WHO; 2002.         [ Links ]

10. American Dental Association and American Academy of Periodontology. Periodontal Screening and Recording Training Program. Chicago; 1992.         [ Links ]

11. Haddad AS. Odontologia para pacientes com necessidades especiais. São Paulo: Santos; 2007.         [ Links ]

12. Arch LM, Jenner AM, Whittle JG. The views and expactations regarding dental care of the parents of children with special dental needs: a survey in the Country of Cheshire, England. Int J Paediatr Dent. 1994; 4: 127-32.         [ Links ]

13. Pérez RL, Yáñez ASB, García GJ, Maupomé G. Oral hygiene, gingivitis, and periodontitis in persons with Down syndrome. Spec Care Dentist. 2002; 22: 214-19.         [ Links ]

14. Pregliasco F, Ottolina P, Mensi C, Carmagnola D, Giussani F, Abati S, et al. Oral health profile in an institutionalized population of Italian adults with mental retardation. Spec Care Dentist. 2001; 21: 227-31.         [ Links ]

15. Shinkay RSA, Cury AADB. O papel da odontologia na equipe interdisciplinar: contribuindo para a atenção integral ao idoso. CAD Saude Publ. 2000; 16. Available from: http://www.scielo. brscielo.php?pid= S0102311X2000000400028&script=sci_arttext &tlng=pt. [Access 2009 Nov]         [ Links ].

16. Pauleto ARC, Pereira MLT, Cyrino EG. Saúde bucal: uma revisão crítica sobre programações educativas para escolares. Cienc Saude Colet. 2004; Available from: http://www.scielo.br scielo.php?pid=S141381232004000100012&script=sci_arttext &tlng=p. [Access 2009 Nov].

17. Alves RD, Silveira EJ, RDAU Lins. Doença periodontal X Síndrome de Down: uma revisão. Rev Bras Patol Oral. 2004; 3. Available from: http://www.patologiaoral.com.br/texto63.asp. [Access 2008 Nov]         [ Links ].

18. Kuhn A, Dall'Magro E, Folle FS, Rigo L. Pacientes especiais tratados sob anestesia geral no Hospital São Vicente de Paulo de Passo Fundo entre anos de 2005 e 2006: In: Linden MSS, Damian MF, De Carli JP. Abordagens multidisciplinares em odontologia: do básico ao avançado. Passo Fundo: UPF; 2007. p.205-211.         [ Links ]

19. Barnett ML, Press KP, Friedman D, Sonnenberg EM. The prevalence of periodontitis and dental caries in a down's syndrome population. J Periodontol. 1986; 57: 288-93.         [ Links ]

20. Tadei AS, Mendonça TMF, Mendez TMTV. Doença periodontal em pacientes com síndrome de down. In: XI Encontro Latino Americano de Iniciação Científica e VII Encontro Latino Americano de Pós Graduação da Universidade do Vale do Paraíba. Paraíba; 2007. p.1307-11.         [ Links ]

21. Amano A, Kishima T , Akiyama S, Nakagawa I, Hamada S, Morisaki I. Relationship of Periodontopathic Bacteria With Early-Onset Periodontitis in Down's Syndrome. J Periodontol. 2001; 72: 368-73.         [ Links ]

22. Mochizuki K, Tsujino K, Ohtawa Y, Yakushiji M, Nomura K, Ichinohe T et al. Dental care for physically or mentally challenged at public dental clinics. Bull Tokyo Dent College. 2007; 48: 135-42.         [ Links ]

23. Glassman P, Miller CE. Preventing dental disease for people with special needs: the need for practical preventive protocols for use in community settings. Spec Care Dentist. 2003; 23: 165-7.         [ Links ]

24. Martens L, Marks L, Goffin G, Gizani S, Vinckier F, Declerck D. Oral hygiene in 12-years-old disable children in Flanders, Belgium, related to manual dexterity. Community Dent Oral Epidemiol. 2000; 28: 73-80.         [ Links ]

 

 

Correspondence to:
Soluete Oliveira da Silva
Rua Padre Nóbrega, 475/301, Bairro Lucas
Araújo, 99072-140 - Passo Fundo, RS, Brasil
Phone: (54) 3312-3800
E-mail: soluete@upf.br

Received for publication: August 3, 2010
Accepted: November 12, 2010