Prevalence of gingivitis induced by dental biofilm in school children with intellectual disabilities of “Unidad Educativa Especial del Azuay” and “Escuela de Educación Básica Fiscomisional San José de Calasanz” in the city of Cuenca - Ecuador

Authors

DOI:

https://doi.org/10.33448/rsd-v11i9.32272

Keywords:

Gingivitis; Biofilm; Intellectual disability; Descriptive cross-sectional study.

Abstract

The aim of this study was to determine the prevalence of gingivitis associated with dental biofilm in students with intellectual disabilities from “Unidad Educativa Especial del Azuay” and “Escuela de Educación Básica Fiscomisional San José de Calasanz” in the city of Cuenca - Ecuador during the period March 2018 - March 2019. It consists of a descriptive cross-sectional study, which analyzed 133 students with mental retardation, Down syndrome and autism between 3 and 20 years old. The quality of hygiene (O'Leary Index) and gingival status (Löe and Sillness Gingival Index and periodontogram data based on the classification of biofilm-induced gum diseases) were evaluated to identify the presence of gingival conditions associated with biofilm. The study included 65 women (48.87%) and 68 men (51.13%), of whom 51.88% were located within a mild cognitive disability. According to the O'Leary index, it was evidenced that 100% of the participants had poor hygiene, and when relating it to the Löe and Sillnes gingival index, a prevalence of moderate gingivitis was demonstrated at 58.65%. Only one person with healthy gums was found (0.75%). Regarding the Armitage classification of gingival diseases, a frequency of 68 participants (51.13%) presented localized gingivitis. In conclusion a high prevalence of gum disease is observed in the population evaluated, demonstrating an inadequate oral hygiene state where 99.25% of people with intellectual disabilities analyzed in the study presented indicators of gingivitis, with no differences in gingival health between the two groups of students.

References

Alí, S. de los M., Blanco, R. L., Meana González, M. A., & Dho, M. S. (2020). Higiene oral en niños con discapacidad intelectual en una institución de la Ciudad de Corrientes. Revista de La Facultad de Odontología, 13(1), 22-26. https://doi.org/10.30972/rfo.1314341

Armitage, G. C. (1999). Development of a Classification System for Periodontal Diseases and Conditions. Annals of Periodontology, 4(1), 1–6. https://doi.org/10.1902/annals.1999.4.1.1

Asociación Americana de Discapacidades Intelectuales y del Desarrollo, AAIDD. (2011). Discapacidad Intelectual. Definición, clasificación y sistemas de apoyo. Alianza Editorial, (p. 348). Madrid.

Bagattoni, S., D’Alessandro, G., Sadotti, A., Alkhamis, N., Rocca, A., Cocchi, G., Krantz, I. D., & Piana, G. (2016). Oro-dental features of Pallister-Killian syndrome: Evaluation of 21 European probands. American Journal of Medical Genetics Part A, 170(9), 2357–2364. https://doi.org/10.1002/ajmg.a.37815

Baumgarten, A., Hilgert, J. B., Rech, R. S., Cunha‐Cruz, J., & Goulart, B. N. G. (2021). Association between motor proficiency and oral health in people with intellectual disabilities. Journal of Intellectual Disability Research, 65(5), 489–499. https://doi.org/10.1111/jir.12828

Bernal, H. L. Z., Rodriguez, M. D. C. C., Gay, J. M. S., & de Oca Ramos, R. M. (2014). Behavior of chronic gingivitis in teenagers of “Jesus Fernández” High School. Santa Marta. Cárdenas. Revista Médica Electrónica, 36(S1), 711-719. Recuperado de: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242014000700004

Chadwick, D., Chapman, M., & Davies, G. (2018). Factors affecting access to daily oral and dental care among adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 31(3), 379–394. https://doi.org/10.1111/jar.12415

Costa, A. A. I., Della Bona, Á., & Trentin, M. S. (2016). Influence of Different Intellectual Disability Levels on Caries and Periodontal Disease. Brazilian Dental Journal, 27(1), 52–55. https://doi.org/10.1590/0103-6440201600420

Couto, P., Pereira, P. A., Nunes, M., & Mendes, R. A. (2019). Characterization of oral health in a Portuguese population with mild intellectual disability. Special Care in Dentistry, 39(3), 298–305. https://doi.org/10.1111/scd.12376

Fernandez Rojas, C., Wichrowska-Rymarek, K., Pavlic, A., Vinereanu, A., Fabjanska, K., Kaschke, I., & Marks, L. A. M. (2016). Oral health needs of athletes with intellectual disability in Eastern Europe: Poland, Romania and Slovenia. International Dental Journal, 66(2), 113–119. https://doi.org/10.1111/idj.12205

Ferreira, R., Michel, R. C., Greghi, S. L. A., Resende, M. L. R. de, Sant’Ana, A. C. P., Damante, C. A., & Zangrando, M. S. R. (2016). Prevention and Periodontal Treatment in Down Syndrome Patients: A Systematic Review. PLOS ONE, 11(6), e0158339. https://doi.org/10.1371/journal.pone.0158339

Garcés, C., Barrera, M., Ortiz, M., & Rosas, C. (2013). Estado de salud oral de niños y adolescentes con discapacidad intelectual en una población chilena, 2012. J. Oral Res. (Impresa), 59–63. Recuperado de: https://pesquisa.bvsalud.org/portal/resource/pt/lil-714237

Hughes, M. J., & Gazmararian, J. A. (2015). The relationship between income and oral health among people with intellectual disabilities: a global perspective. Special Care in Dentistry, 35(5), 229–235. https://doi.org/10.1111/scd.12114

Marks, L., Wong, A., Perlman, S., Shellard, A., & Fernandez, C. (2018). Global oral health status of athletes with intellectual disabilities. Clinical Oral Investigations, 22(4), 1681–1688. https://doi.org/10.1007/s00784-017-2258-0

Mazecaite-Vaitilaviciene, L., & Owens, J. (2018). Children with Disabilities at Risk of Poor Oral Health in the Republic of Lithuania: A Retrospective Descriptive Service Evaluation. World Medical & Health Policy, 10(3), 246–258. https://doi.org/10.1002/wmh3.275

McGrath, C., Zhou, N., & Wong, H. M. (2019). A systematic review and meta‐analysis of dental plaque control among children and adolescents with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 32(3), 522–532. https://doi.org/10.1111/jar.12561

Murakami, S., Mealey, B. L., Mariotti, A., & Chapple, I. L. C. (2018). Dental plaque-induced gingival conditions. Journal of Clinical Periodontology, 89, S17–S27. https://doi.org/10.1111/jcpe.12937

Murrieta-Pruneda, José Francisco, Juárez-López, L. A., Linares-Vieyra, C., Zurita-Murillo, V., Meléndez-Ocampo, A. F., Ávila-Martínez, C. R., & Nava-Delgado, C. M. (2008). Prevalencia de gingivitis asociada a la higiene oral, ingreso familiar y tiempo transcurrido desde la última consulta dental, en un grupo de adolescentes de Iztapalapa, Ciudad de México. Boletín Médico Del Hospital Infantil de México, 65(5), 367–375. Recuperado de: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1665-11462008000500006

Nasu, D., Uematsu, A., Nakamura, S., Ishiyama, M., Shirakawa, T., Hasegawa, T., Nasu, Y., Kaneko, T., Hoshi, J., & Horie, N. (2020). Oral hygiene and oral status of institutionalized children with motor and intellectual disabilities. Journal of Oral Science, 62(1), 89–92. https://doi.org/10.2334/josnusd.19-0042

Ningrum, V., Wang, W.-C., Liao, H.-E., Bakar, A., & Shih, Y.-H. (2020). A special needs dentistry study of institutionalized individuals with intellectual disability in West Sumatra Indonesia. Scientific Reports, 10(1), 1-8. https://doi.org/10.1038/s41598-019-56865-2

Nuernberg, M. A. A., Ivanaga, C. A., Haas, A. N., Aranega, A. M., Casarin, R. C. V., Caminaga, R. M. S., Garcia, V. G., & Theodoro, L. H. (2019). Periodontal status of individuals with Down syndrome: sociodemographic, behavioural and family perception influence. Journal of Intellectual Disability Research, 63(10), 1181–1192. https://doi.org/10.1111/jir.12629

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodología da pesquisa científica, Scientific Research Methodology. Recuperado de: https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=

Trombelli, L., Farina, R., Silva, C. O., & Tatakis, D. N. (2018). Plaque-induced gingivitis: Case definition and diagnostic considerations. Journal of Clinical Periodontology, 45, S44–S67. https://doi.org/10.1111/jcpe.12939

Vermaire, J. H., Kalf, S. M., & Schuller, A. A. (2021). Oral health and oral health behaviour of adolescents with mild or borderline intellectual disabilities compared with a national representative sample of 17‐year‐olds in the Netherlands. Journal of Applied Research in Intellectual Disabilities, 34(2), 615–623. https://doi.org/10.1111/jar.12829

Zamora Tejeda, M., Castañeda Deroncelé, M., & Hechavarría Martínez, B. O. (2017). Caracterización clinicoepidemiológica de pacientes especiales con gingivitis crónica. Medisan, 21(10), 3011-3017. Recuperado de: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192017001000003

Zhou, N., Wong, H. M., Wen, Y. F., & Mcgrath, C. (2017). Oral health status of children and adolescents with intellectual disabilities: a systematic review and meta‐analysis. Developmental Medicine & Child Neurology, 59(10), 1019–1026. https://doi.org/10.1111/dmcn.13486

Ziegler, J., & Spivack, E. (2018). Nutritional and dental issues in patients with intellectual and developmental disabilities. The Journal of the American Dental Association, 149(4), 317–321. https://doi.org/10.1016/j.adaj.2017.11.014

Published

19/07/2022

How to Cite

CHEN , W. C.; MATUTE TELLO, M. T.; ROMERO ESPINOZA, K. A.; PERAZA, V. M. .; CORONEL, J. P. . Prevalence of gingivitis induced by dental biofilm in school children with intellectual disabilities of “Unidad Educativa Especial del Azuay” and “Escuela de Educación Básica Fiscomisional San José de Calasanz” in the city of Cuenca - Ecuador. Research, Society and Development, [S. l.], v. 11, n. 9, p. e57511932272, 2022. DOI: 10.33448/rsd-v11i9.32272. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32272. Acesso em: 26 nov. 2024.

Issue

Section

Health Sciences