Abstract
Objective: To assess and compare the oral hygiene and periodontal status among children with Poliomyelitis having upper limb disability, lower limb disability and both upper and lower disability at Udaipur city, Rajasthan, India. Study design: Total sample comprised of 344 Poliomyelitis children (upper limb disability: 33.4%; lower limb disability: 33.7%; both upper and lower limb disability: 32.9%) in the age group of 12-15 years. Clinical examination included recording Simplified Oral Hygiene Index and Community Periodontal Index. Analysis of variance (ANOVA), multiple logistic and stepwise linear regression were used for statistical analysis. Results: The mean OHI-S (2.52±1.05) score was found to be highest among children who had both upper and lower limb disability (p<0.05). The highest and lowest mean number of healthy sextants were found among those with only lower limb disability (4.53±2.05) and among those with both upper and lower limb disability (0.77±1.39), respectively (p<0.05). Stepwise multiple linear and multiple logistic regression analysis showed that the best predictor for oral hygiene and periodontal status was limb involved in the disability. Conclusion: The results of the study depicted an overall poor oral hygiene and periodontal status of the group. It was recognized that limbs involved in the disability had an impact on the oral hygiene and periodontal condition. The situation in this specialized population draws immediate attention for an integrated approach in improving the oral health and focus towards extensive research. Key words:Poliomyelitis, upper limb disability, lower limb disability, oral hygiene, periodontal status.
Highlights
Disability has often been described as a physiological deficit
We found no studies pertaining to the comparison of oral health according to limbs involved in the disability among children with Poliomyelitis
This study has been undertaken with the objectives to assess and compare the oral hygiene and periodontal status among children with Poliomyelitis having upper limb disability, lower limb disability and both upper and lower disability at Udaipur city, Rajasthan, India
Summary
Disability has often been described as a physiological deficit. Current concepts of disability, are based on social models, which describe disability in terms of functional limitations experienced by a person because of environmental and social barriers. This study has been undertaken with the objectives to assess and compare the oral hygiene and periodontal status among children with Poliomyelitis having upper limb disability, lower limb disability and both upper and lower disability at Udaipur city, Rajasthan, India. -Proforma details: The first part of the proforma consisted of collection of details regarding demographic information, place, socioeconomic status, limbs involved in disability, oral hygiene practices, consumption of snacks in between meals and previous visit to the dentists. This information was recorded by the investigator herself. The Upper high and High Socioeconomic status group were merged together to form High socioeconomic status group and the other three (Upper middle, lower middle and poor) were merged together to form Low socioeconomic status group
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