Document Details

Document Type : Thesis 
Document Title :
Assessment of Changes in Oral Health-Related Quality of Life for Special Need Children in Jeddah City
تقديرمدى التغيرفي جودة نوعية الحياة المرتبطة بصحة الفم للأطفال من ذوي الإحتياجات الخاصة في مدينة جدة
 
Subject : Preventive Dental Sciences Department 
Document Language : Arabic 
Abstract : Oral health care for children with disabilities is a health care area that has received scant attention. Lack of access to dental services for this growing segment of our population is reaching critical levels and is a national dilemma. Oral health problems can be barriers to adequate oral care and subsequently affect their quality of life (QoL) negatively. Full-mouth rehabilitation (FMR) under general anesthesia (GA) is required to provide safe and effective dental treatment for special need children, especially when extensive and complex treatment is necessary. Measuring children’s oral health-related quality of life (OHRQoL) enables to evaluate the child’s oral health status and treatment efficiency. Because of limited studies that are available covering this issue in the Kingdom of Saudi Arabia (KSA), the aim of this study was to assess changes in OHRQoL among special need children before and 12 months after FMR under GA in Jeddah city. The questionnaire measuring OHRQoL was completed by asking the parents/caregivers to determine frequency of various oral health-related impacts in QoL for 5–14 years old special need children in two governmental hospitals in Jeddah city. The questionnaire were delivered to the parents/caregivers at baseline (pre-operative) and 12-month post-operative follow-up visits. Medical and dental histories and clinical examination were correlated to the suggested treatment protocol. The follow-up response rate was 87.5% with 35 participants had completed a 12-month follow-up visit. The children’s age range was from 5 to 12 years with a mean of 7.3 ± 2.4 years. More than one-half of the study sample were male (63%) and belonged to the age group (5-8 years) (69%). The impact of OHRQoL was negatively reported before FMR under GA with overall scale scores ranged from 12 to 68 and a mean of 43.34 ± 14.83. Oral health-related quality of life improved significantly in all aspects considered following FMR under GA with overall scale scores ranged from 4 to 41 and a mean of 18.86 ± 8.54. Full-mouth rehabilitation under GA proved to help in improving oral hygiene status and reducing plaque index (PI) scores of the study sample throughtout the study period. Parents/caregivers reported significant compliance to oral hygiene instructions after FMR under GA aimed at improving oral hygiene status. They reported also no significant improvement in provision of help with tooth brushing throughtout the study period. The study revealed no statistically significant difference regarding malocclusion before and after FMR under GA. Oral health-related quality of life was associated significantly with Decayed, Missing or Filled Surface index for permanent teeth (DMFS), oral hygiene status and PI scores. On the other hand, OHRQoL was not associated with oral hygiene habits and malocclusion. Full-mouth rehabilitation had a significant effect on OHRQoL in children with and without malocclusion. Significant associations were reported between Decayed, Missing or Filled Tooth index (DMFT+dmft), PI and oral hygiene status of the study sample throughtout the study period. Treating special need children under GA has a significant long-term effect on their OHRQoL extending up to 12 months post-operatively. A larger sample size is needed to further confirm the findings of this study and help in adopting a national policy for oral health for special need children. 
Supervisor : Dr. Abdullah Almushayt 
Thesis Type : Master Thesis 
Publishing Year : 1433 AH
2012 AD 
Co-Supervisor : Dr. Abeer Alnowaiser 
Added Date : Sunday, June 24, 2012 

Researchers

Researcher Name (Arabic)Researcher Name (English)Researcher TypeDr GradeEmail
منال سليمان معشيMaashi, Manal SulimanResearcherMaster 

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