Research Outputs (Oral Health Sciences)

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Subject: search.filters.subject.Dental Care for Disabled

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    Assessment of periodontal status and treatment needs of a disabled population using the CPITN
    (1999) Bamjee, Y.; Chikte, U. M. E.; Cleaton-Jones, P. E.
    The Community Periodontal Index of Treatment Needs (CPITN) was used to assess the periodontal status of 213 handicapped persons attending seven institutions in Johannesburg. Fewer than 2% had healthy mouths, 8% had bleeding only, followed by calculus (46%), shallow pockets (40%) and deep pockets (4%). The mean number of sextants with bleeding or higher score was 5.9. Oral hygiene instruction was indicated for 98% and prophylaxis for 90% of the participants. The CPITN was easily used in the disabled population but may overestimate treatment need in view of the current understanding that periodontal disease does not automatically progress from a low CPITN level to the next. A more appropriate measure of treatment need in handicapped persons is required
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    Chlorhexidine rinsing in physically handicapped pupils in Katlehong
    (1996) Laher, A.; Cleaton-Jones, P. E.
    Poor oral hygiene and a high prevalence of marginal gingivitis are characteristic findings in handicapped persons. The present double-blind, cross-over study was to evaluate a twice daily mouth rinse of 10ml 0.2 per cent chlorhexidine on plaque and gingivitis in physically handicapped pupils aged 6 to 21 years. The plaque index (PI) and gingival index (GI) at baselines were relatively lower than in other published studies. For PI the mean score did not exceed 1.0 at any time; for GI the same was true except for tooth 16 which was 1.1. Only mild gingival inflammation was present. The chlorhexidine rinse produced 34 per cent to 54 per cent improvement in PI values and 48 per cent to 52 per cent improvement in GI values. Highly statistically significant effects were seen for treatment and time but there was no significant learning effect. Whether the children lived at home or at the study school had no significant effect. The chlorhexidine rinse may be successfully used in physically handicapped children but the low gingival inflammation in the group suggests that simple oral hygiene improvement might produce the same effect.