Oral health status of children with intellectual and developmental disabilities in India: a systematic review and meta-analysis

Abstract Introduction India has committed to the Sustainable Development Goals (SDGs) 2030 principle of “Leave No One Behind”, which seeks to reduce disparities and vulnerabilities. The dearth of data on the oral health conditions of children with intellectual and developmental (IDD) disabilities in...

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Main Authors: Vini Mehta, Snehasish Tripathy, Yash Merchant, Ankita Mathur, Sapna Negi, Muhammad Aaqib Shamim, Shahabe Saquib Abullais, Mohammed A. Al-Qarni, Mohmed Isaqali Karobari
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-024-05242-8
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author Vini Mehta
Snehasish Tripathy
Yash Merchant
Ankita Mathur
Sapna Negi
Muhammad Aaqib Shamim
Shahabe Saquib Abullais
Mohammed A. Al-Qarni
Mohmed Isaqali Karobari
author_facet Vini Mehta
Snehasish Tripathy
Yash Merchant
Ankita Mathur
Sapna Negi
Muhammad Aaqib Shamim
Shahabe Saquib Abullais
Mohammed A. Al-Qarni
Mohmed Isaqali Karobari
author_sort Vini Mehta
collection DOAJ
description Abstract Introduction India has committed to the Sustainable Development Goals (SDGs) 2030 principle of “Leave No One Behind”, which seeks to reduce disparities and vulnerabilities. The dearth of data on the oral health conditions of children with intellectual and developmental (IDD) disabilities in India is significant. Our systematic review intended to collate and synthesise data on the oral health status of children with IDD. Methods Online electronic databases such as PubMed-MEDLINE, Embase, and Scopus were searched using appropriate keywords from the earliest available data until 31st March 2024, with no language restriction. Cross-sectional studies conducted amongst individuals below 18 years of age with intellectual, or developmental disabilities, in India were included. Quality assessment and meta-analysis using a random-effects model for variables reported from four or more studies and a prediction interval was calculated. Results Out of 2388 studies, a total of 15 studies were included. Our study showed that 91% (95% [confidence interval] CI: 0.80–0.96) of IDD children use toothbrushes regularly. However, poor oral hygiene was found among 38% (95% CI = 0.21–0.59) of IDD children. The pooled prevalence of dental caries among children was found to be 64% (95% CI: 0.45–0.79). Periodontal disease was reported in only one study among 54.20% of IDD children. Conclusions Our findings suggest that despite brushing regularly the incidence of caries and poor oral hygiene in children with IDD is high. Flexible, tailored interventions that go beyond a uniform approach must be implemented to effectively address oral health requirements of children with IDD. Specific Health Programmes should be established for their preventive oral care.
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spelling doaj-art-46c06cf60da549cc8ef11a7d4c3c80262025-08-20T02:33:08ZengBMCBMC Pediatrics1471-24312024-11-0124111010.1186/s12887-024-05242-8Oral health status of children with intellectual and developmental disabilities in India: a systematic review and meta-analysisVini Mehta0Snehasish Tripathy1Yash Merchant2Ankita Mathur3Sapna Negi4Muhammad Aaqib Shamim5Shahabe Saquib Abullais6Mohammed A. Al-Qarni7Mohmed Isaqali Karobari8Department of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil VidyapeethDepartment of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil VidyapeethDepartment of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College and HospitalDepartment of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil VidyapeethDepartment of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil VidyapeethDepartment of Pharmacology, All India Institute of Medical SciencesDepartment of Periodontics and Community Dental Science, College of Dentistry, King Khalid UniversityDepartment of Restorative Dental Sciences, College of Dentistry, King Khalid UniversityDepartment of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha UniversityAbstract Introduction India has committed to the Sustainable Development Goals (SDGs) 2030 principle of “Leave No One Behind”, which seeks to reduce disparities and vulnerabilities. The dearth of data on the oral health conditions of children with intellectual and developmental (IDD) disabilities in India is significant. Our systematic review intended to collate and synthesise data on the oral health status of children with IDD. Methods Online electronic databases such as PubMed-MEDLINE, Embase, and Scopus were searched using appropriate keywords from the earliest available data until 31st March 2024, with no language restriction. Cross-sectional studies conducted amongst individuals below 18 years of age with intellectual, or developmental disabilities, in India were included. Quality assessment and meta-analysis using a random-effects model for variables reported from four or more studies and a prediction interval was calculated. Results Out of 2388 studies, a total of 15 studies were included. Our study showed that 91% (95% [confidence interval] CI: 0.80–0.96) of IDD children use toothbrushes regularly. However, poor oral hygiene was found among 38% (95% CI = 0.21–0.59) of IDD children. The pooled prevalence of dental caries among children was found to be 64% (95% CI: 0.45–0.79). Periodontal disease was reported in only one study among 54.20% of IDD children. Conclusions Our findings suggest that despite brushing regularly the incidence of caries and poor oral hygiene in children with IDD is high. Flexible, tailored interventions that go beyond a uniform approach must be implemented to effectively address oral health requirements of children with IDD. Specific Health Programmes should be established for their preventive oral care.https://doi.org/10.1186/s12887-024-05242-8DentalDevelopmental disabilityIntellectual disabilityChildrenOral health
spellingShingle Vini Mehta
Snehasish Tripathy
Yash Merchant
Ankita Mathur
Sapna Negi
Muhammad Aaqib Shamim
Shahabe Saquib Abullais
Mohammed A. Al-Qarni
Mohmed Isaqali Karobari
Oral health status of children with intellectual and developmental disabilities in India: a systematic review and meta-analysis
BMC Pediatrics
Dental
Developmental disability
Intellectual disability
Children
Oral health
title Oral health status of children with intellectual and developmental disabilities in India: a systematic review and meta-analysis
title_full Oral health status of children with intellectual and developmental disabilities in India: a systematic review and meta-analysis
title_fullStr Oral health status of children with intellectual and developmental disabilities in India: a systematic review and meta-analysis
title_full_unstemmed Oral health status of children with intellectual and developmental disabilities in India: a systematic review and meta-analysis
title_short Oral health status of children with intellectual and developmental disabilities in India: a systematic review and meta-analysis
title_sort oral health status of children with intellectual and developmental disabilities in india a systematic review and meta analysis
topic Dental
Developmental disability
Intellectual disability
Children
Oral health
url https://doi.org/10.1186/s12887-024-05242-8
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