[Dental care and prevention possibilities for the mentally disabled currently].

Autor: Szmirnova I; 1 Semmelweis Egyetem, Fogorvostudományi Kar, Arc-Állcsont-Szájsebészeti és Fogászati Klinika Budapest, Mária u. 52., 1085 Magyarország., Szmirnov G; 1 Semmelweis Egyetem, Fogorvostudományi Kar, Arc-Állcsont-Szájsebészeti és Fogászati Klinika Budapest, Mária u. 52., 1085 Magyarország., Haba N; 2 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest Magyarország., Csomó K; 1 Semmelweis Egyetem, Fogorvostudományi Kar, Arc-Állcsont-Szájsebészeti és Fogászati Klinika Budapest, Mária u. 52., 1085 Magyarország., Németh Z; 1 Semmelweis Egyetem, Fogorvostudományi Kar, Arc-Állcsont-Szájsebészeti és Fogászati Klinika Budapest, Mária u. 52., 1085 Magyarország., Szabó G; 1 Semmelweis Egyetem, Fogorvostudományi Kar, Arc-Állcsont-Szájsebészeti és Fogászati Klinika Budapest, Mária u. 52., 1085 Magyarország.
Jazyk: maďarština
Zdroj: Orvosi hetilap [Orv Hetil] 2023 Sep 17; Vol. 164 (37), pp. 1456-1461. Date of Electronic Publication: 2023 Sep 17 (Print Publication: 2023).
DOI: 10.1556/650.2023.32853
Abstrakt: Introduction: In Hungary, dental care and prevention for mentally disabled individuals are becoming increasingly challenging. Currently, there are 100,000 intellectually disabled individuals in the country who require "special medical care".
Objective: The objective of this study was to develop and modify a relatively simple preventive procedure, adjusted to the mental capabilities of the patients, and implement it within a selected group. The study aimed to assess the results after 3 and 6 months, respectively, and to compare them with the international literature.
Method: The preventive procedure was introduced to 49 patients admitted to the institute of Csömör Nursing Home and Daycare Institute of the Foundation for Equal Opportunities. To ensure the accuracy of the data, the patients were examined separately by 3 doctors. The program began with dental care training for both patients and nursing staff. The periodontal examinations were carried out by the team's periodontologist. The patients were checked after 3 and 6 months, respectively, and the data were recorded.
Results: No changes were registered in terms of the DMF-T index during this short period of time, therefore we applied the restorative index. However, a significant improvement was observed in the periodontal condition.
Discussion: The preventive procedure proved to be effective, considering the fact that all patients had periodontal problems due to neglected oral hygiene. As there was a significant improvement in the periodontal condition, an improvement of the DMF-T index dentition of the patients can also be expected in the future.
Conclusion: Enhanced oral hygiene (advancing towards "normal oral hygiene" from the neglected oral hygiene of the patients) can bring about considerable improvement in the case of patients needing special medical care. To attain positive results, a proper approach and regular motivation are essential for both patients and caregivers. Orv Hetil. 2023; 164(37): 1456-1461.
Databáze: MEDLINE