Salud Bucodental de los pacientes internados en el Centro de Atención a Discapacitados Psíquicos de Albacete

  1. Ursula Sáez Cuesta 1
  2. Isabel Castejón Navas 1
  3. Antonia Molina Escribano 1
  4. Manuel Roncero Goig 1
  5. Mª Angeles Martínez Collado 1
  1. 1 Unidad de Salud Bucodental de Discapacitados de Albacete. Centro de Salud Zona VI
Journal:
Revista Clínica de Medicina de Familia

ISSN: 2386-8201

Year of publication: 2010

Volume: 3

Issue: 1

Pages: 23-26

Type: Article

DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Clínica de Medicina de Familia

Abstract

Objective. To determine the prevalence of oral disease, especially caries and periodontal disease in a population of mentally handicapped persons residing in a care centre, and its relationship with inadequate oral hygiene and consumption of medicines. Setting and participants. One hundred mentally handicapped persons residing in the Care Centre for the Mentally Handicapped (CADP) in Albacete, Spain. Measurements. Age, sex, disability level, underlying diagnosis, associated diseases and ability to communicate, medication, diet, treatment site (clinic or surgery) and odontological data (plaque, tartar, caries, DMF index, gingivitis, periodontitis and others). Results. The mean age was 42.9 years, the youngest patient being 18 years old and the eldest 71 years old. There were 57 men (57%) and 43 women (43%). The disability level was from 70 to 100 with a mean of 91.3. Most of the patients had been diagnosed as mentally retarded (59%), followed by Down’s syndrome (11%), cerebral palsy (11%), encephalopathy (11%) and autism (3%). The most frequent associated disease was epilepsy (36%). A dental examination could not be performed on 7% of the patients. Sixty percent had caries, 63% had missing teeth and 2% had fillings. Eight percent of patients were completely endentulous. The mean DMF index was 11.66. Conclusion. The patients studied were severely handicapped and greatly in need of dental care. Tooth extraction was the most common dental treatment applied to these patients.

Bibliographic References

  • Bratos M. Problemática estomatológica de los minusválidos físicos y psíquicos en España. El valor de los programas preventivos. Rev Esp Estomatol. 1996; 34:263-382.
  • Bratos M. Situación de la atención odontoestomatológica de los minusválidos en España. Boletin de Estudios. Documentación de los Servicios Sociales. 1985; Nº 22-23.
  • Bullón P, Machuca G. La atención odontológica en pacientes médicamente comprometidos. Madrid: Laboratorios Normon SA; 1996.
  • Caballero Y, Vega KM, Leyva Y et al. Salud bucal en niños discapacitados (documento en línea). Disponible en http//www. portalesmedicos.com/publicaciones/articles/1464/ salud-bucal-en-niños.
  • Consejería de Sanidad y Consumo. Análisis del estado de salud bucodental de la población con discapacidad intelectual en la Comunidad Autónoma de Extramadura 2002. Junta de Extremadura. Badajoz: Indugrafic SL; 2003.
  • López López J. Estudio de la prevalencia de patología oral en una población institucionalizada de disminuidos psíquicos. Tesis doctoral. Universidad de Barcelona; 1990.
  • Silvestre FJ. Odontología en pacientes discapacitados. Valencia: Laboratorios Kin; 2004.
  • Velasco E, Machuca G. Martínez-Sahuquillo A et al. Influencia de los factores psíquicos sobre la cavidad oral. Arch Odontoestomatol. 1994; 10:258-72.
Data source: Dialnet