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Résumé

Objectif : Evaluer chez un groupe d'handicapées de sexe féminin (aveugles, sourds muets et retardées mentales), la prévalence des caries et la situation de l'hygiène bucco-dentaire.
Méthode : 218 patients, tous inscrits à l'école des handicapés, ont été évalués et répartis en deux groupes, un groupe âgé de 6-7 ans et l'autre groupe âgé de 11-12 ans.
Résultats : 100 % des aveugles du groupe des 6-7 ans avaient des caries avec un dmft de 6.58 et une SD de 2.02. 8,3 % de ce groupe avait une bonne hygiène bucco-dentaire. Le groupe des 11-12 ans présentait un taux de caries de 88,20 % avec un DMFT de 3.89 et une SD de 2.67, 29.4 % avait une bonne hygiène bucco-dentaire.

• Sourds-muets :
  • Groupe 6-7 ans, caries : 95.7 % (dmft : 7.35 ; SD : 3.51) et 17,4 %, bonne hygiène.
  • Groupe 11-12 ans, caries 93 % (DMFT : 5.12 ; DS 3.45) et 7 % avec une bonne hygiène.
• Retardé mental : la prévalence des caries était de 93.9 % (dmft 8.00 ; SD 4.1) et 3 % avait une bonne hygiène chez le groupe 6-7 ans. Dans le groupe des 11-12 ans, 100 % avait des caries (DMFT 5.81 ; DS 2.95) et aucun ne possédait une bonne hygiène dentaire.

Conclusion : La prévalence des caries était très élevée chez tous les patients soumis à l'évaluation.

Abstract
Caries experience and oral hygiene status of blind, deaf and mentally retarded female children in Riyadh, Saudi Arabia

Objective : To determine the caries experience and oral hygiene status in blind, deaf and mentally retarded female children in Riyadh, Saudi Arabia.
Method : All (N=218) the 6-7-year-old and 11-12-year-old blind, deaf and mentally retarded female children registered with the Presidency of Girls' Education schools in Riyadh were examined for dental caries and oral hygiene in a dental operatory setting.
Results : All (100%) the blind 6-7-year-old had caries with a mean dmft score of 6.58 (SD 2.02). The caries prevalence in blind 11-12-year-olds was 88.2% with a mean DMFT score of 3.89 (SD 2.67). Among 6-7-year-old blind children 8.3 %, and in 11-12-year-old blind children 29.4% had good oral hygiene. The caries prevalence in deaf 6-7-year-olds was 95.7% with a mean dmft score of 7.35 (SD 3.51). The caries prevalence in 11-12-year-old deaf children was 93% with a mean DMFT of 5.12 (SD 3.45). Less than one-fifth (17.4%) of the 6-7-year-old deaf children and only 7.0% of 11-12-year-old deaf children had good oral hygiene. The caries prevalence in mentally retarded 6-7-year-old was 93.9% with a mean dmft of 8.00 (SD 4.1). All the mentally retarded 11-12-year-old had carious teeth with a mean DMFT score of 5.81 (SD 2.95). Only 3.1% of the mentally retarded 6-7-year-old and none of the mentally retarded 11-12-year-olds had good oral hygiene.
Conclusions : Caries prevalence and severity in all the three groups of female special children were very high, and the number of children with good oral hygiene was very low .