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Tropical Dental Journal - 1st Pan African international dental journal


Tropical Dental Journal



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Published in English in Tropical Dental Journal Volume 38 - March 2015 pages 34-42

Parental perceptions of dental visits and access to dental care among disabled schoolchildren in KuwaitParental perceptions of dental visits and access to dental care among disabled schoolchildren in Kuwait est évalué 1 étoiles par les abonnés Tropical Dental Journal Online

Article Open access

Authors : M. Shyama, S.A. Al-Mutawa, E. Honkala, S. Honkala - Kuwait


Résumé

L'objectif de cette étude était de décrire les habitudes de consultations dentaires et l'accès aux soins dentaires chez les élèves handicapés au Koweït. Un total de 308 parents d'enfants ayant une déficience physique (n = 211), le syndrome de Down (n = 97) ainsi que des enseignants ayant des enfants normaux (n = 112) ont participé à l’étude. Moins d'un quart (21%) des enfants handicapés et 37% des enfants normaux n'avaient jamais consulté un dentiste (p = 0.003). La majorité des sujets atteints du syndrome de Down (72%) et les enfants handicapés physiques (59%) avaient reçu des soins dentaires curatifs, comparativement à 47% des enfants normaux (p = 0.016). Une plus grande proportion d’enfants handicapés (42%) avaient consulté le dentiste en raison de maux de dents que les enfants normaux (25%) (p < 0.01). Seulement 9.6% des enfants trisomiques ne voyaient aucun obstacle aux soins dentaires, comparativement à 26.2% des handicapés physiques et 32.2% des enfants normaux (p = 0.008). La difficulté d’obtenir un rendez-vous était perçu comme l'obstacle le plus courant aux soins dentaires pour les parents d’enfants trisomiques et les enfants normaux (37.3%). Les parents d'enfants handicapés considéraient que la difficulté de coopération était un obstacle plus important pour le traitement (34.7%) que les parents d'enfants normaux (20.3%). Une plus grande proportion de parents d’enfants normaux (82%) ont jugé les services dentaires présents comme excellents/bons, comparativement à 52% des parents d'enfants handicapés (p < 0.001). Les maux de dent et le besoin de traitement curatif étaient les principales raisons des consultations dentaires chez les enfants handicapés. Les examens dentaires réguliers et les soins bucco-dentaires préventifs doivent être encouragés pour obtenir une couverture complète du programme scolaire de santé bucco-dentaire nationale pour les personnes handicapées au Koweït.

Abstract
Parental perceptions of dental visits and access to dental care among disabled schoolchildren in Kuwait

The objective of this study was to describe dental visiting habits and access to dental care among the disabled schoolchildren in Kuwait. A total of 308 parents of children with a physical disability (n = 211), Down syndrome (n = 97) and teachers, who had normal children (n = 112) participated in the study. Less than one-fourth (21%) of the disabled children and 37% of the normal children had never visited a dentist (p = 0.003). Majority of Down syndrome (72%) and physically disabled children (59%) received curative dental care compared to 47% of normal children (p = 0.016). A bigger proportion of disabled children (42%) visited the dentist due to tooth ache than the normal ones (25%) (p < 0.01). Only 9.6% of Down syndrome children perceived no barriers to seek the dental care compared to 26.2% of physically disabled and 32.2% of normal children (p = 0.008). Difficulty to get an appointment was the most common perceived barrier to dental care by parents of Down syndrome children and the normal children (37.3%). Parents of disabled children considered difficulty in cooperation as a more important barrier to treatment (34.7%) than the parents of normal children (20.3%). Larger proportion of parents of normal children (82%) rated the present dental services as excellent/good compared to 52% of the parents of disabled children (p < 0.001). Toothache and curative treatment need were the main reasons for dental visits among disabled children. Regular dental check-ups and preventive oral health care should be encouraged for comprehensive coverage of the national school oral health program for the disabled in Kuwait.

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