Improving oral health in children with disabilities: A preventive home-based care model from Türkiye

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dc.authorid0000-0001-7371-1215
dc.authorid0000-0002-3538-5436
dc.authorid0000-0002-3855-7280
dc.authorid0000-0002-8617-3281
dc.authorid0000-0002-4553-2655
dc.authorid0000-0003-3610-4031
dc.authorid0000-0002-1251-3431
dc.contributor.authorTunalı, Esra
dc.contributor.authorAtaş, Cafer
dc.contributor.authorÇağ, Yakup
dc.contributor.authorOrhan, Ahmet Lütfullah
dc.contributor.authorÖzen, Buğra
dc.contributor.authorAydınbelge, Mustafa
dc.contributor.authorTunalı, Mustafa
dc.date.accessioned2025-10-21T08:27:29Z
dc.date.available2025-10-21T08:27:29Z
dc.date.issued2025
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Pedodonti Ana Bilim Dalı
dc.description.abstractBackground: Children with Special Health Care Needs (CSHCN) face significant challenges in maintaining oral hygiene and accessing dental services due to disabilities. It has been reported that, because of these disadvantages, individuals with special needs experience oral health problems at a higher rate compared to the general population. This study aimed to assess factors influencing oral health in CSHCN within the dental home framework and propose preventive strategies. Methods: A total of 1229 children aged 0-8 years with disability health reports in Istanbul were examined through home visits by mobile dental teams. Caries experience was evaluated using combined indices (dfs + DMFS and dft + DMFT). Data on oral hygiene habits, dietary patterns, parental education level and dental visit history were collected through structured questionnaires. Statistical analyses included Mann-Whitney U, Kruskal-Wallis, chi-square and Spearman's correlation tests (significance set at p < 0.05). Results: A statistically significant positive correlation was found between age and all caries indices (p < 0.01) 0.57. 1% of children reported brushing their teeth, with irregular brushers showing significantly higher caries indices than regular brushers (p < 0.05). Children requiring > 45 min to eat had significantly higher dfs + DMFS (1 surface) (p = 0.036) and dft + DMFT values (p = 0.019). Those consuming snacks > 3 times daily showed significantly higher caries indices across all measures (p < 0.01). Moderate/severe plaque accumulation was detected in 50.5% of participants. Lower parental education levels were significantly associated with higher caries indices (p < 0.01). Conclusions: This study highlights the necessity of an interdisciplinary approach to protect the oral health of CSHCN. The widespread implementation of the dental home model and regular dental check-ups will be a significant step in addressing oral health needs.
dc.description.sponsorshipThis study was funded by the Istanbul Development Agency (TR10/16/ÇGE/0062) under the Children and Youth Financial Support Program. Bu çalışma İstanbul Kalkınma Ajansı (TR10/16/ÇGE/0062) Çocuk ve Gençler Mali Destek Programı kapsamında finanse edilmiştir.
dc.identifier.citationTunalı, E., Ataş, C., Çağ, Y., Orhan, A. L., Özen, B., Aydınbelge, M., & Tunalı, M. (2025). Improving oral health in children with disabilities: A preventive home-based care model from Türkiye. Child: Care, Health and Development, 51(6), pp. 1-9. https://doi.org/10.1111/cch.70166
dc.identifier.doi10.1111/cch.70166
dc.identifier.endpage9
dc.identifier.issn0305-1862
dc.identifier.issn1365-2214
dc.identifier.issue6
dc.identifier.pmidPMID: 41083318
dc.identifier.scopusqualityQ2
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1111/cch.70166
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1141
dc.identifier.volume51
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.indekslendigikaynak.otherSSCI - Social Science Citation Index
dc.institutionauthorÖzen, Buğra
dc.institutionauthorid0000-0002-4553-2655
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofChild: Care, Health and Development
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectChildren With Disability
dc.subjectDental Caries
dc.subjectOral Hygiene
dc.subjectPreventive Dentistry
dc.titleImproving oral health in children with disabilities: A preventive home-based care model from Türkiye
dc.typeArticle
dspace.entity.typePublication

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