Dental caries prevalence and treatment needs of Down syndrome children in Chennai, India.
OBJECTIVE
To assess the prevalence of caries and the treatment needs of Down syndrome children in the Indian city of Chennai.


METHODS
Among the 130 Down syndrome children examined, only the children aged < or =15 years were included in the study ( n = 102). There were 57 male and 45 female children in the total study sample. A specially prepared case record was used to record the findings for each child. The dentition status and the treatment needs required were recorded. Comparisons of the findings were done based on age and gender distribution.


RESULTS
Twenty-nine per cent of the total sample of Down syndrome children was found to be caries-free. Extraction (in 38 children) and one-surface filling (in 26 children) were the most needed specific treatments for primary and permanent teeth, respectively. Oral prophylaxis (99%) was the most required treatment in the overall treatment category.


CONCLUSIONS
Contrary to the findings of earlier studies, the percentage of caries-free Down syndrome children was found to be lower in our study. However, their basic needs like oral prophylaxis, restorations and extractions remain the same and can be easily fulfilled by an efficient, community-based dental team.
Asokan
Sharath
S
Department of Pediatric Dentistry, Meenakshi Ammal Dental College, Chennai, Tamil Nadu, India. asokansharath@yahoo.com
Muthu
M S
MS
Sivakumar
N
N
D000293:Adolescent; D017677:Age Distribution; D002327:Cariostatic Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology*; D003777:Dental Prophylaxis / Q000706:statistics & numerical data; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data; D004314:Down Syndrome / Q000453:epidemiology*; D005260:Female; D005460:Fluorides, Topical / Q000627:therapeutic use; D006801:Humans; D007194:India / Q000453:epidemiology; D007223:Infant; D008297:Male; D020380:Needs Assessment / Q000706:statistics & numerical data*; D015995:Prevalence; D017678:Sex Distribution; D014081:Tooth Extraction / Q000706:statistics & numerical data; D014094:Tooth, Deciduous / Q000473:pathology
D002327:Cariostatic Agents; D005460:Fluorides, Topical