title: Comparative assessment of oral hygiene and periodontal status among children who have Poliomyelitis at Udaipur city, Rajasthan, India.
abstract: OBJECTIVE
  To assess and compare the oral hygiene and periodontal status among children with Poliomyelitis having upper limb disability, lower limb disability and both upper and lower disability at Udaipur city, Rajasthan, India.
  
  
  METHODS
  Total sample comprised of 344 Poliomyelitis children (upper limb disability: 33.4%; lower limb disability: 33.7%; both upper and lower limb disability: 32.9%) in the age group of 12-15 years. Clinical examination included recording Simplified Oral Hygiene Index and Community Periodontal Index. Analysis of variance (ANOVA), multiple logistic and stepwise linear regression were used for statistical analysis.
  
  
  RESULTS
  The mean OHI-S (2.52 ± 1.05) score was found to be highest among children who had both upper and lower limb disability (p<0.05). The highest and lowest mean number of healthy sextants were found among those with only lower limb disability (4.53 ± 2.05) and among those with both upper and lower limb disability (0.77 ± 1.39), respectively (p<0.05). Stepwise multiple linear and multiple logistic regression analysis showed that the best predictor for oral hygiene and periodontal status was limb involved in the disability.
  
  
  CONCLUSIONS
  The results of the study depicted an overall poor oral hygiene and periodontal status of the group. It was recognized that limbs involved in the disability had an impact on the oral hygiene and periodontal condition. The situation in this specialized population draws immediate attention for an integrated approach in improving the oral health and focus towards extensive research.
authors.affiliation: Dept. of public health dentistry, Pacific Dental College and Hospital, Debari, Udaipur, Rajasthan, India. mtak1084@gmail.com
authors.forename: Mridula
authors.initials: M
authors.lastname: Tak
authors.forename: Ramesh
authors.initials: R
authors.lastname: Nagarajappa
authors.forename: Archana
authors.initials: A
authors.lastname: Sharda
authors.forename: Kailash
authors.initials: K
authors.lastname: Asawa
authors.forename: Aniruddh
authors.initials: A
authors.lastname: Tak
authors.forename: Sagar
authors.initials: S
authors.lastname: Jalihal
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007194:India; D008297:Male; D009910:Oral Hygiene; D009911:Oral Hygiene Index; D010512:Periodontal Index; D011051:Poliomyelitis