title: Dental needs of intellectualy disabled children attending six special educational facilities in Cape Town.
abstract: OBJECTIVE
  To assess the dental needs of a group of children with intellectual disability (ID) attending six special educational facilities in Cape Town, South Africa. Methods. This was a cross-sectional study based on a convenience sampling method. One hundred and fifty-seven children with ID attending six special educational facilities in Cape Town were included in the survey. Five schools were exclusively funded by the State and one school received additional private financial support. The oral examinations complied with guidelines drafted by Special Olympics Special Smiles programme and the Centers for Disease Control, USA.
  
  
  RESULTS
  The most common dental disorders requiring management were gingival disease (69%) and untreated dental caries (68%). Almost 50% of the children had missing teeth. Twenty-nine percent needed orthodontic correction of malocclusion and 7% had structural abnormalities of their teeth that required either aesthetic or functional intervention. Fillings were evident in only 8% of the children. Females required more dental treatment than males. The dental needs of children with ID increased with age. There were no significant differences in the dental needs of children attending State-funded schools and those attending the single school that received additional financial assistance.
  
  
  CONCLUSIONS
  The frequency of unmet dental needs of children with ID attending special educational facilities in Cape Town was high and the dental care available to them was minimal. The study highlights the need for improved dental services to ensure that optimal oral health is accessible to children with ID attending special educational facilities in Cape Town.
authors.affiliation: Diagnostics Cluster, Faculty of Dentistry, University of the Western Cape, Cape Town; University of the Western Cape/University of Cape Town Special Dental Genetic Clinic, and Red Cross War Memorial Children's Hospital, Cape Town; and Division of Human Genetics, Department of Pathology, Faculty of Health Sciences, University of Cape Town, South Africa. Currently postgraduate/PhD student. tinasharonroberts@gmail.com.
authors.forename: T
authors.initials: T
authors.lastname: Roberts
authors.forename: M
authors.initials: M
authors.lastname: Chetty
authors.forename: F
authors.initials: F
authors.lastname: Kimmie-Dhansay
authors.forename: K
authors.initials: K
authors.lastname: Fieggen
authors.forename: L X G
authors.initials: LX
authors.lastname: Stephen
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000453:epidemiology*; D019988:Children with Disabilities / Q000706:statistics & numerical data*; D004519:Education, Special; D005260:Female; D005882:Gingival Diseases / Q000453:epidemiology*; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009909:Oral Health; D019989:Persons with Intellectual Disabilities / Q000706:statistics & numerical data*; D012574:Schools / Q000191:economics; D012737:Sex Factors; D013019:South Africa / Q000453:epidemiology; D011795:Surveys and Questionnaires; D016388:Tooth Loss / Q000453:epidemiology*; D055815:Young Adult