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PReS-FINAL-2099: Assessing the standards of oral health in children and adolescents with juvenile idiopathic arthritis
© Trehane et al.; licensee BioMed Central Ltd. 2013
- Published: 5 December 2013
- Oral Health
- Juvenile Idiopathic Arthritis
- Periodontal Disease
- Oral Hygiene
- Dental Intervention
Research has shown that Juvenile Idiopathic Arthritis (JIA) has an adverse effect on oral health. Patients with JIA have poor oral hygiene and higher levels of dental decay compared to healthy individuals . The effect of JIA on manual dexterity and temporomandibular joint involvement can affect the patient's ability to perform good oral hygiene. Recent research has shown that other rheumatic disorders have a similar pathogenesis to periodontal disease. Oral health education is not routinely provided in the management of JIA. Good oral health can be achieved by following oral hygiene guidance, utilising dental health services and accessing dental interventions. Dental interventions which significantly reduce dental carries include fluoride varnish and fissure sealant; they are available to all children on the NHS.
The aim of the project was to assess the standards of oral health and hygiene in patients with JIA. To assess whether oral health education should be incorporated into the management of JIA.
Patients diagnosed with JIA (aged 18 and under) were asked to complete an oral health questionnaire in rheumatology outpatient clinics. 97 questionnaires were completed. Data was analysed using Excel.
Results from oral health questionnaire
Registered at dentist
Teeth removed (decay)
Restricted mouth opening
Brushed teeth twice daily
Sugared drink to bed
The results show that a large proportion of the group had experienced dental decay and were not following the recommended oral health guidance. There was a low uptake of fluoride varnish and fissure sealants. The results emphasise that oral health education should be included in the management of JIA. Oral health education could be provided in multidisciplinary consultations and through the use of education booklets. Education should include oral hygiene advice and raise awareness about access to fluoride varnish and fissure sealants.
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