بررسی وضعیت بهداشت دهانی و کیفیت زندگی مرتبط با بهداشت دهانی در بیماران ODD , ADHD
َAssessment of Oral health status and oral health-related quality of life in patients with attention deficit hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD)
مجریان: ناصر اصل امین آبادی
خلاصه روش اجرا: خلاصه روش اجرا: The aim of this study is assessment of oral health status and oral health-related quality of life in patients with attention deficit hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD) in compare with the non-ADHD/ODD group . This study will be conducted amoung two group of children .The study group, will be consisted of 40 children 3-7 years old who diagnosed as ADHD /ODD , that described in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) . and 80 normal children who will be matched for gender, age and socio-economic and cultural status. A written informed consent will be obtained from the parents or legal guardians after they read the patient information sheet for assess the oral health status and oral health related quality of life . for assess the oral health status ,A postgraduate student under the supervision of a pediatric dentist will evaluate the DMFT/dmft index and the GI Gingival Index) as part of the comprehensive clinical examination. to assess the oral health related quality of life the POQL questionnaire will be given to parents , we will use the 10POQL items to construct 5 outcome measures: 1 total impact score and 4 domain scores (physical plus pain/impairment, mental, social, emotional). and in this study consistency and reliability in Persian form of this questionnaire will be carried out .
اطلاعات کلی طرح 
| مرحله جاری طرح | خاتمه قرارداد و اجرا |
| کد طرح | 60996 |
| عنوان فارسی طرح | بررسی وضعیت بهداشت دهانی و کیفیت زندگی مرتبط با بهداشت دهانی در بیماران ODD , ADHD |
| عنوان لاتین طرح | َAssessment of Oral health status and oral health-related quality of life in patients with attention deficit hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD) |
| نوع طرح | طرح - پایان نامه |
| اولویت طرح | بهداشت دهان و دندان و اقدامات پیشگیری از پوسیدگی های دندانی |
| نوع مطالعه | مطالعه مورد/شاهد ( Case - Control ) |
| تحقیق در نظام سلامت | بلی |
| آیا طرح پایاننامه دانشجویی است؟ | بله |
| مقطع پایان نامه | دکتری تخصصی بالینی |
| مدت اجرا - ماه | 9 |
| نوآوری و ضرورت انجام تحقیق | Attention deficit hyperactivity disorder (ADHD) is a chronic, pervasive childhood disorder characterized by inattention, developmentally inappropriate activity level, low frustration tolerance, impulsivity, poor organizational behavior, distractibility, and inability to sustain attention and concentration. ADHD is the most common childhood-onset behavioral disorder, affecting approximately 5 to 10 % of children and adolescents. Boys are affected about eight times more than girls. Oppositional defiant disorder (ODD) is a mental disorder with a frequent and persistent pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness exhibited during interaction with at least one individual who is not a sibling. The average prevalence estimate of ODD is around 3.3%, ranging from 1% to 11% . The condition that co-occurs most frequently with ODD is attention-deficit hyperactivity disorder (ADHD). In clinical samples, ODD co-occurs with ADHD in approximately 60–80% of children and it is often hard to make a differential diagnosis of ODD, which may be the result of shared temperamental risk factors with ODD . ODD/ ADHD affects an individual’s ability or motivation to maintain appropriate oral hygiene, and this is associated with a higher caries experience .Moreover, children with ODD/ADHD often experience dry mouth as a side-effect of prescribed medications, Furthermore, the diet and appetite of child may be altered by medications that could contribute to an increased caries risk . Oral health is the standard of health of the oral and related tissues that enables an individual to eat, speak and socialize without active disease, discomfort and embarrassment, and which contributes to the general well being .Traditional indicators for dental diseases measure only the physical components of the disease and are short of measuring the psychological components. Oral diseases such as dental caries or periodontal disease are highly prevalent and their consequences are not only physical, they are also economic, social and psychological. They seriously impair quality of life (QOL) in large number of individuals and can affect various aspects of life, including oral function, appearance, and interpersonal relationships. In dentistry, assessing the impact of oral health on life quality is relatively new, although great advances have been made over the past decade. Oral health-related quality of life (OHRQOL) is the perceived impact of one’s own oral health on daily life and has commonly been defined as ‘people’s comfort when eating, sleeping and engaging in social interaction; their self-esteem; and their satisfaction with respect to their oral health. Determinants of OHRQOL are mainly investigated in cross-sectional studies. Psychosocial factors like self -esteem or sense of coherence and environmental factors like . socio-economic position seem positively correlated with OHRQOL. Clinical factors are negatively correlated with OHRQOL. The most important clinical factor in oral health research is the diagnosis of caries. Caries experience in childhood has a prevalence of 60 -90 % worldwide and is a strong predictor for later caries experience and other oral diseases. Few studies reported higher DMFT or dmft (D;d—decay, M;m—missing, F;f—filled, T;t—teeth) scores among ADHD children compared with control. Broadbent et al. found that children with ADHD had nearly 12 times the odds of having a higher DMF score than children without ADHD.Other reports claim no statistically significant differences, despite a general observation in children with ADHD of higher plaque indices, lower unstimulated salivary flow rates, and poorer oral-health behaviours, such as poorer toothbrushing habits and more frequent snacking habits. In a Swedish study of 13-year-old children with ADHD, no higher caries prevalence was found, despite poor oral health behavior, compared to controls Recently, children in Hong Kong, aged 12-17 years and with ADHD, were compared to medically healthy children, with no difference in caries prevalence found. Considering that oral health related quality of life in patients with ADHD /ODD has not been assessed until now , and the results of literature about oral health status in this patients present conflicting results ,therefore the aim of this study is the assessment of oral health status and oral health-related quality of life in patients with attention deficit hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD). |
| اهداف اختصاصی | To assess and compare the oral health status in ADHD/ODD Patients and normal children -To assess and compare the oral health related quality of life in ADHD/ODD Patients and normal children |
| چکیده انگلیسی طرح | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| کلمات کلیدی | ADHD:Attention deficit hyperactivity disorder (ADHD) is a chronic, pervasive childhood disorder characterized by inattention, developmentally inappropriate activity level, low frustration tolerance, impulsivity, poor organizational behavior, distractibility, and inability to sustain attention and concentration ODD: Oppositional defiant dis order (ODD) is a mental disorder with a frequent and persistent pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness exhibited during interaction with at least one individual who is not a sibling (DSM-V) : the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition OHRQOL : Oral health-related quality of life (OHRQOL) is the perceived impact of one’s own oral health on daily life and has commonly been defined as ‘people’s comfort when eating, sleeping and engaging in social interaction; their self-esteem; and their satisfaction with respect to their oral health’ GI : GI(Gingival index ) use to assess the gingival tissue. The normal gingiva (score of 0),. mildly inflamed Gingiva but without bleeding on probing (Score 1), moderately inflamed gingiva with bleeding (score of 2). to severely inflamed with a tendency to spontaneously bleed (score of 3). DMFT : DMFT or dmft (D;d—decay, M;m—missing, F;f—filled, T;t—teeth) POQL: The POQL(Pediatric oral health related quality of life ) is a ten-item instrument designed to measure oral health-related quality of life in children from both the child’s and their parents’ perspectives |
| ذینفعان نتایج طرح | Patients with ADHD/ODD |
اطلاعات مجری و همکاران
| نام و نامخانوادگی | سمت در طرح |
|---|---|
| ناصر اصل امین آبادی | استاد راهنمای اول (آموزشی ) |
| ابراهیم نجف پور | مشاور |
| پریسا غفاری | دانشجوی مالک پایان نامه |
| ساناز نوروزی | مشاور |
اطلاعات تفضیلی
| حوزه خبر | خبر |
|---|---|
| رسانه ها و مردم | عنوان خبر متن خبر |
| متخصصان و پژوهشگران | عنوان خبر وضعیت بهداشت دهانی و کیفیت زندگی مرتبط با آن در کودکان مبتلا به ADHD/ODD نامطلوب تر از کودکان سالم بود.متن خبر بیماری بی توجهی – بیش فعالی (ADHD) و اختلال نافرمانی مقابله جویانه (ODD) از شایع ترین بیماری های دوران کودکی هستند که بیماری های دهانی مانند پوسیدگی و بیماری های پریودنتال و جنبه های مختلف زندگی مثل فانکشن ، ظاهر و ارتباطات بین فردی را تحت تاثیر قرار می دهند لذا وضعیت سلامت دهانی و کیفیت زندگی مرتبط با بهداشت دهانی در بیماران ODD/ADHD در مقایسه با گروه سالم مورد بررسی قرار گرفت.
میانگین نمره DMFT در گروه دارای ADHD/ODD و شیوع نمره 2 ایندکس لثه ای در گروه دارای ADHD/ODD بالاتر از گروه سالم بود. میانگین نمره حوزه احساسی (Emotional) پرسشنامه در گروه دارای ADHD/ODD پایین تر و میانگین نمره حوزه نقش و وظیفه (Role) و حوزه اجتماعی (Social) پرسشنامه در گروه دارای ADHD/ODD پایین تر از گروه سالم بود. در این مطالعه کیفیت زندگی مرتبط با سلامت دهانی در کودکان ADHD/ODD پایین تر از گروه سالم بود و این تفاوت معنادار بود.
پیشنهاد میشود پرسشنامه ای که برای بیماران ADHD / ODD استفاده می شود باید با دقت تهیه و نتایج با احتیاط تفسیر شود. پرسشنامه های عینی ممکن است داده های دقیق تری را در این گروه از بیماران ارائه دهد. |
| سیاستگذاران درمانی | عنوان خبر متن خبر |
| سیاستگذاران پژوهشی | عنوان خبر متن خبر |
| لینک (URL) مقاله انگلیسی مرتبط منتشر شده 1 |
