Oral Health-related Quality of Life of Children with Special Health Care Needs in Riyadh: A Cross-sectional Study.

PURPOSE: To assess children's OHRQoL and associated factors among a sample of children with special needs in Riyadh, Saudi Arabia. MATERIALS AND METHODS: A sample of 6- to 12-year-old children was obtained using convenience sampling from rehabilitation centers. Data were collected through a questionnaire and dental examination. The questionnaire included items related to the children's and their families' characteristics, oral health-related quality of life scales (Parental-Caregivers Perceptions Questionnaire [P-CPQ] and Family Impact Scale [FIS]), perceived health status, and dental care utilisation. Clinical examination was performed by a trained and calibrated dentist. The data were analysed using SPSS; descriptive and inferential data analyses were also performed using SPSS. RESULTS: The mean P-CPQ was 1.10 ± 0.74, and the mean FIS was 1.39 ± 0.88. There was a statistically significant correlation between P-CPQ and caries (r = 0.36, p = 0.02). After controlling for confounders, caries was associated with poor P-CPQ (B = 0.06, p = 0.024). Compared to low-income families, higher-income families had better P-CPQ (4000-8000 SAR: B = -1.36, p = 0.001). CONCLUSION: Poor oral health-related quality of life in Saudi children is associated with caries and low income. Preventive measures addressing social determinants are vital to control caries and promote oral health in children with special health-care needs.

Dental treatment provided to special needs children under general anesthesia in a tertiary care hospital - A cross sectional retrospective study.

Dental general anesthesia (DGA) can be a preferred approach for treating children with special health needs (CSHCN). It has many benefits, most importantly, the support of the anesthesia team to control the medical status and treat the patient safely. The aim of this study was to evaluate the dental treatment provided to (CSHCN) under (DGA) in a tertiary-care hospital. Moreover, to compare the dental procedures between different medical conditions. This retrospective study involves a sample of 730 children aged between (1-16 years) with complex medical conditions treated under DGA between January 2009 until April 2022. The results show that 4.93 % of these patients had DGA twice. For those children who had DGA only once, the most frequent medical conditions were neuro-developmental disorders (31.8 %), pediatric oncology (17.4 %), and behavioral disorders (autism, ADHD, etc.) (15.1 %). The average age was 6.9 years; almost half were preschool children (4-6 years old, 48.41 %) followed by younger school children (7-9 years old, 28.82 %). The most common dental procedures done were extractions followed by restorative procedures. The use of fissure sealant was significantly higher in neuro-developmental and behavioral disabilities patients than other medical conditions.

Knowledge and Practice of COVID-19 Infection Control Among Dental Students and Interns: A Cross-Sectional Survey.

INTRODUCTION: To assess the knowledge and practice of dental students and interns regarding coronavirus disease (COVID-19) based on academic level and university. MATERIALS AND METHODS: A cross-sectional survey was carried out among interns and dental students using self-administered, structured questionnaire regarding knowledge and clinical practice with respect to COVID-19 pandemic. RESULTS: A total of 126 completed questionnaires were received. A majority of the study participants (98.4%) stated they were aware of the COVID-19 infection control policies. Most participants (83.3%) had attended training or lectures about COVID-19. Most of them stated that the N59 mask is the best mask against the disease (81.7%). Significant variations between academic years and genders were revealed regarding the clinical practice. Uncertainty existed regarding quarantining, preprocedural mouth wash, and handwashing versus desensitizing. CONCLUSION: The level of knowledge of the participants was reasonable. Areas of deficiency in knowledge were observed among junior dental students. Further training in infection control measures and formulation of new guidelines are recommended to increase the knowledge and preparation of dental students regarding COVID-19 in dental settings, as well as reduce the transmission of infection.