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Completed

NCT Number: NCT06725654

Evaluation of Oral and Dental Health of Institutionalized Orphan Children Residing in Children's Homes in Turkey

Both dental caries prevalence and periodontal status of children residing in children's homes in Sivas province of Turkey were evaluated.

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Key information

Conditions

Dental Caries Orphaned Children Periodontal Index Stomatognathic Diseases Tooth Demineralization Tooth Diseases

Age range

6 year–18 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Cumhuriyet University

Sivas, 58140, Turkey (Türkiye)

About this study

This study was carried out in 16 state-protected children's homes in Sivas under the Directorate of Coordination of Children's Homes Centres of the Ministry of Family and Social Policies of Turkey. A total of institutionalized 90 orphan children between the ages of 6 and 18, who did not have any chronic diseases, were not taking medication, and were compliant and healthy, were included in the study. Since all participants of this study are under state protection, Sivas Children's Homes Center Coordination Directorate was contacted. The aim of the study and the procedures were explained in detail and official permission was obtained. The children's caregivers signed informed consent forms approved by the Ethics Committee. The examination procedures were performed by two trained dentists as recommended by the WHO. DMFT and deft, GI and PI indices were used to assess dental caries experience, gingival inflammation, and the amount of plaque on the tooth surface, respectively. Also, periodontal status and treatment need were evaluated using the CPITN index.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Does not have any chronic disease.
  • Not taking any medication.
  • To be compatible and healthy.

Exclusion criteria

-

Treatment and study plan

Diagnostic Procedures

Other

To evaluation the oral and dental health of orphaned children, DMFT, deft, GI, PI and CPITN indices were used to assess dental caries experience, gingival inflammation, the amount of plaque on the tooth surface and periodontal status, respectively.

Primary outcomes

  1. Caries Experience

    Time frame: Immediately after the orphans filled the survey forms at the first visit

    Oral and dental examination was done by a specialist pedodontist, and DMFT index (total number of decayed, filled, and missing teeth) was recorded.

  2. Gingival Index (GI, Löe and Sillness-1963) measurements

    Time frame: Immediately after the orphans filled the survey forms at the first visit

    In order to determine the gingival inflammation of the participants, the Löe & Silness gingival index values (GI) were evaluated by a specialist periodontist by scoring the mesial, distal, lingual and vestibular gingival conditions of the teeth (16, 11, 24, 31, 36, 44) determined in each sextant between 0 and 3 (Score 0: healthy gingiva, no inflammation, Score 1: mild inflammation, discoloration and mild edema in the gingiva, no bleeding on probing, Score 2: moderate inflammation, redness and edema in the gingiva, bleeding on probing, Score 3: severe inflammation, redness and edema in the gingiva, spontaneous bleeding).

  3. Plaque Index (PI, Sillness and Löe-1964) measurements

    Time frame: Immediately after the orphans filled the survey forms at the first visit

    In order to determine the amount of plaque on the tooth surface of the participants, Silness & Löe plaque index values (PI) were evaluated by a specialist periodontist by scoring the mesial, distal, lingual and vestibule gingival conditions of the teeth (16, 11, 24, 31, 36, 44) determined in each sextant between 0 and 3.(Score 0: No bacterial plaque on the tooth surface. Score 1:There is plaque in the form of film and can be seen with the help of a probe. Score 2:There is moderate soft attachment visible to the naked eye. Score 3:There is a visible dense soft appendage filling the gingival sulcus on the tooth surface.)

  4. Community Periodontal Index of Treatment Needs (CPITN)

    Time frame: Immediately after the orphans filled the survey forms at the first visit

    CPI values used to determine the need for community periodontal treatment were determined by a specialist periodontist by scoring between 0 and 4 (Score 0: healthy periodontium, Score 1: bleeding after probing, no calculus/iatrogenic irritation, Score 2: presence of supra and/or subgingival calculus, presence of iatrogenic perforation, Score 3: presence of shallow pockets between 3.5 and 5.5 mm, Score 4: presence of pockets deeper than 5.5 mm). The following scores were used to determine the TN values. (Score 0: No need additional treatment, Score 1: oral hygiene instruction improvement in personal oral hygiene, Score 2: scaling oral hygiene instruction, Score 3: periodontal treatment infected tissue, Score 4: complex periodontal treatment.)

Sponsors and collaborators

Lead sponsor

Cumhuriyet University

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Dec 10, 2024
Registry last updated
Dec 10, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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