Dental care in patients with periodontal disease and hearing impairment: a scoping review.

Carla Mejías-Ampuero; María León-Vicencio; Patricia Melo-Mendieta; Iván Godoy-Böhm

doi:10.17126/joralres.2024.006

Carla Mejías-Ampuero Departamento de Odontología Conservadora, Facultad de Odontología, Universidad Andrés Bello, sede Viña del Mar, Chile. http://orcid.org/0009-0007-5986-1816
María León-Vicencio Departamento de Odontología Conservadora, Facultad de Odontología, Universidad Andrés Bello, sede Viña del Mar, Chile. http://orcid.org/0009-0009-5454-0495
Patricia Melo-Mendieta http://orcid.org/0000-0002-6361-550X
Iván Godoy-Böhm Departamento de Odontología Conservadora, Facultad de Odontología, Universidad Andrés Bello, sede Viña del Mar, Chile. http://orcid.org/0000-0001-9514-3917

DOI: https://doi.org/10.17126/joralres.2024.006

Abstract

Introduction: Literature shows that individuals with disabilities, including hearing impairment, often suffer from untreated dental caries, poor oral hygiene, and compromised periodontal health, leading to adverse effects on oral health.
Objetive: This study aims to analyze current evidence concerning dental care strategies for controlling, managing, and preventing biofilm accumulation in patients with hearing impairment.
Materials and Methods: A systematic search was conducted in the databases Scopus, Web of Science, SciELO and PubMed between April and May 2022 to identify articles establishing a relationship between periodontal disease and hearing disability. Full-text articles published in English or Spanish between 2012 and 2022 were included.
Results: Seventeen articles met the inclusion criteria and were analyzed. These included cross-sectional studies, cohort studies, clinical trials, case reports, and case-control studies. Most studies reported fair to poor oral health status among individuals. Nine different interventions or management approaches for treating periodontal disease in patients with hearing impairment were identified.
Conclusions: The current global evidence on the association between periodontal disease and hearing impairment is very limited. Dentists may need to employ various strategies to address communication barriers, as outlined in this study.
Keywords: Periodontal diseases; Hearing loss; Oral health; Clinical protocols; sign language.

References

1. Sociedad Chilena de Otorrinolaringología. Hipoacusia, una patología en aumento. 2019.

2. Ministerio de Salud. Encuesta Nacional de Salud ENS Chile 2009 -2010. 2010.

3. Ministerio de Salud. Salud Oral en Adolescentes de 10-19 años: Prevención, diagnóstico y tratamiento de la enfermedad periodontal. 2017.

4. Liccardo D, Cannavo A, Spagnuolo G, Ferrara N, Cittadini A, Rengo C, Rengo G. Periodontal Disease: A Risk Factor for Diabetes and Cardiovascular Disease. Int J Mol Sci. 2019;20(6):1414. doi: 10.3390/ijms20061414. PMID: 30897827; PMCID: PMC6470716.

5. Suhani RD, Suhani MF, Badea ME. Dental anxiety and fear among a young population with hearing impairment. Med Pharm Rep. 2016;89(1):143–9.

6. Alkahtani FH, Baseer MA, Ingle NA, Assery MK, Al Sanea JA, AlSaffan AD, Al-Shammery A. Oral Health Status, Treatment Needs and Oral Health Related Quality of Life among Hearing Impaired Adults in Riyadh City, Saudi Arabia. J Contemp Dent Pract. 2019;20(6):743-749. PMID: 31358720.

7. Cardona V, Fasanella M, Escorihuela Z, Fernández A. Atención odontológica de discapacitados auditivos por estudiantes de la Facultad de Odontología de la Universidad de Carabobo.Odous Científica. 2017;18 (2): 28-36.

8. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tunçalp Ö, Straus SE. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-473. doi: 10.7326/M18-0850. Epub 2018 Sep 4. PMID: 30178033.

9. Liccardo D, Cannavo A, Spagnuolo G, Ferrara N, Cittadini A, Rengo C, Rengo G. Periodontal Disease: A Risk Factor for Diabetes and Cardiovascular Disease. Int J Mol Sci. 2019;20(6):1414. doi: 10.3390/ijms20061414. PMID: 30897827; PMCID: PMC6470716.

10. Jnaneswar A, Subramaniya G, Pathi J, Jha K, Suresan V, Kumar G. Assessment of dental caries and periodontal status in institutionalized hearing impaired children in Khordha District of Odisha. J Indian Soc Pedod Prev Dent. 2017;35(3):203.

11. Alyami Y, Alamri RN, Abdulsamad MA, Alsharabi OH, Hakami MM, Alsheekh MA, Zamka HO, Alhijaili MA, Alharbi KA, Abulaban RM. Assessment of Oral Health Status and Communication Barriers in Hearing- and Speech-Impaired Children in Jeddah City. Cureus. 2022;14(3):e23277. doi: 10.7759/cureus.23277. PMID: 35449645; PMCID: PMC9013403.

12. Vichayanrat T, Kositpumivate W. Oral health conditions and behaviors among hearing impaired and normal hearing college students at Ratchasuda College, Nakhon Pathom, Thailand. Southeast Asian J Trop Med Public Health. 2014;45(5):1228-35. PMID: 25417527.

13. Tefera AT, Girma B, Adane A, Muche A, Awoke Ayele T, Getahun KA, Aniley Z, Ali S, Handebo S. Oral Health Status of Hearing-Impaired Students Attending Special Need Schools in Amhara Region, Ethiopia: A Cross-Sectional Study. Clin Cosmet Investig Dent. 2022;14:19-35. doi: 10.2147/CCIDE.S348730. PMID: 35095283; PMCID: PMC8791292.

14. Al-Maweri S, Zimmer S. Oral Health Survey of 6-14-Year-Old Children with Disabilities Attending Special Schools Yemen. Journal of Clinical Pediatric Dentistry. 2015;39(3):272–6.

15. Jain M, Bharadwaj SP, Kaira LS, Bharadwaj SP, Chopra D, Prabu D, et al. Oral health status and treatment need among institutionalised hearing-impaired and blind children and young adults in Udaipur, India. A comparative study. Oral Health Dent Manag. 2013;12(1):41—49.

16. Swain SK, Choudhury BK, Sahu MC. Dental problems among hearing-impaired children: Our experiences at a tertiary care teaching hospital in eastern India. Pediatr Pol. 2018;93(3):199–202.

17. Sujlana A, Goyal R, Pannu P, Opal S, Bansal P. Visual pedagogy and probiotics for hearing impaired children: A pilot study. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2017;35(4):353.

18. Moin M, Saadat S, Rafique S, Maqsood A, Lal A, Vohra F, Alam MK, Ahmed N. Impact of Oral Health Educational Interventions on Oral Hygiene Status of Children with Hearing Loss: A Randomized Controlled Trial. Biomed Res Int. 2021;2021:5185613. doi: 10.1155/2021/5185613. PMID: 34950734; PMCID: PMC8692028.

19. Baliga Ms, Deshpande M, Thosar N, Rathi N, Bane S, Deulkar P. Comparison of impact of oral hygiene instructions given via sign language and validated customized oral health education skit video on oral hygiene status of children with hearing impairment. J Indian Soc Pedod Prev Dent. 2020;38(1):20.

20. Saikiran KV, Kamatham R, Sahiti PS, Nuvvula S. Impact of educational (sign language/video modeling) and therapeutic (Glycyrrhiza glabra––liquorice mouth wash) interventions on oral health pertaining to children with hearing impairment: A randomized clinical trial. Spec Care Dentist. 2019;39(5):505–14.

21. Sneha K, Praveen P, Anantharaj A. An assessment of the effectiveness of oral health education on oral health-related knowledge and attitudes of caregivers of children with hearing impairment. Eur J Paediatr Dent. 2022;23(1):10–4.

22. Fageeh HN, Mansoor MA. The effectiveness of oral hygiene instructions in sign language among hearing impaired adults in Saudi Arabia. Special Care in Dentistry. 2020;40(1):41–8.

23. Ávila-Curiel BX, Solórzano-Mata CJ, Avendaño-Martínez JA, Luna-Vásquez B, Torres-Rosas R. Playful Educational Intervention for Improvement of Oral Health in Children with Hearing Impairment. Int J Clin Pediatr Dent. 2019;12(6):491–3.

24. Hernández C, Robles N, Medina C, Jiménez S, Centeno C. Manejo odontológico del paciente con hipoacusia neurosensorial profunda bilateral. Rev Cubana Estomatol. 2017;54(3).

25. Pérez BM, Sánchez LA, Grandas ÁL. Dentiseñas–Colombia, prototipo de una App para facilitar la comunicación Odontólogo– Persona con Discapacidad Auditiva. CES Odontol. 2020;33(2):49–61.

26. Anil S, Bhandi SH, Chalisserry EP, Jafer M, Hosmani J. Chemical Plaque Control Strategies in the Prevention of Biofilm-associated Oral Diseases. J Contemp Dent Pract. 2016;17(4):337-43.

27. Ministerio de Salud. Salud Oral Integral para Menores de 20 años en Situación de Discapacidad que Requieren Cuidados Especiales en Odontología. 2012.