The oral hygiene and oral status of children with severe disabilities with both nutritional and respiratory complications who were institutionalized at Karugamonoie (KNI), a facility for children with disabilities, were investigated in this study. Their oral hygiene management was solely dependent on caregivers and nurses at the institution. Thirty children (13 females, 17 males; average age, 7.6 years) who had a tracheotomy and feeding tube (gastrostomy, nasogastric, or jejunostomy feeding tube) were included in the study. As for oral characteristics, poor control of tongue movement, anterior open-bite, abnormal strain of facial muscles, dry mouth, and swallowing dysfunction were found in 63.3%, 63.3%, 13.3%, 20.0%, and 100.0%, of the children, respectively. The mean ± standard deviation Decayed, Missing, Filled Teeth score was 0.13 ± 0.57. The Gingival Index (GI) showed that the children had mild (53.3%) to moderate (46.7%) gingivitis. The Simplified Oral Hygiene Index was excellent in 50.0% of the children, good in 23.3%, fair in 20.0%, and poor in 6.7% of the children. These indices were satisfactory in general except for GI management, which may have been hampered by abnormal oral functions and anterior open-bite. In conclusion, oral hygiene management of children with nutritional and respiratory complications at KNI was shown to be of high quality even without on-site intervention by dental specialists.

中文翻译：

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运动和智力残疾的寄养儿童的口腔卫生和口腔状况。

在这项研究中，对在Karugamonoie（KNI）收容所的住院的营养和呼吸系统并发症严重残疾的儿童的口腔卫生和口腔状况进行了调查。他们的口腔卫生管理完全取决于机构的看护者和护士。这项研究包括了三十名儿童，其中有气管切开术和饲管（胃造口术，鼻胃或空肠造口术喂养管）（13名女性，17名男性；平均年龄为7.6岁）。至于口腔特征，在63.3％，63.3％，13.3％，20.0％和100.0％的儿童中，发现舌头运动，前开口咬伤，面部肌肉异常扭伤，口干和吞咽功能障碍的控制不良。 ， 分别。腐烂，缺失，实心牙齿的平均±标准偏差得分为0.13±0.57。牙龈指数（GI）显示，儿童患有轻度（53.3％）至中度（46.7％）的牙龈炎。简化的口腔卫生指数在50.0％的儿童中是极好，在23.3％的儿童中是良好，在20.0％的儿童中是良好，在6.7％的儿童中是差的。除胃肠道管理外，这些指标总体上令人满意，胃肠道管理可能受到异常口腔功能和前牙合咬的阻碍。总之，即使没有牙科专家的现场干预，KNI患有营养和呼吸系统并发症的儿童的口腔卫生管理也被证明是高质量的。除胃肠道管理外，这些指标总体上令人满意，胃肠道管理可能受到异常口腔功能和前牙合咬的阻碍。总之，即使没有牙科专家的现场干预，KNI患有营养和呼吸系统并发症的儿童的口腔卫生管理也被证明是高质量的。除了胃肠道管理外，这些指标总体令人满意，胃肠道管理可能受到异常口腔功能和前牙合咬的阻碍。总之，即使没有牙科专家的现场干预，KNI患有营养和呼吸系统并发症的儿童的口腔卫生管理也被证明是高质量的。