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Year : 2011  |  Volume : 9  |  Issue : 5  |  Page : 425-434

Assessing the Oral Health Status and Treatments Needs of the Male Inmates in the Central Prisons of Karnataka State. A Descriptive Study

1 Dept of Community Dentistry, M M Dental College Belgavi, India
2 Dept of Community Dentistry, New Horizon Dental College, Bilaspur, India

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Background: This paper assesses oral health status of inmates in central prisons of Karnataka State, India. Keywords: Inmates in prison, Epidemiology, Dental caries; Methods: The study area was divided into 4 geographic zones, and participants were selected by stratified cluster sampling technique. A total of 2160 subjects were included in final study which were divided among the four age cohort (18-25, 26-34, 35-44, 45-54 and 55 and above respectively following the guidelines for research methodology recommended by WHO oral health surveys 1997.Clinical examination was conducted by one of the three examiners with the aid of an artificial light source. The agreement (kappa statistics) for diagnosis of DMFT and CPI was determined (field teams versus expert) 91.2% two days prior to the examination. Data was analyzed using Bivariate and multivariate analysis. Results: The mean DMFT were (5.22 2.46) and the caries prevalence was 71.1% with maximum prevalence in 45-54 years. DMFT score increased with increasing age with maximum with 8.15 at 55-64 yrs aged inmates. Also increased DMFT was associated with duration of stay at the jail, frequency of teeth brushing and consumption of tobacco. Higher prevalence of periodontal disease was present with only 1.75% having healthy gingiva. Mean number of sextant involved was maximum among 35-44 years. Tobacco consumption and Stress among prisoners have shown highly significant relationship with CPI scores (p 0.001). Fracture of tooth, mainly maxillary central incisor was high (11.5%)as a mark of emotional and criminal conduct. Conclusions: The findings highlighted the high caries prevalence, higher periodontal disease which requires immediate attention. Prevention of tooth fracture and improvement of overall nutritional status, with stress reduction protocol should also be given consideration.

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