Objectives: The present study aims to investigate the oral health-related quality of life (OHRQoL) among children with special needs (CSN) and children without special care needs (CWSCN) in Saudi Arabia and to explore the association between various factors, including dental caries status, sociodemographic characteristics, and behavioral factors, with OHRQoL. Methods: A cross-sectional descriptive study was conducted. A total of 773 children were examined (257 with CSN and 516 with CWSCN). OHRQoL was assessed using the Modified Oral Health Impact Profile (OHIP). Multivariable logistic regression was used to determine the relationship between the OHIP (mean score) and independent variables. Results: The mean physical impact was 2.5 ± 1.1 and 3.1 ± 1.7 among 6–11 yrs-old and 12–16-yr-old children (p = 0.021), respectively. The mean personal satisfaction score was 3.2 ± 1.7 and 2.4 ± 1.1 among CSN and CWSCN (p = 0.001), respectively. Children with special needs had a 3.11 (95% CI: 1.23–5.21, p = 0.0001) times higher mean OHIP than CWSCN. Male children had a 1.87 (95% CI: 0.12–2.89, p = 0.024) times higher mean OHIP than female children. Children whose parents had primary school or less education had a 1.92 (95% CI: 0.17–3.11, p = 0.029) times higher mean OHIP than those whose parents had intermediate or higher education. Conclusions: The present study showed that children with special needs had a poor OHRQoL with high mean physical impact, pain, and psychological impact scores compared to CWSCN. A strong association was observed between poor OHRQoL and parental education status, poor oral hygiene practices, and use of non-fluoridated toothpaste.
Background: In Saudi Arabia, dental trauma is regarded as one of the most important issues affecting schoolchildren. This study evaluated Saudi Arabian schoolteachers’ knowledge, attitude, and practice regarding emergency dental trauma management. Methods: A cross-sectional study was conducted on 263 schoolteachers from 25 schools; 50.9% were females. A questionnaire was used to collect respondents’ personal and professional data and information on managing dental injury scenarios and the respondents’ attitudes toward dental injuries. A multivariate logistic regression analysis was carried out for the independent and outcome variable of inadequate knowledge regarding dental trauma management. Results: Male teachers had better knowledge than female teachers regarding emergency management of avulsed teeth. Compared to female teachers, male teachers would scrub a tooth with a toothbrush to replant it back into its socket if it fell onto the ground and was covered with dirt. Males had a significantly higher percentage of believing it is not teachers’ responsibility to care for tooth injuries in schools. Teachers with teaching experience of 5–10 years had a significantly higher percentage of training in dental emergencies. Teachers with bachelor’s degrees agreed on the need for teacher involvement to save the tooth in a timely manner. Compared to general teachers, physical education teachers would put the tooth back in the mouth and send the child to the dentist immediately if they were hit in the face and the upper front tooth fell out of their mouth. Teachers with a diploma level of education and teachers with a general type of teaching qualification were 2.15 times (CI = 0.98–3.11, p = 0.002) and 3.19 times (CI = 1.71–4.22, p = 0.0001) more likely to have a higher level of inadequate knowledge regarding dental trauma management. Conclusions: There is a need to raise teachers’ awareness and improve their dental trauma emergency management training.