Oral health problems and dental service utilization in children with hearing impairment: a narrative review


  • Amandita Parameswari Community Dentistry Study Program, Faculty of Dentistry, Universitas Indonesia, Indonesia
  • Armasastra Bahar Department of Dental Public Health and Preventive Dentistry, Universitas Indonesia, Indonesia
  • Melissa Adiatman Department of Dental Public Health and Preventive Dentistry, Universitas Indonesia, Indonesia




Dental service utilization, Hearing impaired, Oral health status, Treatment needs


Children with hearing disability face challenges on accessing healthcare services caused by their lack of ability to express their oral health problems and affect their oral health status. This narrative review aims to explore oral health status in hearing impaired children and discuss in detail about dental service utilization in children with hearing impairment. Many studies assessed oral health status of children with hearing impairment. A comprehensive retrieval of the English literature from 2012 to 2022 was done in PubMed, ScienceDirect and ProQuest. Oral health assessments including dental caries, gingival problems and periodontal condition. Healthcare seeking behavior of the parents of hearing-impaired children is reflected by dental service utilization. Hearing impaired children have a high prevalence of caries, high caries activity and poor gingival condition compared to their counterparts. There are unmet dental treatment needs due to their dependence on parents or caregiver on decision making. Proper oral health educational method for hearing impaired children and their parents or caregiver is needed to improve oral health status and dental service utilization.


WHO. World Report On Hearing. 2021. licence: CC BY-NC-SA 3.0 IGO. Available at: https://www. who.int/publications/i/item/9789240020481. Accessed on 3 November 2022.

Olenja J. Health Seeking Behaviour in Context. East Afr Med J. 2003;(02):61-2.

Abuduxike G, Aşut Ö, Vaizoğlu SA, Cali S. Health-seeking behaviors and its determinants: A facility-based cross-sectional study in the Turkish republic of northern Cyprus. Int J Heal Policy Manag. 2020;9(6):240-9.

Tefera AT, Girma B, Adane A. 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(01):19-35.

Jnaneswar A, Subramaniya GB, Pathi J, Jha K. 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):203-8.

Sandeep V, Kumar M, Vinay C, Chandrasekhar R, Jyostna P. Oral health status and treatment needs of hearing impaired children attending a special school in Bhimavaram, India. Indian J Dent Res. 2016;27(1):73-7.

Kumari R, Kapoor A, Bhatia S. Oral Health Status and Caries Activity in Special Children with Hearing and Speech Impairment. J South Asian Assoc Pediatr Dent. 2019;2(2):43-8.

Alyami Y, Alamri RN, Abdulsamad MA. Assessment of Oral Health Status and Communication Barriers in Hearing- and Speech-Impaired Children in Jeddah City. Cureus. 2022;14(3):17-22.

Azfar M, Khan I, Quershi S, Zia N, Abid K. Oral Health Status Among Hearing and Speech Impaired Children of Karachi, Pakistan. J Pakistan Dent Assoc. 2018;27(04):181-5.

Tefera AT, Girma B, Adane A, Muche A, Ayele TA. Dental health problems and treatment-seeking behavior among special need school students in Amhara region, Ethiopia. BMC Oral Health. 2021;21(1):1-10.

Leal Rocha L, Vieira de Lima Saintrain M, Pimentel Gomes Fernandes Vieira-Meyer A. Access to dental public services by disabled persons. BMC Oral Heal. 2015;15(1):1-9.

Kalaivani S, Shavi G, Shanmugam S, Sanga R, Gunasekaran L, Rahila C. Oral Health Status of Hearing and Speech-impaired School Children in Erode District, Tamil Nadu - A Cross-sectional Study. SRM J Res Dent Sci. 2021;12(4):198-203.

Rajabloo S, Pakkhesal M, Naghavi Alhosseini AA, Ghorbani Z, Rajabi A. Mothers view about oral health status, oral hygiene behaviors, and dental services utilization of their children with hearing impairment attending special schools. Spec Care Dent. 2021;1-11.

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 Heal. 2014;45(5):1228-35.

Miranda MSS, Mourão AM, Lamenha-Lins RM. Pediatric Oral Health Self-reported by Caregivers of Normal-Hearing and Hearing-Impaired Children. Pesqui Bras Odontopediatria Clin Integr. 2022;22:1-9.




How to Cite

Parameswari, A., Bahar, A., & Adiatman, M. (2023). Oral health problems and dental service utilization in children with hearing impairment: a narrative review. International Journal Of Community Medicine And Public Health, 10(2), 850–853. https://doi.org/10.18203/2394-6040.ijcmph20230041



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