Caries prevalence and socioeconomic factors in children with sickle cell anemia

Luna, Ana Cláudia Alves e; Rodrigues, Maria José; Menezes, Valdenice Aparecida de; Marques, Kátia Maria Gonçalves; Santos, Fabiano Almeida dos

doi:10.1590/s1806-83242012000100008

Cited by 34 publications

(45 citation statements)

References 15 publications

(17 reference statements)

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“…One described the clinical and oral health conditions, the socioeconomic status and the family context of 704 children in the state of Bahia, Brazil, 10 and the other associated caries prevalence to socioeconomic status in 160 children in Recife, Brazil. 11 The dmft in these studies was 0.94 (DP = ±2.28) and 2.12, respectively. In the National Oral Health Survey (SB Brazil) of 2003, 20 the mean dmft for healthy Brazilian children aged 18-36 months was 1.07 (SD = 2.40) and 1.00 (SD = 2.24) in the northeast region.…”

Section: Discussionmentioning

confidence: 60%

“…3 In the oral cavity, SCA can cause diastemata, delays in tooth eruption, 5,6,7 malocclusion and glossitis. 6,7,8,9 There are no studies in the literature containing conclusive data related to the prevalence of caries and periodontal disease in children afflicted by SCA, 10,11 despite the existence of biological plausibility for an association between incidence of caries and severity of the disease.…”

Section: Introductionmentioning

confidence: 99%

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Maternal risk behavior and caries incidence in children with sickle cell disease

et al. 2016

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The aim of this study was to analyze the incidence of caries, in relation to maternal risk behaviors and clinical conditions representing different levels of sickle cell disease severity. A total of 295 children aged 6 to 60 months participated in this cohort conducted from August 2007 to December 2008. They were diagnosed and monitored by the referral service of the state. Interviews were made with families to identify sociodemographic variables, and an oral exam was performed to determine dental caries. The SRQ (Self Report Questionnaire) scale was used to diagnose the presence of common mental disorders, and the CAGE (Cut down, Annoyed, Guilty and Eye opener) was applied to determine abusive use of alcohol. The absolute and relative frequencies of the variables of interest were analyzed by Chi-square and Mann-Whitney, with a 5% significance level. The incidence variables were analyzed according to the logistic regression model, with a confidence interval of 95%. Caries incidence (1.98; SD = 4.68) was higher in the HbSS genotype. There was a statistically significant association between caries incidence and both abusive use of alcohol (32.43%, RR = 1.99; 1.05-3.78; 95%CI) and common mental disorders (8.77% RR = 0.37; 0.15-0.93; 95%CI). There was also an association between caries incidence and maternal risk behavior, indicating that the care network should be expanded to include patients with sickle cell disease.

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Section: Discussionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Maternal risk behavior and caries incidence in children with sickle cell disease

et al. 2016

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“…4 The relationship between father's education with regard to oral hygiene and the incidence of decay of teeth in children was not reported as significant. 5 Conversely, it has been observed on a large number of family members, race and religion, that there is a higher incidence of tooth decay in the black population and among unbelievers.…”

Section: Dental Alterationsmentioning

confidence: 93%

Odontostomatological manifestations in sickle cell disease: A systematic review

Nifosì¹,

Nifosì²,

Nifosí³

2017

Dent. Med. Probl.

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Sickle-cell disease is a frequent hemoglobinopathy which represents a major public health problem as a result of the continuous migration of populations. The clinical manifestations are chronic hemolytic anemia, vaso-occlusive crisis and infections; however, the involvement of the head and neck region remains poorly reported. Particularly, we do not know the prevalence of the odontostomatological manifestations.In this study, we reviewed the most recent literature on the topic. We have classified the alterations of the orofacial sphere into four categories: oral manifestations, bone changes, infections and various. We have described the main clinical manifestations of each one, along with their incidence and prevalence, trying to identify the pathophysiological mechanisms, correlations with vaso-occlusive crisis and possible therapeutic strategies. Several odontostomatological manifestations are described in patients with sickle cell disease. Some are typical, while others still need to be investigated, as for example the relationship between oral triggers and vaso-occlusive crisis.

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“…In addition, the continuous use of sucrose-based medications and frequent hospitalization would result in improper oral hygiene [17]. A study was conducted comparing 35 dental patients with SCD, aged 6 years and older, to 140 dental patients without SCD (age-gender-matched study) to determine whether individuals with SCD had higher prevalence of dental caries using the Decayed, Missing, and Filled Teeth Index (DMFS index).…”

Section: Tooth Formationmentioning

confidence: 99%

“…As opposed to adults, children with SCD are more prone to develop periodontitis. In general, SCD patients are more susceptible to infections and periodontal disease [17]. Gingival hypertrophy has also been observed in SCD patients [28].…”

Section: Pulp Necrosismentioning

confidence: 99%