Comparative analysis of oral health and treatment necessities in hemophilia individuals of Davangere population — A case control study

Abstract

Background: The integrated approach towards the oral care of individuals with special needs requires proper motivation and prophylactic guidance by primary health care professionals, including musculoskeletal support to psychological therapy. In developing countries like India, oral care is not of primary importance as oral hygiene practices are less performed by compromised individuals suffering from hemophilia. Here, primary health care professionals play a significant role. The present study was commenced to evaluate oral health and treatment necessities in hemophilic individuals of Davangere population, Karnataka. Objective: The present study was conducted to assess and compare the oral hygiene, dentition status, and treatment needs of individuals with hemophilia. Methods: Simplified Oral Hygiene Index (OHI-S), decayed, missed, filled tooth (DMFT) indices and treatment needs in 50 hemophiliac patients registered at Karnataka hemophilia society were evaluated along with an Oral health-related quality of life (OHR-QoL) questionnaire. They were matched with healthy controls of the same age and gender. The data was analyzed using t test and Chi square test. Results: The oral hygiene was fair in both hemophilic and healthy individuals with a mean value of 1.82 ± 0.79 and 1.83 ± 0.73, respectively. All the parameters such as OHIS, DMFT indices, and teatment needs were not statistically significant. The spontaneous oral bleeding was the only significant factor in OHR-Qol questionnaire. Conclusion: The present study concluded that oral hygiene, dental caries prevalence, and treatment needs were similar in both hemophiliac and control groups. With proper guidance, motivation, and preventive care by primary health care professionals, it was relatively easy for individuals with congenital blood disorder (CBD) to maintain oral health-related quality of life in Davangere population, Karnataka.

Case-Control Study to Evaluate the Oral Hygiene Habits in 31 Children with Hemophilia in Bulgaria Using the Oral Health Impact Profile-14 (OHIP-14) Questionnaire

“…These results differ from the study in Bulgaria, as in the Balkans there are clear similarities between the groups in practicing this habit [ 14 , 20 ]. Other researchers have shown that oral hygiene practices were similar between a hemophilia group and control group [ 11 , 17 , 18 ]; most children performed oral hygeine habits twice per day, and there was no significant difference in oral hygiene practices between the groups. It is due to the interdisciplinary approach in Western European countries, where dentists have been an essential part of the treating team of people with hemophilia for decades [ 17 ].…”

“…Controversy exists about whether there is better oral health in the deciduous dentition of children with hemophilia or in control groups because patients with hemophilia tend to be from families with lower social status, which is a well-known determinant of higher cariogenicity, especially in young children [ 8 , 10 ]. However, differences in oral status decrease and even become insignificant when comparing groups of adults [ 11 ]. Because dental caries and periodontitis are diseases in which health determinants accumulate over time, such as various bacteria and poor oral hygiene techniques, in order to clarify the differences in oral status in children and adults, future prospective studies with larger study groups are needed.…”

Health‐related quality of life among adults with haemophilia in China: A comparison with age‐matched general population

“…This approach was employed in previous studies to compare the HRQoL of the patients with the general population. 24,25 Descriptive statistics, including the mean, standard deviation (SD), number and proportion (%), were computed for demographic and clinical variables for respondents. Differences in proportions for categorical variables were evaluated by Chi-square test for age, marital status, education, occupation, income, history of smoking and drinking, chronic diseases combination and Fisher's exact test for ethnicity and health insurance type.…”

“…The 1:1 case‐controlled match was conducted among the PwH (hereafter ‘patient group’) and the general population (hereafter ‘general group’) based on gender and age. This approach was employed in previous studies to compare the HRQoL of the patients with the general population 24,25 . Descriptive statistics, including the mean, standard deviation (SD), number and proportion (%), were computed for demographic and clinical variables for respondents.…”

The state of oral health in patients with haemophilia in the Netherlands

“…Studies comparing the oral health status in children, adolescents and adults PWH with aged‐matched healthy controls reported contradicting outcomes. These studies reported that PWH might have a better, similar or worse dental condition compared to the healthy controls 8–22 . Despite these contradicting outcomes, more recent studies found no difference in Oral Health‐Related Quality of Life (OHR‐QoL) between children and adolescents PWH and healthy controls 13,17,21 .…”