Oral health status among 6‐ to 12‐year‐old haemophilic children–An educational intervention study

Gaddam, Kumar Raja; Nuvvula, Sivakumar; Nirmala, S V S G; Kamatham, Rekhalakshmi

doi:10.1111/hae.12434

Cited by 7 publications

(9 citation statements)

References 8 publications

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“…Part of this study would include determining the need for specialized training for dental providers, as well as appropriate continuing education, enabling providers to safely treat patients in the bleeding disorders community. Previous studies have shown that effective educational strategies improve utilization of dental services …”

Section: Discussionmentioning

confidence: 99%

Access to dental care for people with bleeding disorders: survey results of hemophilia treatment centers in the U.S.

Schaffer

Duong

Wachter³

et al. 2016

Special Care in Dentistry

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Section: Discussionmentioning

confidence: 99%

Access to dental care for people with bleeding disorders: survey results of hemophilia treatment centers in the U.S.

Schaffer

Duong

Wachter³

et al. 2016

Special Care in Dentistry

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“…Most studies to date, evaluating the oral health of patients with hemophilia, have been conducted on children. [12][13][14][15][16][17][18][19][20][21][22][23] The aim of the present study was to compare the pro-health habits, oral hygiene status, and dental status between individual types (A and B) and severity (mild, moderate, and severe) of hemophilia and to compare the obtained results with a healthy control group, matched according to age and gender.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Oral Health and Healthy Habits in Adult Patients with Congenital Hemophilia

et al. 2022

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Objectives The objective of our study was to assess the current knowledge, the oral health status, and the pro-health needs of patients with hemophilia. Materials and Methods The study included 77 patients with known hemophilia. The study included the assessment of dental indicators related to caries incidence (decayed, missing, and filled teeth [DMFT] and decayed, missing, and filled permanent teeth or surfaces [DMFS]), caries treatment (treatment index), oral hygiene status (Approximal Plaque Index [API] and simplified oral hygiene index [OHI-S]), and periodontal status (bleeding on probing [BoP]). A questionnaire addressed symptoms of hemorrhagic diathesis and health-promoting habits. The influence of routine management (“on-demand” vs. prophylactic therapy), type of hemophilia (A, B), and severity of clotting factor deficiency (mild, moderate, or severe) on oral health was assessed. Statistical Analysis The tests used in the study were Shapiro–Wilk, Mann–Whitney, Kruskal–Wallis, and Dunn's tests. The level of significance was set at p < 0.05. Results Patients with hemophilia showed a higher prevalence of caries compared with patients without hemorrhagic diathesis (DMFT 14 and 9, and DMFS 30 and 15, respectively), and they also presented a higher bleeding index value during probing and worse effectiveness of hygienic interdental procedures. The type of therapy and secondary prophylaxis used and the type and severity of hemophilia did not affect the oral health status. Conclusions Patients with hemophilia have an increased risk of developing dental caries. Undertaking educational activities related to the prevention of oral diseases is necessary to improve oral health.

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“…This is relatively understudied; studies evaluating oral health in patients with haemophilia in Egypt, Poland and Iran have shown a wide variability in oral health and have highlighted the importance of quality preventative health practices and the need for increased education. 4 Fear and anxiety have often been reported as major barriers to dental care Fear in particular has been acknowledged to inaccurately magnify the risks of dental treatments in patients with bleeding disorders. 2,15 The AAPD has recognized that providing safe and effective oral health care to children relies on a dental provider's ability to reduce anxiety and create positive relationships.…”

Section: Discussionmentioning

confidence: 99%

“…An increased focus on oral health within the structure of the HTC offers great potential to decrease costs associated with poor dental health. This is relatively understudied; studies evaluating oral health in patients with haemophilia in Egypt, Poland and Iran have shown a wide variability in oral health and have highlighted the importance of quality preventative health practices and the need for increased education 4 …”

Section: Discussionmentioning

confidence: 99%

“…1 Oral bleeding is common in patients with bleeding disorders; this type of bleeding is attributable to multiple factors including physiologic eruptions, poor oral hygiene, and trauma. 4 Like the rest of the population, the two main oral diseases affecting these patients include dental caries and gingivitis/periodontitis. 1 Most dentists, however, have limited experience with patients affected by bleeding disorders.…”

Section: Introductionmentioning

confidence: 99%

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Dental habits and oral health in children and adolescents with bleeding disorders: A single‐institution cross‐sectional study

et al. 2021

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Introduction Oral health is an important component of care at haemophilia treatment centres (HTCs). Correlations between oral health and inflammation suggest that proper oral health may improve joint health. Aim To evaluate the dental habits, needs, and oral health status of paediatric patients with bleeding disorders, and identify predicters of poor oral health. Methods From May 2016 to October 2017, consecutive paediatric HTC patients completed a 14‐question survey and were examined by dental professionals. Descriptive analyses, chi‐square tests and logistic regression models identified characteristics associated with four main dental outcomes. Results Evaluations from 226 consecutive patients (age 1–20 years) were included. Diagnoses included haemophilia A and B (64%), von Willebrand disease (25%) and other bleeding disorders (13%). Nearly half of patients reported not brushing their teeth twice a day (44%). One‐quarter of patients did not currently have a dentist (27%), and 15% reported specific challenges with access to dental care. Oral screening demonstrated significant pathology: 89% of patients had plaque accumulation, 37% had gingivitis and 8% had lesions suggestive of dental caries. Multivariate analysis revealed that having a primary caregiver with active decay was associated with significantly higher rates of suspicious lesions (OR 4.34, CI 1.41‐13.35) and gingival erythema (OR 3.44, CI 1.63‐7.25) and lower rates of twice daily teeth brushing (OR .17, CI .08‐.37). Conclusion Children with bleeding disorders commonly have significant dental pathology and report obstacles to dental care, posing the potential risk for morbidity. Primary caregiver dental health is strongly associated with dental pathology in children.

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Oral health status among 6‐ to 12‐year‐old haemophilic children–An educational intervention study

Cited by 7 publications

References 8 publications

Access to dental care for people with bleeding disorders: survey results of hemophilia treatment centers in the U.S.

Access to dental care for people with bleeding disorders: survey results of hemophilia treatment centers in the U.S.

Assessment of Oral Health and Healthy Habits in Adult Patients with Congenital Hemophilia

Dental habits and oral health in children and adolescents with bleeding disorders: A single‐institution cross‐sectional study

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