Periodontal status and IOTN interventions among young hemophiliacs

Abstract

Fifty-two young individuals suffering from severe haemophilia A and B volunteered to be compared with school- and college-going students for oral health status description and subsequent management. A total of 244 students (84.42% boys and 15.58% girls) with the age group of 13-23 years were divided into two groups, A and B (controls). The purpose of this study was to increase awareness about evidence-based dental practices by oral examinations followed by comparisons of periodontal health and prevalence of malocclusions among medically compromised students and healthy controls. Results described the oral health in severe haemophilic population to be compromised with combined simplified health index score of 0.50 and Decayed/Modified/Filled Teeth (DMFT) index score of 2.07 when compared with 0.42 and 0.95, respectively, among group B. Although prevalence of malocclusion and orthodontic treatment needs among group A were higher, yet it was not confirmed as a reason for degraded dental and periodontal status. However, spontaneous and/or toothbrush (trauma)-induced gingival bleeding episodes among group A could be explained as factors discouraging oral hygiene maintenance, particularly self-administered measures. Four haemophiliacs presented with symptoms of Temporomandibular Joint Dysfunction Syndrome (TMPDS). Evidence-based oral medicine and clinical practices need to be encouraged and applied to enhance the quality of life among haemophiliacs, particularly in developing world. Dental treatment needs of haemophilic population appear to be greater and maybe incorporated in routine dental practices, at institutional and individual levels.

Dental health and oral health‐related quality of life in children with congenital bleeding disorders

“…A number of studies reported lower oral hygiene/plaque scores among CBD, although their gingival situation was similar. [17,20,22,24] The present study also investigated the impact of dental and oral health on aspects of oral health-related quality of life such as laughing, eating, emotional and social wellbeing. We could not find clear differences between CBD and controls in their OHR-QoL.…”

“…In addition, according to this clinical examination, we could not detect more problems in occlusion, and molar Hypoplasia among CBD patients compared with controls. [24] An important issue in CBD is oral bleeding. The highly vascular oral cavity is a common site for haemorrhage in this group of patients.…”

“…Studies from different cultures and variety of age groups revealed a wide range from 32% to 89% of oral impacts [13,26]. Oral health-related quality of life is particularly important for younger children who are more vulnerable to such impacts as laughing or being teased by peers due to their lack of maturity and hence their psychological development may be influenced by oral impacts [24]. Interestingly, children in the age group of 8-10 years in the control group were negatively affected in the areas of social wellbeing (being teased or asked about their teeth by other children), whereas in CBD patients, significant impairments in any area were not found.…”

Hemofilija a Ir B Sergančių Lietuvos Vaikų Burnos Sveikata Ir Ją Lemiantys Veiksniai

“…Gautus rezultatus palyginome su kitose šalyse atliktais tyrimais ir galime teigti, kad mūsų gauti duomenys sutapo su tyrimų, atliktų Didžiojoje Britanijoje ir Šiau-rės Airijoje, rezultatais [12,13]. Tai leidžia daryti prielaidą, kad Lietuvos HSV dantų būklė yra panašesnė į anglų ir airių negu į HSV iš tolimesnių ir mažiau išsivysčiusių šalių [14,15]. Analizuojant ėduonies rizikos veiksnius ir lyginant juos tarp tiriamųjų grupių, duomenys yra prieštaringi: nors ėduonies intensyvumas tarp HSV pieniniame sąkandyje buvo mažesnis, bet jie buvo iš žemesnės SES šeimų, nenaudojo tarpdančių siūlo, jų burnos higiena mažai skyrėsi nuo bendraamžių sveikųjų.…”

“…Ištyrus Šiaurės Airijos ir Didžiosios Britanijos HSV pieninio ir nuolatinio są-kandžio dantų ėduonies paplitimą, rezultatai parodė, kad hemofilijos grupėje dantų ėduonies intensyvumo indeksas KPI/kp buvo mažesnis negu kontrolinėje grupėje [12,13]. Priešingus rezultatus paskelbė Pakistano ir Egipto mokslininkai: HSV turėjo daugiau ėduonies pažeistų, plombuotų ir išrautų dantų, palyginti su kontroline grupe [14,15]. Tai galima paaiškinti ypatinga HSV priežiūra specializuotose multidisciplininėse klinikose bei dantų ėduonies profilaktika nuo pat gimimo, vykdoma išsivysčiusiose šalyse, ir daryti išvadą, kad hemofilija sergančiųjų burnos sveikata tiesiogiai priklauso ir nuo šalies, kurioje HSV gyvena, išsi-vystymo ir gerovės [13].…”