Periodontal status and IOTN interventions among young hemophiliacs.

Full 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.

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Author information

Author/s: Azhar, S (S); Yazdanie, N (N); Muhammad, N (N);

Affiliation: Punjab Dental Hospital, Lahore, Pakistan. shehnoor(-atsign-)yahoo.com

Journal and publication information

Publication Type: Journal Article

Journal: Haemophilia : the official journal of the World Federation of Hemophilia (Haemophilia), published in England. (Language: eng)

Reference: 2006-Jul; vol 12 (issue 4) : pp 401-4

Dates: Created 2006/07/12; Completed 2007/01/18; Revised 2007/01/19;

PMID: 16834741, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

ErratumIn: Haemophilia. 2006 Sep;12(5):559.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent
Adult
Cross-Sectional Studies
DMF Index
Developing Countries
Female
Gingival Hemorrhage - etiology
Health Behavior
Hemophilia A - complications
Hemophilia B - complications

Humans
Male
Malocclusion - complications
Needs Assessment
Oral Hygiene
Oral Hygiene Index
Orthodontics, Corrective
Pakistan
Periodontal Diseases - etiology
Temporomandibular Joint Dysfunction Syndrome - complications

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