Oral health status and treatment needs of children with sickle cell disease in Abha and Khamis Mushait cities of southern Saudi Arabia

Background: This study aimed to assess the oral health status and dental treatment needs of children with Sickle Cell disease (SCD) in Abha and Khamis Mushait cities of southern Saudi Arabia. Methods: A total of 82 children were included in the study, 41 children with SCD and 41 control group. A total of 82 children having age group of 2 to 13 years from Abha and Khamis Mushait cities of southern Saudi Arabia were examined. The clinical examinations were performed by experienced clinicians in those children who fulfilled the required inclusion criteria. Intraoral examination was done using Decayed-Missing-Filled Teeth Index (DMFT Index) and other dental conditions were examined. Statistical analysis was done with Chi square test and level of significance was set at p<0.05. Results: Prevalence of dental caries was shown between the 2 groups of children i.e., SCD and control. When SCD was compared with control group, the Mean ±Standard deviation for decayed missing filled tooth was found to be DMFT= 6.95±4.79, 8.02±4.33 respectively. Statistically no significant difference was found (P=0.290). 17.1% of children with SCD group has gingivitis compared to control group which is 7.3%. Statistically no significant difference was found (P=0.177). Dental trauma, deleterious oral habits and tooth brushing amount SCD children were shown no statistically significant compared to control group. Conclusions: In the present study no significant difference was evident in dental diseases and treatment needs among SCD and Control group.

[1]  A. Mustafa,et al.  Prevalence of malocclusion and its common traits in Saudi males of Aseer region , 2016 .

[2]  Farbod Ebadifard Azar,et al.  Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis , 2015, Medical journal of the Islamic Republic of Iran.

[3]  I. Kawachi,et al.  Caries prevalence and impact on oral health-related quality of life in children with sickle cell disease: cross-sectional study , 2015, BMC oral health.

[4]  A. Bhayat,et al.  Oral health status of 12-year-old male schoolchildren in Medina, Saudi Arabia. , 2014, Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit.

[5]  K. Al-Khalifa,et al.  The association between dental and periodontal diseases and sickle cell disease. A pilot case-control study , 2014, The Saudi dental journal.

[6]  S. Ballas,et al.  Dental Complications of Sickle Cell Disease , 2014 .

[7]  V. A. de Menezes,et al.  Malocclusion and treatment need in children and adolescents with sickle cell disease. , 2014, The Angle orthodontist.

[8]  C. Haywood,et al.  Dental infections increase the likelihood of hospital admissions among adult patients with sickle cell disease. , 2013, Community dental health.

[9]  K. Almas,et al.  Orofacial Manifestations in Patients With Sickle Cell Disease , 2013, The American journal of the medical sciences.

[10]  Z. Al-Hassnan,et al.  Map of autosomal recessive genetic disorders in Saudi Arabia: Concepts and future directions , 2012, American journal of medical genetics. Part A.

[11]  M. Zakirulla,et al.  Oral hygiene knowledge and practices among school children in a rural area of southern Saudi Arabia. , 2012 .

[12]  R. M. Nascimento,et al.  Sickle cell disease does not predispose to caries or periodontal disease. , 2012, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[13]  P. Bonan,et al.  Orofacial manifestations in patients with sickle cell anemia. , 2011, Quintessence international.

[14]  C. Boğa,et al.  Nitric oxide in gingival crevicular fluid and nitric oxide synthase expression in the gingiva of patients with sickle cell disease. , 2011, Turkish journal of haematology : official journal of Turkish Society of Haematology.

[15]  W. Jastaniah Epidemiology of sickle cell disease in Saudi Arabia , 2011, Annals of Saudi medicine.

[16]  H. Broder,et al.  Oral Health-related Quality of Life , 2011, Journal of dental research.

[17]  W. A. Al-Obaidi,et al.  Traumatic dental injuries among primary school children in Sulaimani city, Iraq. , 2009, Dental traumatology : official publication of International Association for Dental Traumatology.

[18]  A. Al-Herbish,et al.  The prevalence of sickle cell disease in Saudi children and adolescents. A community-based survey. , 2008, Saudi medical journal.

[19]  Y. Ramakrishna Dental considerations in the management of children suffering from sickle cell disease: a case report. , 2007, Journal of the Indian Society of Pedodontics and Preventive Dentistry.

[20]  F. Alswaidi,et al.  Premarital screening for thalassemia and sickle cell disease in Saudi Arabia , 2007, Genetics in Medicine.

[21]  O. Platt,et al.  Acquisition of mutans streptococci and caries prevalence in pediatric sickle cell anemia patients receiving long-term antibiotic therapy. , 2005, Pediatric dentistry.

[22]  B. O. Aktener,et al.  Pulpal necrosis with sickle cell anaemia. , 2004, International endodontic journal.

[23]  R. Katz,et al.  Sickle cell anemia and dental caries: a literature review and pilot study. , 2002, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[24]  A. Maguire,et al.  Prevalence of dental trauma in 5-6- and 12-14-year-old boys in Riyadh, Saudi Arabia. , 2001, Dental traumatology : official publication of International Association for Dental Traumatology.

[25]  D. R. Lawrenz Sickle cell disease: a review and update of current therapy. , 1999, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[26]  C. O'Rourke,et al.  Sickle cell disorder and orofacial pain in Jamaican patients , 1998, British Dental Journal.

[27]  J. Crawford Periodontal disease in sickle cell disease subjects. , 1988, Journal of periodontology.

[28]  Fotos Pg,et al.  Oral medicine in clinical dentistry: hematologic disorders. , 1987 .

[29]  P. Ojehanon,et al.  Oral and Dental Complications of Sickle Cell Disease in Nigerians , 1986, Angiology.

[30]  A. Abbasi,et al.  Prevalence of Parafunctional Oral Habits in 7 to 15 Years Old Schoolchildren in Saudi Arabia , 2017 .

[31]  V. Menezes,et al.  Caries prevalence and socioeconomic factors in children with sickle cell anemia. , 2012, Brazilian oral research.

[32]  زهير مرشد Assessment of Parafunctional Oral Habits among a Sample of Saudi Dental Patients , 2007 .

[33]  F. Salama,et al.  Sucking habits in Saudi children: prevalence, contributing factors and effects on the primary dentition. , 1997, Pediatric dentistry.