Al-Alawi Haidar, Al-Jawad Abdulfatah, Al-Shayeb Mahdi, Al-Ali Ali, Al-Khalifa Khalifa
College of Dentistry, University of Dammam, Dammam, Saudi Arabia.
Saudi Dent J. 2015 Jan;27(1):40-3. doi: 10.1016/j.sdentj.2014.08.003. Epub 2014 Nov 27.
This is a pilot case-control study conducted to investigate the prevalence of dental caries and periodontal disease and examine the possible association between oral health deterioration and SCD severity in a sample of Saudi SCD patients residing in the city of Al-Qatif, Eastern Province, Saudi Arabia.
Dental examination to determine the Decayed, Missing and Filled Teeth index (DMFT), Community Periodontal Index (CPI), and plaque index system were recorded for 33 SCD patients and 33 age and sex-matched controls in the Al-Qatif Central Hospital, Qatif, Saudi Arabia. Self-administered surveys used to assess socio-economic status; oral health behaviors for both SCD patients and controls were recorded. In addition, the disease severity index was established for all patients with SCD. SPSS data analysis software package version 18.0 was used for statistical analysis. Numerical variables were described as mean with a standard deviation.
Decayed teeth were significantly more in individuals with ages ranging from 18 to 38 years with SCD compared to the control group (p = 0.036) due to oral hygiene negligence. The mean number of filled teeth was significantly lower in individuals with SCD when compared to the control group (p = 0.015) due to the lack of appropriate and timely treatment reflected in the survey responses of SCD patients as 15.2% only taking oral care during hospitalization. There were differences between the cases and controls in the known caries risk factors such as income level, flossing, and brushing habit. The DMFT, CPI, and plaque index systems did not differ significantly between the SCD patients and the control group.
Data suggest that patients with SCD have increased susceptibility to dental caries, with a higher prevalence of tooth decay and lower prevalence of filled teeth. Known caries risk factors influenced oral health more markedly than did factors related to SCD.
本研究为一项试点病例对照研究，旨在调查沙特阿拉伯东部省卡提夫市的沙特镰状细胞病（SCD）患者样本中龋齿和牙周疾病的患病率，并探讨口腔健康恶化与SCD严重程度之间的可能关联。
在沙特阿拉伯卡提夫市的卡提夫中心医院，对33例SCD患者及33例年龄和性别匹配的对照者进行牙科检查，记录龋失补牙指数（DMFT）、社区牙周指数（CPI）和菌斑指数系统。采用自行填写的调查问卷评估社会经济状况；记录SCD患者和对照者的口腔健康行为。此外，为所有SCD患者建立疾病严重程度指数。使用SPSS 18.0版数据分析软件包进行统计分析。数值变量以均值和标准差描述。
由于口腔卫生疏忽，18至38岁的SCD患者龋齿明显多于对照组（p = 0.036）。由于缺乏适当及时的治疗，SCD患者的补牙平均数显著低于对照组（p = 0.015），SCD患者的调查回复显示只有15.2%的人仅在住院期间进行口腔护理。病例组和对照组在已知的龋齿危险因素如收入水平、使用牙线和刷牙习惯方面存在差异。SCD患者和对照组之间的DMFT、CPI和菌斑指数系统没有显著差异。
数据表明，SCD患者患龋齿的易感性增加，龋齿患病率较高，补牙患病率较低。已知的龋齿危险因素比与SCD相关的因素对口腔健康的影响更显著。
