Jangra Babita, Goswami Mridula
Oral Health Prev Dent. 2017;15(2):131-137. doi: 10.3290/j.ohpd.a37925.
To assess the caries experience and periodontal health status among children with haemophilia in New Delhi.
This case control study was conducted in New Delhi over a 14-month period. Data were collected from 110 children, of which 55 children had haemophilia and 55 were healthy. Caries was assessed in terms of decayed, missing and filled teeth, according to WHO criteria, while periodontal health status was assessed regarding plaque present, and recorded by utilising the Silness and Löe plaque index.
In children with haemophilia, overall caries experience was low in the primary dentition as compared to healthy children, with mean dmft of 2.02 ± 2.4 and mean dmfs of 4.71 ± 7.3, as well as in the permanent dentition with a mean DMFT of 0.47 ± 0.87 and mean DMFS of 0.56 ± 1.167. Thus, caries experience was lower in the permanent than in the primary dentition. There was no significant difference between the two groups regarding the periodontal health. The overall dental health in children with haemophilia was better than in healthy children, as there was a significant influence of parental toothbrushing habits on children with haemophilia.
Caries experience was significantly lower in children with haemophilia as compared to healthy children. The periodontal health status of children with haemophilia was found to be comparable to that of the healthy children.
评估新德里血友病患儿的龋病患病情况和牙周健康状况。
本病例对照研究在新德里进行，为期14个月。收集了110名儿童的数据，其中55名儿童患有血友病，55名健康。根据世界卫生组织标准，从龋、失、补牙方面评估龋病情况，同时根据菌斑存在情况评估牙周健康状况，并使用希尔尼斯和勒厄菌斑指数进行记录。
与健康儿童相比，血友病患儿乳牙列的总体龋病患病情况较低，乳牙龋均（dmft）为2.02±2.4，乳牙龋面均（dmfs）为4.71±7.3；恒牙列的总体龋病患病情况也较低，恒牙龋均（DMFT）为0.47±0.87，恒牙龋面均（DMFS）为0.56±1.167。因此，恒牙列的龋病患病情况低于乳牙列。两组在牙周健康方面无显著差异。血友病患儿的总体口腔健康状况优于健康儿童，因为父母的刷牙习惯对血友病患儿有显著影响。
与健康儿童相比，血友病患儿的龋病患病情况显著较低。发现血友病患儿的牙周健康状况与健康儿童相当。
