Kularatne Wickramasooriyage Nandana, Jayasinghe Rasika M, Diyunugala Mahinda Chandika, Bandara Dayananda, Abeysundara Sachith, Perera Irosha
Restorative Dentistry Unit, Teaching Hospital, Kandy, Sri Lanka.
Department of Prosthetic Dentistry, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka.
J Investig Clin Dent. 2018 May;9(2):e12293. doi: 10.1111/jicd.12293. Epub 2017 Sep 1.
The aim of the present study was to investigate the sociodemographic profile and oral health status (Decayed, Missing, Filled Teeth [DMFT] and periodontal health) of thalassemic patients compared to healthy individuals.
The data were collected by means of an interviewer-administered, pretested, and validated questionnaire, followed by oral examination. Patients attending the outpatient department, who were age and sex matched, but without any diagnosed or suspected long-term illnesses, were considered for the control group. Both groups were compared in terms of facial profile, skeletal pattern, facial angles, DMFT, and periodontal health (plaque index, bleeding on probing, and probing pocket depth).
The association of convex facial profile and class II skeletal pattern with Thalassemic status was statistically significant when compared to healthy individuals. Decayed, missing, and filled teeth in the permanent and deciduous dentition, plaque index, and probing pocket depths of the control group were significantly higher compared with the thalassemic group. Surprisingly, 67.8% of thalassemic patients did not show bleeding on probing.
Families of the thalassemic patients attending the National Thalassaemia Centre are from a low socioeconomic background. Their DMFT and periodontal health are significantly better than those of healthy individuals.
本研究旨在调查地中海贫血患者与健康个体相比的社会人口学特征和口腔健康状况（龋失补牙数[DMFT]和牙周健康状况）。
通过由访员管理、经过预测试和验证的问卷收集数据，随后进行口腔检查。将年龄和性别匹配但未诊断或怀疑患有任何长期疾病的门诊患者纳入对照组。比较两组的面部轮廓、骨骼类型、面部角度、DMFT和牙周健康状况（菌斑指数、探诊出血和探诊袋深度）。
与健康个体相比，凸面型和II类骨骼类型与地中海贫血状态的关联具有统计学意义。对照组恒牙和乳牙的龋失补牙数、菌斑指数和探诊袋深度均显著高于地中海贫血组。令人惊讶的是，67.8%的地中海贫血患者探诊时未出血。
在国家地中海贫血中心就诊的地中海贫血患者家庭社会经济背景较低。他们的DMFT和牙周健康状况明显优于健康个体。
