Kumar Mathangi, Pai Keerthilatha M, Kurien Annamma, Vineetha Ravindranath
Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.
Melaka Manipal Medical College, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.
Spec Care Dentist. 2018 Nov;38(6):391-394. doi: 10.1111/scd.12324. Epub 2018 Sep 26.
BACKGROUND & OBJECTIVES: People with hemophilia constitute a significant proportion of the population and an oral health care professional faces a considerable challenge while treating them. This study aimed to assess the oral health and dentition status as well as fear of dental treatment in patients with hemophilia and compare it with age-matched healthy subjects.
PATIENTS & METHODS: This single-center, case-control cross-sectional study was performed on 100 subjects with hemophilia and 100 age-matched healthy controls. Oral health and dentition status was recorded for all the subjects and scored using the simplified oral hygiene index (OHI-S), plaque index, and the dmft/DMFT index.
There were a total of 41 children and 59 adults in the hemophilia group and 36 children and 64 adults in the healthy group. When compared to healthy subjects it was observed that individuals with hemophilia had higher debris and calculus scores which was indicative of poor orodental status. There was no significant difference observed in the DMFT scores among the study groups.
INTERPRETATION & CONCLUSIONS: The oral hygiene of the hemophilics was poorer when compared to the healthy controls. The findings highlight the need for establishing interdisciplinary care for such individuals.
血友病患者在人群中占相当比例，口腔保健专业人员在治疗他们时面临巨大挑战。本研究旨在评估血友病患者的口腔健康和牙列状况以及对牙科治疗的恐惧，并与年龄匹配的健康受试者进行比较。
本单中心病例对照横断面研究对100名血友病患者和100名年龄匹配的健康对照者进行。记录所有受试者的口腔健康和牙列状况，并使用简化口腔卫生指数（OHI-S）、菌斑指数和dmft/DMFT指数进行评分。
血友病组共有41名儿童和59名成人，健康组有36名儿童和64名成人。与健康受试者相比，观察到血友病患者的牙垢和牙石评分更高，这表明口腔牙齿状况较差。研究组之间的DMFT评分没有显著差异。
与健康对照相比，血友病患者的口腔卫生较差。研究结果凸显了为这类患者建立跨学科护理的必要性。
