Kanjani Varsha, Annigeri Rajeshwari G, Hanagavadi Suresh, Manjunath M R
Department of Oral Medicine and Radiology, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India.
Department of Oral Medicine and Radiology, College of Dental Sciences, Davangere, Karnataka, India.
J Family Med Prim Care. 2020 Sep 30;9(9):4774-4777. doi: 10.4103/jfmpc.jfmpc_413_20. eCollection 2020 Sep.
The integrated approach towards the oral care of individuals with special needs requires proper motivation and prophylactic guidance by primary health care professionals, including musculoskeletal support to psychological therapy. In developing countries like India, oral care is not of primary importance as oral hygiene practices are less performed by compromised individuals suffering from hemophilia. Here, primary health care professionals play a significant role. The present study was commenced to evaluate oral health and treatment necessities in hemophilic individuals of Davangere population, Karnataka.
The present study was conducted to assess and compare the oral hygiene, dentition status, and treatment needs of individuals with hemophilia.
Simplified Oral Hygiene Index (OHI-S), decayed, missed, filled tooth (DMFT) indices and treatment needs in 50 hemophiliac patients registered at Karnataka hemophilia society were evaluated along with an Oral health-related quality of life (OHR-QoL) questionnaire. They were matched with healthy controls of the same age and gender. The data was analyzed using t test and Chi square test.
The oral hygiene was fair in both hemophilic and healthy individuals with a mean value of 1.82 ± 0.79 and 1.83 ± 0.73, respectively. All the parameters such as OHIS, DMFT indices, and teatment needs were not statistically significant. The spontaneous oral bleeding was the only significant factor in OHR-Qol questionnaire.
The present study concluded that oral hygiene, dental caries prevalence, and treatment needs were similar in both hemophiliac and control groups. With proper guidance, motivation, and preventive care by primary health care professionals, it was relatively easy for individuals with congenital blood disorder (CBD) to maintain oral health-related quality of life in Davangere population, Karnataka.
针对特殊需求个体的口腔护理综合方法需要初级卫生保健专业人员进行适当的激励和预防性指导，包括从肌肉骨骼支持到心理治疗等方面。在印度这样的发展中国家，口腔护理并非首要重点，因为血友病患者等身体有缺陷的个体较少进行口腔卫生护理。在此，初级卫生保健专业人员发挥着重要作用。本研究旨在评估卡纳塔克邦达万盖尔地区血友病患者的口腔健康状况和治疗需求。
本研究旨在评估和比较血友病患者的口腔卫生、牙列状况及治疗需求。
对在卡纳塔克邦血友病协会登记的50名血友病患者的简化口腔卫生指数（OHI-S）、龋失补牙指数（DMFT）及治疗需求进行评估，并使用口腔健康相关生活质量（OHR-QoL）问卷进行调查。将他们与年龄和性别相同的健康对照者进行匹配。数据采用t检验和卡方检验进行分析。
血友病患者和健康个体的口腔卫生状况均为中等，平均值分别为1.82±0.79和1.83±0.73。所有参数，如OHI-S、DMFT指数和治疗需求，在统计学上均无显著差异。自发性口腔出血是OHR-QoL问卷中唯一的显著因素。
本研究得出结论，血友病患者组和对照组在口腔卫生、龋齿患病率及治疗需求方面相似。在初级卫生保健专业人员的适当指导、激励和预防护理下，卡纳塔克邦达万盖尔地区患有先天性血液疾病（CBD）的个体相对容易维持与口腔健康相关的生活质量。
