Mandova Viktoriya D, Stefanov Rumen S
Department of Social Medicine, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria.
Med Sci Monit Basic Res. 2022 Apr 21;28:e936560. doi: 10.12659/MSMBR.936560.
BACKGROUND For patients with hereditary coagulopathies such as hemophilia, the most common dental problem is spontaneous oral bleeding caused by daily oral hygiene habits like tooth brushing. Because of fear of bleeding, children with hemophilia often skip routine oral hygiene procedures, which can lead to dental caries and periodontal diseases. This case control study aimed to evaluate the oral hygiene awareness and hygiene practices of children with hemophilia from 6 to 18 years of age in Bulgaria. MATERIAL AND METHODS This study was conducted over 4 years and included 31 patients (children). A sociological approach was used, with direct individual questionnaires for self-assessment of dental habits. Statistical analyses were performed using SPSS. RESULTS There was no significant difference between groups in methods of oral hygiene. The duration of oral hygiene procedures was 1 min (n=5, 16.13±6.61%) or 2 min (n=13, 41.94±8.86%), which was considered insufficient for proper oral hygiene. Children who had received oral hygiene advice by a dentist brushed their teeth significantly longer (n=9, 69.23±12.80%) than those who had not. There was a considerable difference between the reasons for the last dental visit between the groups of children (χ²=5.18, P.
背景 对于患有血友病等遗传性凝血障碍的患者来说，最常见的牙科问题是由刷牙等日常口腔卫生习惯导致的自发性口腔出血。由于担心出血，血友病患儿常常跳过常规口腔卫生程序，这可能会导致龋齿和牙周疾病。本病例对照研究旨在评估保加利亚6至18岁血友病患儿的口腔卫生意识和卫生习惯。材料与方法 本研究历时4年，纳入了31名患者（儿童）。采用社会学方法，通过直接的个人问卷调查进行牙齿习惯的自我评估。使用SPSS进行统计分析。结果 两组在口腔卫生方法上没有显著差异。口腔卫生程序的时长为1分钟（n = 5，16.13±6.61%）或2分钟（n = 13，41.94±8.86%），这被认为对于适当的口腔卫生来说是不够的。接受过牙医口腔卫生建议的儿童刷牙时间明显长于未接受过建议的儿童（n = 9，69.23±12.80%）。两组儿童上次看牙原因之间存在相当大的差异（χ² = 5.18，P.
