Status of Periodontal Health of Patients in the Drepanocyteurs at the Bamako Dreponocytosis Research Center (CRLD) in Mali: 446 Observations
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: Sickle cell anemia or sickle cell anemia is a chronic, inherited, autosomal recessive inherited hemolytic disease that may be a risk factor for periodontal disease. The objective of this study is to evaluate the periodontal health status of sickle cell patients followed at the Center for Research and Control of Sickle Cell Disease (CRLD) in Bamako. This was a cross-sectional descriptive study lasting six (6) months. It involved 446 sickle cell patients followed at the CRLD. Included were all patients who attended the CRLD and who agreed to answer the questionnaire and be examined. Patient and parent informed consent for minors was obtained prior to inclusion. An oral examination consisting of a dental examination, a periodontal examination and x-ray were performed. For periodontal examination, Loe and Silness plaque and gingival indices and CPITN index were used to assess plaque control, gingival inflammation, and treatment need, respectively. The data analysis was done by the SPSS 19.0 software and the input from the Microsoft Excel 2013 software. The female sex was most represented in the sample with 54.04% with a Sex ratio of: 0.85, The slice of The most represented age was 13-25 years old (36.78%). The Sβ + thalassemic forms had the highest mean Hb level at 10.59g / dl. We found a low plaque control score at 3.73% of cases only in sickle cell SS for a p≤0.0001. There is a statistically significant relationship between plaque control and various forms of sickle cell p <0.001. The need for periodontal therapy was noted in 68.36% of patients. There is a statistically significant relationship between gingival inflammation and various forms of sickle cell disease p <0.001. 60.54% of patients had a mean plaque index (≤ 2 on the Loe and Silness scale). Gingival inflammation was greater in homozygotes. The evaluation of the periodontal health of the patients examined revealed a need for periodontal treatment that can be summed up as motivation for oral hygiene and decalcification. These data show that the systematic and early management of children with sickle cell disease in general oral and periodontal in particular is a must to minimize the risk of infectious which is not negligible. These lessons in oral hygiene will undoubtedly contribute to minimizing the impact of infectious risk on the periodontium.
Authors and Affiliations
Diawara O, Kane AST, Mobio GS, Ba B, Niang A, Touré BA, Coulibaly TD
Keywords
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