Oral Hygiene Status and Dental Caries Experience in Transfusion Dependent Thalassemia Patients: An Analytical Cross-Sectional Study

Authors

  • Saswati MukherjeeDas Burdwan Dental College and Hospital, Burdwan.
  • Ujjwal Das Dr. R. Ahmed Dental College and Hospital, Kolkata. WB, India. WB, India.
  • Sharmistha Bhattacherjee North Bengal Medical College and Hospital, Siliguri. WB, India.
  • Panchali Datta Nil Ratan Sircar MedicalCollege (NRSMC), Kolkata. WB, India.

DOI:

https://doi.org/10.37506/4d3wm966

Keywords:

beta-thalassemia, Oral hygiene, dental caries, Oral Hygiene Index -Simplified (OHI-S),Decayed-Missing-Filled permanent Teeth Index(DMFT).

Abstract

Background: Patients with thalassemia are prone to dental decay, although they are unconcerned about maintaining regular oral hygiene. The purpose of this study was to evaluate the oral hygiene status and dental caries experience of beta-thalassemia major patients in a tertiary care centre to those of healthy controls from the same centre.

Methods: Participants in the study ranged in age from 16 to 55 years. All study participants' carers or parents provided informed written consent. This research was carried out over a six-month period. All participants in the study were divided into two groups: (a) Group A (n = 30) consisted of patients with transfusion dependent thalassemia, and (b) Group B (n = 30) consisted of age- and sex-matched healthy controls. Following a thorough general examination, including demographic data, an intraoral examination was performed using the Decayed-Missing-Filled Permanent Teeth Index (DMFT Index) and the Oral Hygiene Index-Simplified (OHI-S) [Calculus Index (CI) and Debris Index (DI)].

Results: Sociodemographic characteristics revealed that the mean age of the case group was not statistically significant, that male cases outnumbered controls, and that the p value was not significant. However, when the OHI-S and DMFT indexes were examined, the p values were significant in both situations.

Conclusions: Thalassemia patients are more prone to poor oral hygiene and carious lesions. Early visit to dentist is a key to good oral health for thalassemia population and prevents many emergencies and surgical episodes.

Author Biographies

  • Saswati MukherjeeDas, Burdwan Dental College and Hospital, Burdwan.

    Associate Professor, Department of Periodontology.

     

  • Ujjwal Das, Dr. R. Ahmed Dental College and Hospital, Kolkata. WB, India. WB, India.

    Associate Professor, Department of Conservative Dentistry and Endodontics.

     

  • Sharmistha Bhattacherjee, North Bengal Medical College and Hospital, Siliguri. WB, India.

    Associate Professor, Department of Community Medicine.

     

  • Panchali Datta, Nil Ratan Sircar MedicalCollege (NRSMC), Kolkata. WB, India.

    Assistant Professor, Department of Anatomy.

     

References

Taher AT, Weatherall DJ, Cappellini MD. Thalassaemia. Lancet (London, England) 2018;391:155–67.

Piel FB. The present and future global burden of the inherited disorders of hemoglobin. Hematol Oncol Clin North Am 2016;30:327–41.

Taher AT, Radwan A, Viprakasit V. When to consider transfusion therapy for patients with non-transfusion-dependent thalassaemia. Vox Sang 2015;108:1–10.

Abu Alhaija ES, Hattab FN, Al-Omari MA. Cephalometric measurements and facial deformities in subjects with beta-thalassaemia major. Eur J Orthod2002;24:9–19.

Hattab FN. Periodontal condition and orofacial changes in patients with thalassemia major: a clinical and radiographic overview. J Clin Pediatr Dent 2012;36:301–7.

Hattab FN, Abu Alhaija ESJ, Yassin OM. Tooth crown size of the permanent dentition in subjects with thalassemia major. Dent Anthrop2000;14:7–13.

Hattab FN, Qudeimat MA and Al-Rimawi HS. Dental discoloration: an overview. J Esthet Dent 1999;11:291–310.

Goldfarb A, Nitzan DW, Marmary Y. Changes in the parotid salivary gland of beta-thalassemia patients due to hemosiderin deposits. Int J Oral Surg 1983;12:115–9.

Siamopoulou-Mavridou A, Mavridis A, Galanakis E, Vasakos S, Fatourou H, Lapatsanis P, et al. Flow rate and chemistry of parotid saliva related to dental caries and gingivitis in patients with thalassaemia major. Int J Paediatr Dent 1992;2:93–7.

Hewson ID, Daly J, Hallett KB, Liberali SA, Scott CL, Spaile G, et al. Consensus statement by hospital based dentists providing dental treatment for patients with inherited bleeding disorders. Aust Dent J 2011;56:221–6.

Dhote V. Evaluation of oral hygiene status and salivary biochemistry of patients with Thalassemia major: A clinical study. Journal of Dental and Medical Sciences. 2015;14:98-102.

Kaplan RI, Werther R, Castano FA. Dental and oral findings in Cooley’s anemia: a study of fifty cases. Ann N Y Acad Sci 1964;119:664–6.

Singh J, Singh N, Kumar A, Kedia NB, Agarwal A. Dental and periodontal health status of beta thalassemia major and sickle cell anemic patients: a comparative study. J Int Oral Health 2013;5:53–8.

Al-Wadhani AM, Taani DQ, Al-Omari M. Dental diseases in subjects with beta thalassemia major. Community Dent Oral Epidemiol 2002;30:418–22.

Greene and Vermillion. Simplified Oral Hygiene Index. Sweden: Malmö University; 1964.

WHO. Oral health surveys: basic methods. (5th ed.). 2013

Mandal PK, Maji SK, Dolai TK. Present scenario of hemoglobinopathies in West Bengal, India: An analysis of a large population. Int J Med Public Heal 2014;4:496-9.

AM Hazza'a, Ghaida Al-Jamal. Dental Development in Subjects with Thalassemia Major. J Contemp Dent Pract2006;4:63-70.

Dhote V, Thosar N. Evaluaiton of oral hygiene status and salivary biochemistry of patients with Thalassemia major: a clinical study. IOSR-JDMS J Med Dent Sci 2015;14:98–102.

Kaur N, Hiremath SS. Dental caries and gingival status of 3-14 year old beta-thalassemia major patients attending paediatric OPD of Vani Vilas hospital, Bangalore. Arch Oral Sci Res 2012;2:67–70.

Gumus P, Kahraman-Ceneli S, Akcali A, Sorsa T, Tervahartiala T, Buduneli N, et al. Association of thalassemia major and gingival inflammation: a pilot study. Arch Oral Biol 2016;64:80–4.

Ay ZY, Orucoglu A, Kilinc G, Ozturk M, Kilbas A, Uskun E, et al. Does the periodontal health of thalassemia major patients have an impact on the blood lipid profiles? A preliminary report. J PediatrHematol Oncol 2007;29:694–9.

Rajajee KTSS, Jampanapalli SR. Prevalence of Dental Caries, Oral Hygiene Status, Malocclusion Status and Dental Treatment Needs in Thalassemic Children – A Cross Sectional Study. Sch Acad J Biosci2017;5:41– 46.

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Published

2024-07-04

How to Cite

Oral Hygiene Status and Dental Caries Experience in Transfusion Dependent Thalassemia Patients: An Analytical Cross-Sectional Study. (2024). Indian Journal of Public Health Research & Development, 15(3), 366-370. https://doi.org/10.37506/4d3wm966