Produção Nacional
Revisado por pares
Analysis of oral health conditions and risk factors for dental caries in patients with sickle cell disease
2018; CENTRO DE PESQUISAS ODONTOLOGICAS SAO LEOPOLDO MANDIC; Volume: 66; Issue: 3 Linguagem: Inglês
10.1590/1981-863720180003000063408
ISSN1981-8637
AutoresMichelle Leão Bittencourt Brandão Medeiros, Luciana Lira MENDES, Sergio Luiz Pereira LOPES, Elifabiana Leite ARAÚJO, Izabel Cristina Gomes da SILVA, Emerson Nicácio Medeiros, Tayguara Cerqueira Cavalcanti, Natanael Barbosa dos Santos,
Tópico(s)Hemoglobinopathies and Related Disorders
ResumoABSTRACT Objective: To analyze the oral health conditions and risk factors for caries in patients with sickle cell disease. Methods: An observational, cross-sectional study was conducted in the clinic of the Association of Persons with Hemoglobinopathies of Alagoas, in the city of Maceió-AL, Brazil. The sample composed of 43 patients were included by census sampling. The ICDAS/DMFT/dmf-t caries indices were used, and simplified oral hygiene, salivary flow and buffer capacity tests were performed. Patients were interviewed to check their level of knowledge about oral hygiene and diet. Spearman correlation and ANOVA statistical tests were applied (p<0.05). Results: The mean DMFT was 15.49±4.43; oral hygiene regular (IHOS=2.22±0.18); mean salivary flow 0.92±0.26, and mean buffer capacity 4.60±0.32. Correlation was found between salivary flow and buffer capacity (p = 0.009). Patients with the highest caries prevalence, in the age-ranges 6 to 12, and 20 to 26 years, had the lowest buffer capacity values (p = 0.04). Interviews showed that 58% did not use dental floss, 88% consumed cariogenic snacks, 100% reported never having received guidance from dentists about the cariogenic potential of foods and 60% reported the use of anticholinergic medications to reduce drooling (Tramal® and morphine) during pain crises. Conclusion: These patients presented extremely high caries prevalence, with predominance of carious teeth. The salivary parameters analyzed and level of knowledge about oral hygiene and cariogenic diet presented, showed that patients with sickle cell disease belonged to a group with risk for development of dental caries.
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