Oral Health Status and Caries Related Microflora Among Children with Congenital Coagulation Disorders (Comparative study) | ||
| Journal of University of Babylon | ||
| Article 1, Volume 20, Issue 1, February 2012, Pages 335-342 | ||
| Authors | ||
| Abeer M.H.Zwain; Maha M.Misbah Al- Ameen; Wael S. Al-Alousi | ||
| Abstract | ||
| Background: Congenital coagulation disorders are hereditary bleeding disorders characterized by a lifelong defect in the clotting mechanism. Maintaining a good oral health might be a problem for those patients because of the potential bleeding tendency. The aims of the present study are to assess the condition of the dental health and the changes in the caries related micro flora in children with these disorders. Materials and methods: 45 children with congenital coagulation disorder and 45 healthy controlled children matching the study group in age and gender were examined and indices recorded for PI, GI and dental caries (DMFS, dmfs) and caries related micro flora was sampled and cultured for Streptococcus mutans( on mitis salivarius agar supplemented with Bacitracin), Candida species (on sabouraud dextrose agar) and Lactobacilli (inoculated on Glucose yeast extract acetic acid agar)counts, the results then compared between the two groups. Results: The mean values of the plaque index and gingival index of the study group were more than that of the control group (highly significant difference P<0.01for PI and a significant difference P<0.05 for GI). Regarding dental caries, no significant difference was found between the two groups for primary dentition, while for the permanent dentition the study group had significantly higher caries experience than the control group(P<0.01). The mean values of colony forming units of Streptococcus mutans, Lactobacilli and Candida species in the oral micro flora of congenital coagulation disorder children were higher than that of the healthy children(P<0.01). Conclusions: children with congenital coagulation disorders have more plaque accumulation, sever gingival inflammation, higher prevalence of dental caries and there is a change in the oral micro flora and when dealing with them a great deal of emphasis should be placed on pediatric dentistry. They need regular dental programs and continued proper oral hygiene care can be instrumental in preventing dental treatment of those children | ||
| Keywords | ||
| Congenital coagulation disorders; Hemophilia; Dental caries; gingival; plaque index; oral micro flora | ||
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