ABSTRACT
Objective: To study the profile of anophthalmic patients regarding age, etiology gender, and the role of the ocular prosthesis in the psycho-social support of their wearers
Methods: A total of 920 Jordanian artificial eye wearers who registered for ocular prosthesis maintenance, repair or replacement attended prosthetic eye sector referral center [King Hussian Medical Hospital], during the period from August 2009 to July 2014 were surveyed. They were divided into three age groups; 331 patients [35.98%] were 1-13 years old children, 128 patients [13.92%] were 14-20 years old adolescents and 461 patients [50.1%] were 21 -75 years old adults and elderly. The group comprised 410 [38.91%] females and 510 [60.09%] males. A satisfaction questionnaire were completed by them or their close relatives using a simple Arabic language to elucidate their degree of satisfaction with several parameters including; appearance, comfort, fit, irritation, degree of self-consciousness, frequency of cleaning, and value of treatment. The percentage and frequency of mucoid discharge associated with ocular prosthesis wear was also studied
Results: Accidents were the main cause of eye loss in children and pathological conditions were more prevalent among adolescent and adult groups. The ratio of males to females losing an eye from accidents was 2.4. The overall rate of satisfaction with ocular prostheses was 89.9%. The variables significantly correlated to patient satisfaction were other people's responses, and insertion of the orbital implant; 95% of the surveyed subjects claimed that the others couldn't notice that they are wearing an artificial eye, 99.5% said that the lost eye affects their social well-being and using the artificial eye improved the condition which was also enhanced by peg insertion or surgical insertion of an orbital mass. Discharge affected 95.4% of wearers - 75.5% of these on a daily basis and negatively affected patient satisfaction
Conclusion: Ocular prostheses play a significant role in psycho-social support and enhance treatment satisfaction of anophthalmic patients in Jordan. Mucoid discharge associated with wearing ocular prosthesis was prevalent and needs an evidence based treatment protocol. Further research into the cause and treatment of this condition is worthy and should be planned
ABSTRACT
The aim of the study was to investigate the effect of the medical status of the mother and the child during the period of first molar- incisor formation and development of hypomineralisation of these teeth. The mothers of all patients who attended the pediatric dentistry department of Prince Hashim bin Al Hussein Hospital from April 2008 to January 2009 and who were diagnosed to have molar- incisor hypomineralisation [MIH] were asked to fill a questionnaire about the medical status of themselves or that of their children postnatal. The sample consists of50 mothers and their 50 children, 32 females and 18 males between the ages of 7 and 13 years. The questionnaire composed of questions about prenatal, perinataly and postnatal illness. 18 [36%] of the mothers were suffering from medical problems prenatal and 6 [12%] had perinatal illness, 30 [60%] children have been subjected to disease postnatal, and 26 [52%] of the mothers and 20 [40%] of the children did not suffer from any medical problem. Several etiological factors can cause enamel defects and their occurrence may be related to prenatal or postnatal illnesses. It was found that there was a relationship between children with repeated illnesses in the first year of their life and prevalence of hypomineralisation defects on molars and incisors
ABSTRACT
The purpose of this study was to investigate the various dentofacial anomalies and oral health status associated with Down Syndrome patients in Jordan. The study was carried out on 53 individuals with Down Syndrome from private institute of rehabilitation for disabled children in Amman, Jordan. There were 15[28.3%] females and 38[71.7%] males. The age of the patients ranged from 7-16 years with meanage of 11.09+2.74 years. Medical history and relevant information were obtained from individual's file. Clinical levels of oral hygiene status were assessed using simplified oral hygiene index and caries detection was according to WHO caries recording criteria and compared to historic caries incidence in normal children with similar age group in Jordan. The prevalence of dentofacial anomalies [hypertelorism, flat nasal bridge, macroglossia, fissured tongue, high arched palate, and malocclusion] was recorded. A total of 60.4% of the DownSyndrome patients practiced good oral hygiene, 56.6% were affected with dental caries. The mean caries experience indices were [1.84]. All Down Syndrome patients had one or more form of dentofacial abnormality; 94.3% had flat nasal bridge, 90.6% showed hypertelorism, 75.5% had high arched palate, 69.8% showed fissured tongue, 62.3% had macroglossia, 18.9% showed delayed eruption and 45.3% showed malocclusion. DMFT and dmft in Down syndrome patients were significantly lower compared to those in normal children in Jordan. Individuals with Down syndrome in Jordan showed better oral health in younger age group but as they became older, dental caries and poor oral hygiene became more prevalent