ABSTRACT
Background and objective : Dental caries was a problem in thalassemia patients that should receive prevention. The objective of this study was to investigate risk factors for dental caries in thalassemia patients at Srinagarind Hospital, Khon Kaen University.Methods : This cross-sectional analytical study was conducted in 104 thalassemia patients and their parents who volunteered to participate in this study between December, 2005 and September, 2006. Data on patients were collected from medical records, questionnaires and oral examination records. Bivariable analysis and multivariate logistic regression was performed to identify the factors associated with dental caries.Results : Results showed that risk factors for dental caries in these samples were income, dental plaque, beverage and crowding tooth. Patients who their parents had low income had dental caries higher than patients who their parents had high income by adjusted odds ratio = 6.4 (95%CI = 1.1-35.0). Patient who had moderate to high dental plaque had dental caries higher than patient with low dental plaque by adjusted odds ratio = 4.9 (95%CI=1.1-23.3). Patients who drank beverage had dental caries higher than patients who did not drink beverage by adjusted odds ratio = 5.9 (95%CI=1.3-25.7). Patients with crowding tooth had dental caries higher than patients without crowding tooth by adjusted odds ratio = 4.9 (95%CI =1.04-23.3).Conclusion: This study showed that risk factors for dental caries in these samples were income, dental plaque, beverage and crowding tooth.Key words : risk factor, dental caries , thalassemia
ABSTRACT
Background and objective: Dental caries is a problem in young thalassemia patients and it can lead to rampant decay, infection, pain, chewing problems and malnutrition. The objective of this study was to determine the prevalence of dental caries in thalassemia patients at Srinagarind Hospital, Khon Kaen University.Methods : This cross-sectional study was conducted from December, 2005 to September, 2006 at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University. One hundred and four thalassemia patients volunteered to participate in this study. Data on the patients were collected from medical records, questionnaires and dental examination records. The dental caries status were recorded using the DMFT index. Dental caries was diagnosed by visual examination using dental mirror, explorer and periodontal probe as per the criteria recommended by the World Health Organization. A questionnaire contained demographics and oral hygiene care. We collected type of thalassemia from medical record. Descriptive statistics used frequency, percent, mean and standard deviation.Results : The number of thalassemia patients were 104. Age averaged was 11+4.8 years old (min-max = 2 – 24 years old). The β thalassemia and α thalassemia were 71.5% and 28.5% respectively . The prevalence of dental caries was 88.5%. Decayed, missing and filling of deciduous teeth (DMFT) were averaged at 2.28+3.65 teeth/person. Decay, missing and filling of permanent teeth (DMFT) averaged 3.12+3.72 teeth/person. We found that #85 #65 #74 #54 in deciduous teeth and #46 #36 #16 #26 in permanent teeth had dental caries more than the other type of tooth.Conclusion : The prevalence of dental caries in this study was 88.5% which need the restorative dental care.Keywords : dental caries, thalassemia
ABSTRACT
Background: Dental caries, periodontal disease and malocclusion are common among Thai children. Disabled children are thought less capable of taking care of themselves but are often missed by oral health campaigns. We surveyed the oral health and treatment needs of disabled children at St. Gerard’s Children’s Rehabilitation Center and Suksasongkrao School in Khon Kaen Thailand.Objective: To study oral health status and treatment need in the disabled children at St. Gerard’s Children’s Rehabilitation Center and Suksasongkrao School in Khon Kaen province.Design: Descriptive study.Setting: St. Gerard’s Children’s Rehabilitation Center in Central District and Suksasongkrao School in Banhaed District Khon Kaen Thailand.Population: Disabled children at both schools.Intervention: Between December 1999 and November 2000, we assessed 95 disabled children; 40 from St. Gerard’s and 55 from Suksasongkrao. St. Gerard’s is in the Central District and Suksasongkrao School in Banhaed District, Khon Kaen province Northeast Thailand. Data on the children came from institutional records and questionnaires completed during interviews with teachers and care-givers and each child was examined for their oral health status with intention to treat.Results: The prevalence of dental caries at St. Gerard’s and Suksasongkrao was 80 and 67 percent, respectively. Decayed ,missing and filling of deciduous teeth (dmft) at both schools averaged 1.9 ± 3.4 teeth/person, while decayed ,missing and filling of permanent teeth ( DMFT) averaged 2.0 ± 3.3. Sixty three and 56 percent of the children at St. Gerard’s and Suksasongkrao needed fillings on one side, 43 and 24 percent dental extraction, respectively. Forty percent of the children at St. Gerard’s had gingivitis (1.3 ± 3.2 sextant/person) vs. 55 percent at Suksasongkrao (2.6 ± 2.7 sextant/person). The children at St. Gerard’s and Suksasongkrao had enamel defects 18 and 9 percent respectively. Malocclusions at St. Gerard’s vs. Suksasongkrao reached 48 vs. 67 percent, respectively.Conclusion: A campaign to promote the dental and oral health among urban and rural disabled children is needed.
ABSTRACT
Background: Dental caries is an alarming problem in mostly young children in Thailand. It can also lead to rampant decay, infection, pain, abscesses, chewing problems, malnutrition and low self-esteem. Objective: To investigate factors associated with dental caries in 6-30 month-old children who visited well baby clinic at Srinagarind hospital, Khon Kaen University.Design: Cross-sectional analytical study Setting: Well baby clinic at Srinagarind hospital, Khon Kaen UniversitySamples: A sample of 183 children aged 6 to 30 months who visited well baby clinic at Srinagarind hospital, Khon Kaen University and their parents during July - December, 2003.Materials and Methods: Children and their parents volunteered to participate in this study. Children were examined for dental caries and plaque scores. Parents were interviewed for socio-economic and the detail of their children including oral hygiene care, feeding behaviors and dietary habits.Results: The prevalent rate of dental caries was 34%. From bivariable and multi-variable logistic regression found that factors associated with dental caries in this sample were eating snack, drinking beverage and dental plaque. Children who ate snack \> 1 time per day, \< 1 time per day had dental caries higher than children who did not eat snack by adjusted odds ratio = 7.4 (95% CI =1.8-29.4), 5.7 (95% CI = 1.5 - 22.5) respectively. Children who drunk beverage \> 1 time per day had dental caries higher than children who did not drink beverage by adjusted odds ratio = 6.2 (95% CI = 2.3 - 16.5). Children with dental plaque had dental caries higher than children without dental plaque by adjusted odds ratio = 3.8 (95% CI = 1.5 - 9.5).Conclusion: Factors associated with dental caries in this study were eating snack, beverage and dental plaque. Keywords: dental caries, children
ABSTRACT
Background: Acute rheumatic fever is a severe disease. The patient who had recurrent rheumatic fever that had permanent cardiac pathology might be dead. Secondary prophylaxis with benzathine penicillin 1.2 million units every four weeks was very important for all patients.Objective: To identify factors associated with failure to receive secondary prophylaxis of rheumatic fever patients in Srinagarind Hospital, Khon Kaen University.Study design: A case-control study.Setting: Srinagarind Hospital, Khon Kaen UniversitySubjects and methods: This study was conducted from February 2003 to August 2004 with 204 rheumatic fever patients in Srinagarind Hospital, Khon Kaen University. We interviewed the patients who regularly received secondary prophylaxis (control). We sent questionnaires to the patients who did not regularly receive and never received secondary prophylaxis by mail (case). Forty-one questionnaires were sent back (57%). Results: There were 163 patients (79.9%) in control group with mean age 14.18 + 3.7 years, 98 patients were male (48.0%) and 65 patients were female (31.9%). There were 41 patients (20.1%) in case group with mean age 24.5 + 5.2 years, 16 patients were male (7.8%) and 25 patients were female (12.3%). We analysed factors associated with failure to receive secondary prophylaxis by bivariable analysis and multiple logistic regression (forward stepwise). We found that convenience of traveling, convenience of appointment and general health status of the patients statistic significantly associated with failure to receive secondary prophylaxis (p \< 0.05).The patients who were inconvenient to travel had 8.2 times of failure to receive secondary prophylaxis compared with the patients who were convenient (adjusted Odds Ratio = 8.2, 95% CI = 2.7-24.2). The patients who were not convenient for appointment had 20 times of failure to receive secondary prophylaxis compared with the patients who were convenient (adjusted Odds Ratio = 20, 95% CI = 5.5-72.9). The patients who had poor general health status had 15 times of failure to receive secondary prophylaxis compared with the patients who had good general health status (adjusted Odds Ratio = 15, 95% CI = 2.3-99.9).Conclusion: Factors associated with failure to receive secondary prophylaxis of rheumatic fever patients in Srinagarind Hospital Khon Kaen University were the convenience of traveling, convenience of appointment and general health status of the patients.Keywords: Rheumatic fever, Secondary prophylaxis, Failure to receive prophylaxis.