ABSTRACT
Introdução: a Anemia Falciforme (AF) é a patologia hereditária monogênica mais prevalente associada à presença de hemoglobina SS no mundo. Pode provocar alterações no corpo, face e dentes dos indivíduos afetados, que podem levar a uma maior predisposição ao desenvolvimento da cárie dentária. Objetivo: avaliar o perfil epidemiológico e social de crianças e adolescentes com AF, a prevalência de cárie e influência da dieta. Metodologia: estudo de corte transversal com 124 indivíduos de 5 a 18 anos provenientes do ambulatório de referência em AF para o grupo AF (n=61) e sem hemoglobinopatias matriculados em colégio público da Bahia (n=63) para o grupo comparação. Anamnese, exame dos dentes e aplicação de questionários sobre a condição de saúde, história da doença e dieta foram realizados. Resultados: a maioria era da raça parda, cursava o 1º grau, a renda era de um salário mínimo, mas em relação à procedência, a maioria das crianças com AF era do interior. Estas também frequentavam mais as consultas odontológicas, apesar de o CPO-D ter sido maior (CPO-D=2,1) que o grupo comparação (CPO-D=1,1), bem como o ceo-d de 2,3 e 0,88, respectivamente. Crianças e adolescentes com AF consumiam menos carboidratos e tiveram um índice de cárie mais alto (ceo-d=2,0; CPO-D=4,2) que os do grupo comparação (ceo-d=0,9; CPO-D=1,0). O grupo com AF apresentou nível socioeconômico baixo e maior índice de cárie em ambas as dentições, apesar da dieta ter sido menos cariogênica. Conclusão: é possível que a prevalência maior de cárie para indivíduos com AF esteja associada a outros fatores inerentes à doença.
Introdution: sickle cell anemia (SCA) is the most prevalent hereditary monogenic pathology associated with the presence of SS hemoglobin in the world. It can affect ibody, face and teeth, which can lead to a higher predisposition to the development of dental caries. Objective: evaluate the epidemiological and social profile of children and adolescents with Sickle Cell Anemia (SCA), prevalence of caries and influence of diet. Methodology: a cross-sectional study was realized with 124 individuals ages of 5 to 18 years originated from the reference ambulatory in SCA for the SCA group (n=61) and without SCA matriculate in a public school in Bahia (n=63) for the comparation group. Anamnesis, teeth examination and application of questionnaires about health condition, disease and diet history were realized. Results: most of them were brown, was in elementary school, income of a minimum wage, but in relation to provenance, most children with SCA were from the countryside. These ones also attended more dental consultations, although the DMFT was higher than the comparation group, 2.1 and 1.1, as well as the dmft 2.3. and 0.88, respectively. Children and adolescents with SCA consumed less carbohydrates and had a higher caries index (dmft = 2.0; DMFT = 4.2) than those in the comparation group (dmft = 0.9; DMFT = 1.0). The group with SCA presented low socioeconomic level and higher caries index in both dentitions, even if the diet was less cariogenic. Conclusion: it is possible that higher prevalence of caries for individuals with SCA may be associated with other factors inherent to the disease.
Subject(s)
Humans , Male , Child , Adolescent , Child , Oral Health , Dental Caries , Anemia, Sickle Cell , Health Profile , Demography , Educational Status , IncomeABSTRACT
The aim of this study was to use the fluorescence in situ hybridization (FISH) technique to test the hypothesis of qualitative and quantitative differences of 8 periodontopathogens between pregnant and non-pregnant women. This cross-sectional study included 20 pregnant women in their second trimester of pregnancy and 20 non-pregnant women. Probing depth, bleeding on probing, clinical attachment level, and presence of calculus were recorded. Subgingival plaque samples were collected and the FISH technique identified the presence and numbers of Aggregatibacter actinomycetemcomitans, Tannerella forsythia, Campylobacter rectus, Porphyromonas gingivalis, Treponema denticola, Fusobacterium nucleatum, Prevotella intermedia and Prevotella nigrescens. The Mann-Whitney U-test was applied to compare the data between the two groups. The mean age, ethnicity, marital status, education, and economic level in both groups were similar. The clinical parameters showed no significant differences between pregnant and non-pregnant women. The numbers of subgingival periodontopathogens were not found to be significantly different between groups, despite the higher mean counts of P. intermedia in pregnant women. Colonization patterns of the different bacteria most commonly associated with periodontal disease were not different in the subgingival plaque of pregnant and non-pregnant women.