RESUMO
BACKGROUND: Down syndrome (DS) is distinguished by cognitive disability, a concave profile, and systemic complications. Oral diseases have been reported to be common in DS patients. OBJECTIVE: To investigate the association between DS and periodontal diseases. METHODS: Two independent reviewers searched six bibliographic databases up to January 2023 and used additional search methods to identify published studies on gingivitis or periodontitis in people with and without DS. Meta-analysis, risk of bias, sensibility analysis, publication bias, and evidence grading were all carried out. RESULTS: Twenty-six studies were included for analysis. There was a tendency for increased plaque accumulation, periodontal probing, periodontal attachment level, bleeding on probing and indices in DS individuals. Meta-analysis of 11 studies showed a significant association between DS and periodontitis (OR 3.93; 95% CI 1.81-8.53). Probing depth was significantly high in individuals with DS as compared to controls (mean difference 0.40 mm; 95% CI 0.09-0.70). Gingivitis was significantly associated (OR 1.93; 95% CI 1.09-3.41) with DS in four studies. The evidence was classified as 'moderate certainty'. CONCLUSION: Medium/low-quality studies demonstrate that Down syndrome is strongly associated with periodontitis and moderately associated with gingivitis.
Assuntos
Placa Dentária , Síndrome de Down , Gengivite , Doenças Periodontais , Periodontite , Humanos , Síndrome de Down/complicações , Síndrome de Down/epidemiologia , Doenças Periodontais/complicações , Doenças Periodontais/epidemiologia , Gengivite/complicações , Gengivite/epidemiologiaRESUMO
AIM: The present study is an attempt to evaluate the periodontal characteristics of this Tibetan refugee population and discuss possible oral health promotion activities. MATERIAL AND METHODS: 124 Tibetan were examined for the periodontal status using CPI and LOA index in Tibetan refugee camps in Jodhpur city, Rajasthan. RESULTS: Overall prevalence of periodontal disease among Tibetan refugees was 69%. Majority of the study participants {253(34%)} had CPI score 2. Periodontal status in Tibetan refugees is significantly (p≤0.05) associated with age group. Majority of study participants 232(32%) had LOA score 0. CONCLUSION: As age increases the periodontal diseases increases among study participants. There is significant association between age groups and periodontal status of Tibetan refugees.