Prevalência de cárie e aspectos perodontais em crianças e adolescentes portadores de hemofilia tipo A e B
Arquivos
Data
2005
Autores
Mazzoni, Alessandra 
Orientadores
Pignatari, Shirley Shizue Nagata
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A hemofilia é uma das poucas doenças hematológicas que comprometem a cavidade oral que demandam cuidado adicional durante um tratamento odontológico, particularmente pela possibilidade de haver sangramento persistente. Entretanto, pouco se sabe sobre a extensão dos efeitos desta condição hereditária e sua influência nas principais infecções que acometem os dentes: a cárie e a doença periodontal. Objetivo: Verificar a prevalência de cárie e inflamação local da gengiva em crianças e adolescentes portadores de hemofilia tipo A e B. Métodos: Foram avaliadas 58 crianças do sexo masculino com idades entre 3 e 12 anos, 29 portadoras de hemofilia e 29 como grupo controle, da mesma faixa etária. Todas foram submetidas a exame odontológico utilizando-se o índice de cárie (CPO-D e ceo-d), índice de placa bacteriana e índice de sangramento gengival. Os pacientes foram examinados por um único investigador e os dados coletados submetidos à análise estatística. Resultados: De uma forma geral não houve diferença entre os dois grupos estudados para nenhum dos parâmetros avaliados. Apenas uma das variáveis que compõe o índice ceo-d - a saber, número de dentes decíduos obturados - e o índice de placa bacteriana foram significativamente maiores nos pacientes hemofílicos. Conclusão: Estes resultados demonstram que a despeito da presença de hemofilia, não há alterações importantes nas condições bucais desses pacientes e que a hemofilia pode ser uma condição de risco para a formação de placa bacteriana.
The hemophilia is one of the few hematological disorders that affect the oral cavity that need additional care during a dental treatment, mainly given that persistent bleeding can take place. However, little it is known about the extension of the effects of this hereditary condition and its influence in the main problems that affect the oral cavity: the tooth decay and the periodontal disease. Purpose: Verify the caries prevalence and local gingival inflammation in children and adolescents with type A and B hemophilia. Methods: 58 children, male, between 3 and 12 years old and age matched, were evaluated; 29 children were hemophilic and 29 children were in control group. All children were submitted to oral exam using the caries index (DMFT and deft), the dental plaque control record and the gingival bleeding index. The patients were examined by a single investigator; the collected data was submitted to t-Student or Kruskal-Wallis test. Results: For the most variables there was not difference among hemophilic and control groups for the appraised parameters. Just two of the variables, the number of filled deciduous teeth and the index of bacterial plate were significantly larger in the hemophiliac patients. Conclusions: These results demonstrate that in spite of the hemophilia presence, there are no important alterations in the oral conditions of those patient ones; but the hemophilia can represent a risk condition for the formation of dental plaque.
The hemophilia is one of the few hematological disorders that affect the oral cavity that need additional care during a dental treatment, mainly given that persistent bleeding can take place. However, little it is known about the extension of the effects of this hereditary condition and its influence in the main problems that affect the oral cavity: the tooth decay and the periodontal disease. Purpose: Verify the caries prevalence and local gingival inflammation in children and adolescents with type A and B hemophilia. Methods: 58 children, male, between 3 and 12 years old and age matched, were evaluated; 29 children were hemophilic and 29 children were in control group. All children were submitted to oral exam using the caries index (DMFT and deft), the dental plaque control record and the gingival bleeding index. The patients were examined by a single investigator; the collected data was submitted to t-Student or Kruskal-Wallis test. Results: For the most variables there was not difference among hemophilic and control groups for the appraised parameters. Just two of the variables, the number of filled deciduous teeth and the index of bacterial plate were significantly larger in the hemophiliac patients. Conclusions: These results demonstrate that in spite of the hemophilia presence, there are no important alterations in the oral conditions of those patient ones; but the hemophilia can represent a risk condition for the formation of dental plaque.
Descrição
Anexos faltantes (páginas 41-49)
Citação
MAZZONI, Alessandra. Prevalência de cárie e aspectos perodontais em crianças e adolescentes portadores de hemofilia tipo A e B. Dissertação (Mestrado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2005.