The impact of replacement therapy on dental health in haemophilia

被引:1
作者
Kozma, Andrei [1 ,10 ,11 ]
Clevet, Oana [2 ]
Traila, Adina [2 ]
Ursu, Emilia [3 ]
Jinca, Cristian [4 ]
Oancea, Roxana [4 ]
Boeriu, Estera [4 ]
Boia, Eugeniu [4 ]
Ritli, Ladislau [5 ]
Serban, Margit [3 ]
Lackner, Agnes Katherine [6 ]
Lazarescu, Horia [7 ]
Popovici, Calin [1 ]
Diac, Iulia [8 ]
Stanescu, Ana Maria Alexandra [9 ]
Enachescu, C. I. [12 ]
Arghirescu, Smaranda [4 ]
机构
[1] Alessandrescu Rusescu Natl Inst Mother & Child Hl, Res Dept Social Paediat & Obstet, Bucharest, Romania
[2] C Serban Rehabil Med Ctr Children & Adolescents, European Haemophilia Treatment Ctr, Buzias, Romania
[3] Louis Turcanu Children Emergency Hosp, European Haemophilia Treatment Ctr, Timisoara, Romania
[4] Victor Babes Univ Med & Pharm, Timisoara, Romania
[5] Univ Med & Pharm, Oradea, Romania
[6] Med Univ Vienna, Univ Dent Clin, Dept Paediat Dent, Vienna, Austria
[7] Natl Inst Recovery Phys Med & Balneoclimathol, Bucharest, Romania
[8] Carol Davila Univ Med & Pharm, Fac Med, Dept Legal Med & Bioeth, Bucharest, Romania
[9] Carol Davila Univ Med & Pharm, Fac Med, Dept Family Med, Bucharest, Romania
[10] Romanian Acad Med Sci, Bucharest, Romania
[11] Acad Romanian Scientists, Bucharest, Romania
[12] Elias Hosp, Bucharest, Romania
来源
ROMANIAN JOURNAL OF LEGAL MEDICINE | 2019年 / 27卷 / 02期
关键词
pharmacologic replacement therapy; coagulation factor VIII and IX concentrates; haemophilia; dental health; DMFT index; PLI index; CHILDREN; HISTORY;
D O I
10.4323/rjlm.2019.200
中图分类号
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号
0301 ; 10 ;
摘要
Aim. To evaluate the dental health status and its relationship with the replacement therapy in persons with haemophilia (PwH). Material and methods. In this descriptive non-interventional cross-sectional study we included a number of 47 patients, divided in 2 distinct age groups: 12 patients under- and 35 above 18 years of age. Demographic information, laboratory findings and dental health status were recorded in a standard form. Dental health was evaluated by means of the decay -missing- filling teeth (DMFT) index and plaque index (PLI); these parameters were correlated with the quality of replacement therapy and compared to a matched control group. Results and discussions. The image offered by our descriptive cross-sectional study revealed a dental status in hemophilic children comparable with that of the children from the matched control group. On the contrary, adult PwH have a dismal DMFT and PLI indexes; they are in significant correlations with the quantity and frequency of replaced coagulation factors. Conclusions. The findings highlight the need of comprehensive oral examinations including preventive dental treatment and follow-up care in the PwH connected to an adequate replacement therapy.
引用
收藏
页码:200 / 204
页数:5
相关论文
共 17 条
[1]   Guidance on the dental management of patients with haemophilia and congenital bleeding disorders [J].
Anderson, J. A. M. ;
Brewer, A. ;
Creagh, D. ;
Hook, S. ;
Mainwaring, J. ;
McKernan, A. ;
Yee, T. T. ;
Yeung, C. A. .
BRITISH DENTAL JOURNAL, 2013, 215 (10) :497-504
[2]  
Banava S, 2012, JIDA, V24, P176
[3]  
Boyd D, 1997, Int J Paediatr Dent, V7, P149, DOI 10.1046/j.1365-263X.1997.00231.x
[4]  
Brewer A, 2006, TREATMENT HEMOPHILIA, V40, P1
[5]   Individualizing Factor Replacement Therapy in Severe Hemophilia [J].
Carcao, Manuel D. ;
Iorio, Alfonso .
SEMINARS IN THROMBOSIS AND HEMOSTASIS, 2015, 41 (08) :864-871
[6]  
Farhadi Farrokh, 2016, ANN APPL BIOSCIENCES, V3, pA223
[7]   The History of Hemophilia [J].
Franchini, Massimo ;
Mannucci, Pier Mannuccio .
SEMINARS IN THROMBOSIS AND HEMOSTASIS, 2014, 40 (05) :571-576
[8]  
Khamis AH, 2016, OPEN J EPIDEMIOLOGY, V06, P16
[9]  
Mielnik-Blaszczak M, 1999, Int J Paediatr Dent, V9, P99, DOI 10.1046/j.1365-263x.1999.00112.x
[10]   Oral health status in children and adolescents with haemophilia [J].
Othman, N. A. A. ;
Sockalingam, S. N. M. P. ;
Mahyuddin, A. .
HAEMOPHILIA, 2015, 21 (05) :605-611