Advertisement

European Archives of Paediatric Dentistry

, Volume 14, Issue 5, pp 339–343 | Cite as

Oral health care in children with haemophilia in Helsinki, Finland

  • H. Rajantie
  • H. Alapulli
  • A. MäkipernaaEmail author
  • S. Ranta
Original Scientific Article
  • 209 Downloads

Abstract

Background

The bleeding tendency and fear of bleeds may have a negative effect on preventive dental care of patients with haemophilia both at home and at dental appointments.

Aim

To describe the clinical practice of dental care in children with haemophilia in Helsinki, Finland.

Methods

This study evaluated retrospectively the medical records of 28 paediatric patients with haemophilia (aged 5.3–17.4 years) from dental visits during 2009–2010. Decayed, missing and filled teeth in the primary (dmft) and permanent dentition (DMFT), Community Periodontal Index (CPI), signs of developmental dental defects in enamel and the number of preventive and restorative procedures were gathered. Dmft + DMFT scores were compared with those of 17,079 non-haemophiliac boys. The Mann–Whitney U-test was used to compare the data between the groups of different severity of haemophilia.

Results

The median number of dental visits per patient was three (range 1–11). Twenty-two patients (79 %) had dmft + DMFT-scores within the 95 % reference range for age. None of the children had a CPI >2. Twelve (43 %) patients had developmental enamel defects. Half had received restorative dental care and three out of four preventive procedures.

Conclusions

Dental care during hospital visits in children with haemophilia may enhance confidence in the preventive dental care and help minimise bleeding during dental procedures.

Keywords

Haemophilia Children DMFT CPI 

Notes

Acknowledgments

This study was supported by grants from the University of Helsinki and Blood Disease Research Foundation, Finland.

Conflict of interest

The authors stated that they had no interests which might be perceived as posing a conflict of interest or bias.

References

  1. Abdelrazik N, Reda M, El-Ziny M, Rabea H. Evaluation of bone mineral density in children with haemophilia: Mansoura University children hospital (MUCH) experience, Mansoura, Egypt. Hematology. 2007;12:431–7.PubMedCrossRefGoogle Scholar
  2. Alioglu B, Selver B, Ozsoy H, et al. Evaluation of bone mineral density in Turkish children with severe haemophilia A: Ankara hospital experience. Haemophilia. 2012;18:69–74.PubMedCrossRefGoogle Scholar
  3. Alpkiliç Baskirt E, Albayrak H, Ak G, et al. Dental and periodontal health in children with haemophilia. JCD. 2009;1:7–10.Google Scholar
  4. Arrow P. Risk factors in the occurrence of enamel defects of the first permanent molars among schoolchildren in Western Australia. Commun Dent Oral Epidemiol. 2009;37:405–15.CrossRefGoogle Scholar
  5. Azhar S, Yazdanie N, Muhammad N. Periodontal status and IOTN interventions among young haemophiliacs. Haemophilia. 2006;12:401–4.PubMedCrossRefGoogle Scholar
  6. Barnes C, Wong P, Egan B, et al. Reduced bone density among children with severe haemophilia. Pediatrics. 2004;114:177–81.CrossRefGoogle Scholar
  7. Boyd D, Kinirons M. Dental caries experience of children with haemophilia in Northern Ireland. Int J Paediatr Dent. 1997;7:149–53.PubMedCrossRefGoogle Scholar
  8. Ford D, Seow WK, Kazoullis S, Holcombe T, Newman B. A controlled study of risk factors for enamel hypoplasia in the permanent dentition. Pediatr Dent. 2009;31:382–8.PubMedGoogle Scholar
  9. Foster H, Fitzgerald J. Dental disease in children with chronic illness. Arch Dis Child. 2005;90:703–8.PubMedCrossRefGoogle Scholar
  10. Jenkins WM, Papapanou PN. Epidemiology of periodontal disease in children and adolescents. Periodontol 2000. 2001;26:16–32.PubMedCrossRefGoogle Scholar
  11. Kabil N, El Alfy MS, Metwalli N. Evaluation of the oral health situation of a group of Egyptian haemophilic children and their re-evaluation following an oral hygiene and diet education programme. Haemophilia. 2007;13:287–92.PubMedCrossRefGoogle Scholar
  12. Kidd EAM. Essentials of dental caries: the disease and its management. 3rd ed. Oxford: Oxford University Press; 2005.Google Scholar
  13. Laisi S, Ess A, Sahlberg C, et al. Amoxicillin may cause molar incisor hypo-mineralization. J Dent Res. 2009;88:132–6.PubMedCrossRefGoogle Scholar
  14. Lewis CW. Dental care and children with special health care needs: a population-based perspective. Acad Pediatr. 2009;9:420–6.PubMedCrossRefGoogle Scholar
  15. Lindhe J, Lang NP, Karring T. Clinical periodontology and implant dentistry. 5th ed. Oxford: Wiley-Blackwell; 2008.Google Scholar
  16. Megson E, Kapellas K, Bartold PM. Relationship between periodontal disease and osteoporosis. Int J Evid Bas Healthc. 2010;8:129–39.CrossRefGoogle Scholar
  17. Mielnik-Blaszczak M. Evaluation of dentition status and oral hygiene in Polish children and adolescents with congenital haemorrhagic diatheses. Int J Paediatr Dent. 1999;9:99–103.PubMedCrossRefGoogle Scholar
  18. Moursi AM, Fernandez JB, Daronch M, Zee L, Jones CL. Nutrition and oral health considerations in children with special health care needs: implications for oral health care providers. Pediatr Dent. 2010;32:333–42.PubMedGoogle Scholar
  19. Nihtilä A, Widström E. Heavy use of dental services among Finnish children and adolescents. Eur J Paediatr Dent. 2009;10:7–12.PubMedGoogle Scholar
  20. Ranta S, Viljakainen H, Mäkipernaa A, Mäkitie O. Hypercalciuria in children with haemophilia suggests primary skeletal pathology. Br J Haematol. 2011;153:364–71.PubMedCrossRefGoogle Scholar
  21. Shearer DM, Thomson WM, Broadbent JM, Poulton R. Maternal oral health predicts their children’s caries experience in adulthood. J Dent Res. 2011;90:672–7.PubMedCrossRefGoogle Scholar
  22. Shearer DM, Thomson WM, Caspi A, et al. Family history and oral health: findings from the Dunedin study. Commun Dent Oral Epidemiol. 2012;40:105–15.CrossRefGoogle Scholar
  23. Sonbol H, Pelargidou M, Lucas VS, et al. Dental health indices and caries-related microflora in children with severe haemophilia. Haemophilia. 2001;7:468–74.PubMedCrossRefGoogle Scholar
  24. Suominen-Taipale L, Nordblad A, Vehkalahti M, Aromaa A. Oral health in the Finnish adult population. Health 2000 survey. Helsinki: Public National Health Institute B25/2008; 2008. p. 1–96.Google Scholar
  25. Vehkalahti M, Tarkkonen L, Varsio S, Heikkilä P. Decrease in and polarization of dental caries occurrence among child and youth populations, 1976–1993. Caries Res. 1997;31:161–5.PubMedCrossRefGoogle Scholar
  26. Weintraub JA, Prakash P, Shain SG, Laccabue M, Gansky SA. Mothers’ caries increases odds of children’s caries. J Dent Res. 2010;89:954–8.PubMedCrossRefGoogle Scholar
  27. WHO. Oral health surveys: basic methods. 4th ed. Geneva: World Health Organization; 1997.Google Scholar
  28. Zerwekh JE. Bone disease and hypercalciuria in children. Pediatr Nephrol. 2010;25:395–401.PubMedCrossRefGoogle Scholar
  29. Ziebolz D, Stühmer C, Hornecker E, et al. Oral health in adult patients with congenital coagulation disorders––a case control study. Haemophilia. 2011;17:527–31.PubMedCrossRefGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2013

Authors and Affiliations

  • H. Rajantie
    • 1
  • H. Alapulli
    • 2
  • A. Mäkipernaa
    • 3
    • 6
    Email author
  • S. Ranta
    • 4
    • 5
  1. 1.Institute of DentistryUniversity of HelsinkiHelsinkiFinland
  2. 2.Department of Oral and Maxillofacial DiseasesHelsinki University Central HospitalHelsinkiFinland
  3. 3.Department of Haematology, Coagulation DisordersHelsinki University Central HospitalHelsinkiFinland
  4. 4.Children’s Hospital, Helsinki University Central HospitalHelsinkiFinland
  5. 5.Astrid Lindgren Children’s Hospital, Karolinska University Hospital SolnaStockholmSweden
  6. 6.Meilahti HospitalHUS, HelsinkiFinland

Personalised recommendations