Oral health status of children with syndromic craniosynostosis.
OBJECTIVE
To gain more information on the oral health status of subjects with syndromic craniosynostosis.


METHODS
A cross-sectional study.


METHODS
The present study took place at the Hospital for Rehabilitation of Craniofacial Anomalies of University of São Paulo (HRAC-USP). The sample was 19 patients with syndromic craniosynostosis (10 Apert, 5 Crouzon, 2 Pfeiffer and 2 Saethre-Chotzen), aged 5 to 15 years. An assessment of plaque, caries and gingival indices, and evaluation of the efficacy of toothbrushing was carried out. The measurements included PHP index, dmft and DMFT indices, gingival index, comparison of PHP before and after non-supervised toothbrushing and between individuals with and without severe syndactyly.


RESULTS
The patients displayed high plaque index and poor efficacy of toothbrushing, regardless of the presence of severe syndactyly; despite the plaque accumulation, the gingival index was not proportionally high. There was predominance of the D component for the DMFT index, which combined with the need for restorative treatment in 42.1% of the patients indicates poor access to dental care by these patients.


CONCLUSIONS
The results show the need for a dental follow-up programme for these patients. Carers should be informed of the importance in aiding these patients during accomplishment of oral hygiene at home.
Dalben
Gisele da Silva
Gda S
Public Health Dentistry Sector, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil. gisdalben@centrinho.usp.br
Costa
Beatriz
B
Gomide
Marcia Ribeiro
MR
D000168:Acrocephalosyndactylia / Q000150:complications; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003394:Craniofacial Dysostosis / Q000150:complications; D003398:Craniosynostoses / Q000150:complications*; D003731:Dental Caries / Q000150:complications*; D003773:Dental Plaque / Q000150:complications*; D004812:Epidemiologic Methods; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D009909:Oral Health; D023861:Photography, Dental; D013577:Syndrome; D014099:Toothbrushing