title: Sickle cell disease does not predispose to caries or periodontal disease.
abstract: This study investigated the prevalence of dental caries and periodontal condition in a population with sickle cell disease (SCD), analyzing some associations with disease severity. The Decayed, Missing and Filled Teeth index (DMFT) and Community Periodontal Index (CPI) were recorded for 99 individuals with SCD and 91 matched controls. Socio-demographic status, oral health behaviors, and history of clinical severity of SCD were assessed. Statistical comparisons were performed between the group with SCD and the control group, as well as multivariate logistic regression analyses with DMFT index and CPI as the dependent variables. The mean number of decayed teeth was significantly higher in individuals with HbSS. Older age, female gender, and daily smoking were identified as risk factors for higher DMFT, while older age and absence of daily use of dental floss were risk factors for the development of periodontal disease. In conclusion, risk factors known to cause caries and periodontal disease had more influence on oral health than the direct impact of SCD.
authors.affiliation: Graduate Program of Interactive Processes of Organs and Systems, Institute of Health Science, Institute of Health Science-Federal University of Bahia, Salvador, Brazil.
authors.forename: Cristina Pinho
authors.initials: CP
authors.lastname: Passos
authors.forename: Poliana Ramos Braga
authors.initials: PR
authors.lastname: Santos
authors.forename: Márcio Cajazeira
authors.initials: MC
authors.lastname: Aguiar
authors.forename: Maria Cristina Teixeira
authors.initials: MC
authors.lastname: Cangussu
authors.forename: Maria Betánia Pereira
authors.initials: MB
authors.lastname: Toralles
authors.forename: Maria Christina Bahiana Olympio
authors.initials: MC
authors.lastname: da Silva
authors.forename: Roberto José Meyer
authors.initials: RJ
authors.lastname: Nascimento
authors.forename: Maria Isabela Guimarães
authors.initials: MI
authors.lastname: Campos
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000755:Anemia, Sickle Cell / Q000453:epidemiology*; D001938:Brazil / Q000453:epidemiology; D016022:Case-Control Studies; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology*; D003742:Dental Devices, Home Care / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior; D006450:Hemoglobin SC Disease / Q000453:epidemiology; D006451:Hemoglobin, Sickle / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D010510:Periodontal Diseases / Q000453:epidemiology*; D010512:Periodontal Index; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology; D012923:Social Class; D055815:Young Adult
chemical_list: D006451:Hemoglobin, Sickle