Periodontal Treatment Needs and Oral Ulceration in Children and Adolescents with Celiac Disease
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 8
Abstract
Aim: To determine periodontal treatment needs and the incidence of oral ulceration among children and adolescents with celiac disease and to compare their findings with a healthy age and gender-matched control group. Methods: A prospective study was conducted at King Hussein Medical Center on a total of 86 patients: 43 patients with celiac disease as the study group (comma removed) and 43 healthy age and gender-matched participants as the control group. Both groups were questioned for a history of recurrent mouth ulcers (comma removed) and the frequency of tooth brushing. The dental examination for each patient in both groups included the following: plaque index, gingival index (comma removed) and Community Periodontal Index of Treatment Needs (CPITN). The oral mucosa was examined clinically for any lesion consistent with aphthous ulceration. Results: There were 26 females and 17 males in each group, with a mean age of 13.2 and 13.3 years respectively. Plaque scores were significantly higher among the study group (p<0.05) while the difference in the gingival scores was not statistically significant (p>0.05). Recurrent aphthous ulceration (RAS) was positive among 13 (30.23%) celiac patients compared to 9 (20.9%) among the control group. However, the result was not statistically significant (p>0.05). CPITN revealed no significant difference between the two groups although the mean index was higher among the celiac group. No one in either group scored 0, while the highest percentage in both groups scored 2. Shallow and deep pockets (scores of 3 and 4) were greater in celiac patients. Overall, the variation between the two groups was not statistically significant. Conclusion: Oral hygiene status seems worse in celiac patients, which indicates that oral health education programs may be beneficial for these children. Although the need for periodontal treatment and the frequency of RAS are higher in celiac patients, the statistical difference was not significant (p NS).
Authors and Affiliations
Reem H. Dababneh, Ruwaida Hijazeen
Keywords
Related Articles
- EP ID EP348663
- DOI 10.9734/BJMMR/2014/7580
- Views 70
- Downloads 0
Dentinal Tubules of Attrited, Abraded and Eroded Teeth- A Comparative Evaluation of Scanning Electron and Light Microscope
Aim: The aim was to study the ultrastructure of dentin exposed by attrition, abrasion and erosion separately and in combination and to visualize the lesions using scanning electron microscope and thereby establish a supe...
Isolated Unilateral Adduction Paresis of the Right Eye Due to a Contusion in the Subnucleus of Oculomotor Nerve
In this report we present a 45 year old man with horizontal diplopia following minor head trauma. Neurological examination was normal except for unilateral adduction paresis of the right eye. Brain magnetic resonance ima...
Outcomes of Laparoscopic Cholecystectomy in Patients 65 Years and Older
Aim: Laparoscopic surgery is considered to be the gold standard in gall bladder surgery and to take advantage of its benefits, the number of laparoscopic procedures carried out on elderly patients is increasing daily. Th...
Bone Marrow Mast Cell Density Correlates with Circulating Biomarkers of Bone Disease in Multiple Myeloma
Aims: There is increased mast cell density (MCD) in multiple myeloma (MM) bone marrow (BM) that is correlated with advanced disease stage. Mast cells (MCs) produce various mediators promoting MM growth and bone metabolis...
Mild Hypothermia Attenuates the Excitatory Amino Acids Overflow and Diminishes the Nitric Oxide Synthase Activity during Reperfusion after Asphyxial Cardiac Arrest in Rats
Aims: Neurotransmitter overflow into the extracellular space and activation of nitric oxide synthase were implicated in neuronal death after cerebral ischemia. A small temperature reduction induced after the insult cruci...