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Orak hücre hastalarında görülen ağız, diş ve çene bölgesi ile ilgili komplikasyonlar hakkında ebeveyn bilgi düzeyinin değerlendirilmesi

Year 2023, Volume: 16 Issue: 1, 83 - 92, 30.04.2023
https://doi.org/10.26559/mersinsbd.1188782

Abstract

Amaç: Orak hücre hastalığı (OHH), hastaların yaşam kalitelerini hayatlarının erken dönemlerinden itibaren etkileyen multisistemik bir hastalıktır. Çalışmamızın amacı; OHH hastalarımızın primer bakım veren ebeveyninin (anne) OHH’a bağlı ağız, diş ve çene bölgesinde gelişen komplikasyonlar ile ilgili bilgi düzeyini değerlendirmektir. Yöntem: Çalışmaya çocuk ve genç erişkinlerden oluşan 50 OHH tanılı hasta ile primer bakım veren ebeveynleri dahil edildi. Ebeveynlere anket uygulanarak OHH’da ağız, diş sağlığı konusundaki bilgi düzeyleri ve çocuklarının ağız, diş, çene bölgesinde deneyimlediği klinik belirtiler sorgulandı. Bulgular: Ebeveynin bilgi düzeyi değerlendirildiğinde; 28’i (%56) OHH’nın ağız, diş, çene sağlığına etkisi olduğunu belirtti. Günde bir kez diş fırçalayan hastalarda hiç fırçalamayanlara göre damar tıkayıcı kriz (DTK) sıklığının daha nadir (%5’e karşı %58), günde ≥2 diş fırçalayanların ise hiç fırçalamayanlara göre transfüzyon sıklığının daha az (%6’ya karşı %32) olduğu saptandı. Sonuç: Çalışmamız; ebeveynlerin %44’ünün OHH’nın ağız, diş ve çene bölgesindeki komplikasyonları bilmediğini gösterdi. Ayrıca diş fırçalamanın DTK ve kan transfüzyon sıklığına etkisi olabileceğini saptadık. Ağız, diş hijyeninin önemi ile OHH’nın bu bölgedeki komplikasyonları konusunda hastaların ve ebeveynlerin farkındalığı artırılmalıdır.

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References

  • Sickle cell disease. Lancet. 2017;390:311–23. doi: 10.1016/S0140-6736(17)30193-9.
  • Hoban M.D, Orkin, S.H, Bauer, D.E. Genetic treatment of a molecular disorder: Gene therapy approaches to sickle cell disease. Blood 2016;127: 839–848. doi: 10.1182/blood2015-09-618587.
  • Manwani D, Frenette P.S. Vaso-occlusion in sickle cell disease: Pathophysiology and novel targeted therapies. Blood 2013;122:3892–3898. doi:10.1182/ blood-2013-05-498311
  • De Montalembert M. Management of children with sickle cell anemia: A collaborative work. Arch. Pediatr. 2002; 9(11): 1195–1201. doi: 10.1016/s0929-693x(02)00083-0.
  • AlDallal SM, AlKathemi MM, Haj WH, AlDallal NM. Dental health in sickle cell disease. Journal of Medicine and Therapeutics. 2017;1(1):1-4. doi: 10.15761/JMT.1000105
  • Mohapatra MK, Bariha PK, Tudu KM, Meher HK, Kumar SR, Sahu AK. Numb chin syndrome with sickle cell disease - a report of two cases. MOJ Clin Med Case Rep. 2019;9(2):39-42. doi: 10.15406/mojcr.2019.09.00299
  • Luna ACA, Rodrigues MJ, Menezes VA, Marques KMG, Santos FAD. Caries prevalence and socioeconomic factors in children with sickle cell anemia. Braz Oral Res. 2012 Jan-Feb;26(1):43-9. doi: 10.1590/s1806-83242012000100008.
  • Kakkar M, Holderle K, Sheth M, Arany S, Schiff L, Planerova A. Orofacial Manifestation and Dental Management of Sickle Cell Disease: A Scoping Review. Anemia. 2021;2021:5556708:1-8 doi: 10.1155/2021/5556708
  • İçtin EG, Dünya Sağlık Örgütü 2003 Dünya Ağız Diş Sağlığı Raporunun Değerlendirilmesi, Ege Üniversitesi, Diş hekimliği Fakültesi, İzmir 2013.
  • Bahekar AA, Singh S, Saha S, Molnar J, Arora R. The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: a meta-analysis. Am Heart J 2007;154:830-837. doi: 10.1016/j.ahj.2007.06.037.
  • Soskolne WA, Klinger A. The relationship between periodontal diseases and diabetes: an overview .Ann Periodontol 2001;6:91-98. doi: 10.1902/annals.2001.6.1.91.
  • Amar S, Han X. The impact of periodontal infection on systemic diseases. Med Sci Monit 2003; 9: 291-29
  • Amoah KG, Nartey MN, and Ekem I. The Orthodontic Management of an Adult with Sickle Cell Disease. Ghana Med J. 2015Sep;49(3):200–213. doi: 10.4314/gmj.v49i3.13
  • Sundd P, Gladwin MT, Novelli EM. Pathophysiology of Sickle Cell Disease. Annu Rev Pathol. 2019 Jan 24;14:263-292. doi: 10.1146/annurev-pathmechdis-012418-012838.
  • Inusa BPD, Hsu LL, Kohli N, Patel A, Evbota KO, Anie KA at all. Sickle Cell Disease—Genetics, Pathophysiology, Clinical Presentation and Treatment. Int J Neonatal Screen. 2019 Jun; 5(2): 20. doi: 10.3390/ijns5020020
  • Costa CPS, Carvalho HLCC, Souza SFC, Thomaz EBAF “Is Sickle Cell Anemia a Risk Factor for Severe Dental Malocclusion?” Brazilian Oral Research. 2015;29 (1): 1-7. doi: 10.1590/1807-3107BOR-2015. vol29.0017
  • Houwing ME, de Pagter PJ , van Beers EJ, Biemond BJ, Rettenbacher E, Rijneveld AW et all. Sickle cell disease: Clinical presentation and management of a global health challenge. Blood Rev. 2019 Sep;37:100580. doi: 10.1016/j.blre.2019.05.004
  • O'Rourke CA, Hawley GM. Sickle cell disorder and orofacial pain in Jamaican patients. British Dental Journal. 1998 Jul 25;185(2):90-92. doi: 10.1038/sj.bdj.4809735.
  • Mulimani P, Ballas SK, Abas ABL, Karanth L. Treatment of dental complications in sickle cell disease Cochrane Database Syst Rev 2016;4:CD011633. doi: 10.1002/14651858.CD011633.
  • Ochocinski D, Dalal M, Black LV, Carr S, Lew J, Sullivan K. Life-Threatening Infectious Complications in Sickle Cell Disease: A Concise Narrative Review. Front. Pediatr. 2020 Feb 20;8:38. doi: 10.3389/fped.2020.00038
  • Little JW, Falace DA, Miller CS, Rhodus NL. Dental Management of the Medically Compromised Patient (Seventh Edition), Mosby Elsevier. St Louis 2008.
  • Fukuda JT, Sonis AL, Platt OS, Kurth S. Acquisition of mutans streptococci and caries prevalence in pediatric sickle cell anemia patients receiving long-term antibiotic therapy. Pediatr Dent. 2005 May-Jun;27(3):186-90
  • American Academy of Pediatric Dentistry Policy on the dental home Pediatr Dent. 2018:21-22.
  • Khurmi N, Gorlin A, Misra L. Perioperative considerations for patients with sickle cell disease: a narrative review. Can J Anaesth 2017; 64(8):860-869. doi: 10.1007/s12630-017-0883-3.

Evaluation of parental knowledge level about complications related to mouth, teeth and jaw area in sickle cell patients

Year 2023, Volume: 16 Issue: 1, 83 - 92, 30.04.2023
https://doi.org/10.26559/mersinsbd.1188782

Abstract

Aim: Sickle cell disease (SCD) is a multisystemic disease that affects the quality of life of patients from the early stages of their lives. The aim of our study was to evaluate the knowledge level of the primary caregiver parent (mother) of our SCD patients about the complications that develop in the mouth, teeth and jaw region. Method: Fifty children and young adults diagnosed with SCD and their primary caregiver parents were included in the study. A questionnaire was applied to the parents, and their level of knowledge on oral and dental health in SCD and the clinical symptoms their children experienced in the mouth, teeth and jaw area were questioned. Results: 28 (56%) of mothers stated that SCD had an effect on oral, dental and jaw health. It was determined that the frequency of vaso-occlusive crisis (VOC) was lower in those who brushed their teeth once a day compared to those who did not brush at all (5% vs. 58%), and the frequency of transfusion was lower in those who brushed ≥2 teeth than those who did not brush at all (6% vs. 32%). Conclusion: Our study; showed that 44% of parents were unaware of the complications of SCD in the mouth, teeth, and jaw area. We also determined that tooth brushing may have an effect on the frequency of VOC and blood transfusion. The awareness of patients and parents about the importance of oral and dental hygiene and the complications of SCD in this region should be increased.

Project Number

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References

  • Sickle cell disease. Lancet. 2017;390:311–23. doi: 10.1016/S0140-6736(17)30193-9.
  • Hoban M.D, Orkin, S.H, Bauer, D.E. Genetic treatment of a molecular disorder: Gene therapy approaches to sickle cell disease. Blood 2016;127: 839–848. doi: 10.1182/blood2015-09-618587.
  • Manwani D, Frenette P.S. Vaso-occlusion in sickle cell disease: Pathophysiology and novel targeted therapies. Blood 2013;122:3892–3898. doi:10.1182/ blood-2013-05-498311
  • De Montalembert M. Management of children with sickle cell anemia: A collaborative work. Arch. Pediatr. 2002; 9(11): 1195–1201. doi: 10.1016/s0929-693x(02)00083-0.
  • AlDallal SM, AlKathemi MM, Haj WH, AlDallal NM. Dental health in sickle cell disease. Journal of Medicine and Therapeutics. 2017;1(1):1-4. doi: 10.15761/JMT.1000105
  • Mohapatra MK, Bariha PK, Tudu KM, Meher HK, Kumar SR, Sahu AK. Numb chin syndrome with sickle cell disease - a report of two cases. MOJ Clin Med Case Rep. 2019;9(2):39-42. doi: 10.15406/mojcr.2019.09.00299
  • Luna ACA, Rodrigues MJ, Menezes VA, Marques KMG, Santos FAD. Caries prevalence and socioeconomic factors in children with sickle cell anemia. Braz Oral Res. 2012 Jan-Feb;26(1):43-9. doi: 10.1590/s1806-83242012000100008.
  • Kakkar M, Holderle K, Sheth M, Arany S, Schiff L, Planerova A. Orofacial Manifestation and Dental Management of Sickle Cell Disease: A Scoping Review. Anemia. 2021;2021:5556708:1-8 doi: 10.1155/2021/5556708
  • İçtin EG, Dünya Sağlık Örgütü 2003 Dünya Ağız Diş Sağlığı Raporunun Değerlendirilmesi, Ege Üniversitesi, Diş hekimliği Fakültesi, İzmir 2013.
  • Bahekar AA, Singh S, Saha S, Molnar J, Arora R. The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: a meta-analysis. Am Heart J 2007;154:830-837. doi: 10.1016/j.ahj.2007.06.037.
  • Soskolne WA, Klinger A. The relationship between periodontal diseases and diabetes: an overview .Ann Periodontol 2001;6:91-98. doi: 10.1902/annals.2001.6.1.91.
  • Amar S, Han X. The impact of periodontal infection on systemic diseases. Med Sci Monit 2003; 9: 291-29
  • Amoah KG, Nartey MN, and Ekem I. The Orthodontic Management of an Adult with Sickle Cell Disease. Ghana Med J. 2015Sep;49(3):200–213. doi: 10.4314/gmj.v49i3.13
  • Sundd P, Gladwin MT, Novelli EM. Pathophysiology of Sickle Cell Disease. Annu Rev Pathol. 2019 Jan 24;14:263-292. doi: 10.1146/annurev-pathmechdis-012418-012838.
  • Inusa BPD, Hsu LL, Kohli N, Patel A, Evbota KO, Anie KA at all. Sickle Cell Disease—Genetics, Pathophysiology, Clinical Presentation and Treatment. Int J Neonatal Screen. 2019 Jun; 5(2): 20. doi: 10.3390/ijns5020020
  • Costa CPS, Carvalho HLCC, Souza SFC, Thomaz EBAF “Is Sickle Cell Anemia a Risk Factor for Severe Dental Malocclusion?” Brazilian Oral Research. 2015;29 (1): 1-7. doi: 10.1590/1807-3107BOR-2015. vol29.0017
  • Houwing ME, de Pagter PJ , van Beers EJ, Biemond BJ, Rettenbacher E, Rijneveld AW et all. Sickle cell disease: Clinical presentation and management of a global health challenge. Blood Rev. 2019 Sep;37:100580. doi: 10.1016/j.blre.2019.05.004
  • O'Rourke CA, Hawley GM. Sickle cell disorder and orofacial pain in Jamaican patients. British Dental Journal. 1998 Jul 25;185(2):90-92. doi: 10.1038/sj.bdj.4809735.
  • Mulimani P, Ballas SK, Abas ABL, Karanth L. Treatment of dental complications in sickle cell disease Cochrane Database Syst Rev 2016;4:CD011633. doi: 10.1002/14651858.CD011633.
  • Ochocinski D, Dalal M, Black LV, Carr S, Lew J, Sullivan K. Life-Threatening Infectious Complications in Sickle Cell Disease: A Concise Narrative Review. Front. Pediatr. 2020 Feb 20;8:38. doi: 10.3389/fped.2020.00038
  • Little JW, Falace DA, Miller CS, Rhodus NL. Dental Management of the Medically Compromised Patient (Seventh Edition), Mosby Elsevier. St Louis 2008.
  • Fukuda JT, Sonis AL, Platt OS, Kurth S. Acquisition of mutans streptococci and caries prevalence in pediatric sickle cell anemia patients receiving long-term antibiotic therapy. Pediatr Dent. 2005 May-Jun;27(3):186-90
  • American Academy of Pediatric Dentistry Policy on the dental home Pediatr Dent. 2018:21-22.
  • Khurmi N, Gorlin A, Misra L. Perioperative considerations for patients with sickle cell disease: a narrative review. Can J Anaesth 2017; 64(8):860-869. doi: 10.1007/s12630-017-0883-3.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Feryal Karahan 0000-0002-1729-9585

Melis Yılmaz 0000-0002-8414-8613

Project Number yok
Publication Date April 30, 2023
Submission Date October 13, 2022
Acceptance Date February 23, 2023
Published in Issue Year 2023 Volume: 16 Issue: 1

Cite

APA Karahan, F., & Yılmaz, M. (2023). Orak hücre hastalarında görülen ağız, diş ve çene bölgesi ile ilgili komplikasyonlar hakkında ebeveyn bilgi düzeyinin değerlendirilmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 16(1), 83-92. https://doi.org/10.26559/mersinsbd.1188782
AMA Karahan F, Yılmaz M. Orak hücre hastalarında görülen ağız, diş ve çene bölgesi ile ilgili komplikasyonlar hakkında ebeveyn bilgi düzeyinin değerlendirilmesi. Mersin Univ Saglık Bilim derg. April 2023;16(1):83-92. doi:10.26559/mersinsbd.1188782
Chicago Karahan, Feryal, and Melis Yılmaz. “Orak hücre hastalarında görülen ağız, Diş Ve çene bölgesi Ile Ilgili Komplikasyonlar hakkında Ebeveyn Bilgi düzeyinin değerlendirilmesi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 16, no. 1 (April 2023): 83-92. https://doi.org/10.26559/mersinsbd.1188782.
EndNote Karahan F, Yılmaz M (April 1, 2023) Orak hücre hastalarında görülen ağız, diş ve çene bölgesi ile ilgili komplikasyonlar hakkında ebeveyn bilgi düzeyinin değerlendirilmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi 16 1 83–92.
IEEE F. Karahan and M. Yılmaz, “Orak hücre hastalarında görülen ağız, diş ve çene bölgesi ile ilgili komplikasyonlar hakkında ebeveyn bilgi düzeyinin değerlendirilmesi”, Mersin Univ Saglık Bilim derg, vol. 16, no. 1, pp. 83–92, 2023, doi: 10.26559/mersinsbd.1188782.
ISNAD Karahan, Feryal - Yılmaz, Melis. “Orak hücre hastalarında görülen ağız, Diş Ve çene bölgesi Ile Ilgili Komplikasyonlar hakkında Ebeveyn Bilgi düzeyinin değerlendirilmesi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 16/1 (April 2023), 83-92. https://doi.org/10.26559/mersinsbd.1188782.
JAMA Karahan F, Yılmaz M. Orak hücre hastalarında görülen ağız, diş ve çene bölgesi ile ilgili komplikasyonlar hakkında ebeveyn bilgi düzeyinin değerlendirilmesi. Mersin Univ Saglık Bilim derg. 2023;16:83–92.
MLA Karahan, Feryal and Melis Yılmaz. “Orak hücre hastalarında görülen ağız, Diş Ve çene bölgesi Ile Ilgili Komplikasyonlar hakkında Ebeveyn Bilgi düzeyinin değerlendirilmesi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, vol. 16, no. 1, 2023, pp. 83-92, doi:10.26559/mersinsbd.1188782.
Vancouver Karahan F, Yılmaz M. Orak hücre hastalarında görülen ağız, diş ve çene bölgesi ile ilgili komplikasyonlar hakkında ebeveyn bilgi düzeyinin değerlendirilmesi. Mersin Univ Saglık Bilim derg. 2023;16(1):83-92.

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