Pattern of malocclusion in children living with sickle cell anemia

Background: Sickle cell anemia is a hereditary disorder of the hematological system. It involves the production of abnormal hemoglobin, which is sickle in shape and has a short life span, resulting in secondary hemopoietic function by the long bones and the jaw bones. The disorder burden not only pr...

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Main Authors: Orighoye Tosan Temisanren, Babatunde Oludare Fakuade, Fadekemi Adetutu Ajibade, Saleh Yuguda, Ahmed Girei
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Sahel Medical Journal
Subjects:
Online Access:http://www.smjonline.org/article.asp?issn=1118-8561;year=2019;volume=22;issue=4;spage=200;epage=206;aulast=Temisanren
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author Orighoye Tosan Temisanren
Babatunde Oludare Fakuade
Fadekemi Adetutu Ajibade
Saleh Yuguda
Ahmed Girei
author_facet Orighoye Tosan Temisanren
Babatunde Oludare Fakuade
Fadekemi Adetutu Ajibade
Saleh Yuguda
Ahmed Girei
author_sort Orighoye Tosan Temisanren
collection DOAJ
description Background: Sickle cell anemia is a hereditary disorder of the hematological system. It involves the production of abnormal hemoglobin, which is sickle in shape and has a short life span, resulting in secondary hemopoietic function by the long bones and the jaw bones. The disorder burden not only presents with systemic affectations and morbidity that is commonly observed but also has immense effects on the jaw bones presenting as malocclusion and in severe cases causing gnathopathy and psychosocial disturbance, especially with esthetics. Other dental effects include functional disturbances and diseases of the oral tissue. Objective: The aim of this study is to determine the occlusal pattern of children with sickle cell anemia. Materials and Methods: Consecutive patients attending the Sickle Cell Clinic of the department of Hematology, Federal Teaching Hospital Gombe, aged 6 to 16years. The inclusion criteria included individuals who have been diagnosed to have HbSS using electrophoresis. Sociodemographic data and oral examination were carried out, and dental and occlusal parameters were recorded in a data collection form. Data were analyzed using the SPSS software version 19. The level of statistical significance was set at P < 0.05. Results: The mean age was 10.12 ± 3.10 years. Ninety (55.6%) patients were male. The samples were grouped into two: Group I ages 6–10 years comprising 92 children and ages 11–16 years comprising 70 children in Group II. Angle's Class I molar relationship was observed to be 86 (93.5%) and 57 (81.4%), respectively, for Groups I and II. Overjet and overbite were found to be increased in 34 (37.0%) and 5 (5.4%) for Group I and 23 (32.9%) and 5 (7.1%) for Group II, respectively. Conclusion: The burden of sickle cell anemia is not limited to systemic manifestations alone. Dental presentations that could affect psychosocial, function, health of oral tissues, and speech have also been observed. Therefore, it is expedient that these individuals on presentation to the clinic are examined in a holistic manner with a view to attending to all their presenting problems at an early stage.
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spelling doaj.art-983423dfc9a0470d8318084507f153862022-12-21T20:18:57ZengWolters Kluwer Medknow PublicationsSahel Medical Journal2321-66892019-01-0122420020610.4103/smj.smj_49_18Pattern of malocclusion in children living with sickle cell anemiaOrighoye Tosan TemisanrenBabatunde Oludare FakuadeFadekemi Adetutu AjibadeSaleh YugudaAhmed GireiBackground: Sickle cell anemia is a hereditary disorder of the hematological system. It involves the production of abnormal hemoglobin, which is sickle in shape and has a short life span, resulting in secondary hemopoietic function by the long bones and the jaw bones. The disorder burden not only presents with systemic affectations and morbidity that is commonly observed but also has immense effects on the jaw bones presenting as malocclusion and in severe cases causing gnathopathy and psychosocial disturbance, especially with esthetics. Other dental effects include functional disturbances and diseases of the oral tissue. Objective: The aim of this study is to determine the occlusal pattern of children with sickle cell anemia. Materials and Methods: Consecutive patients attending the Sickle Cell Clinic of the department of Hematology, Federal Teaching Hospital Gombe, aged 6 to 16years. The inclusion criteria included individuals who have been diagnosed to have HbSS using electrophoresis. Sociodemographic data and oral examination were carried out, and dental and occlusal parameters were recorded in a data collection form. Data were analyzed using the SPSS software version 19. The level of statistical significance was set at P < 0.05. Results: The mean age was 10.12 ± 3.10 years. Ninety (55.6%) patients were male. The samples were grouped into two: Group I ages 6–10 years comprising 92 children and ages 11–16 years comprising 70 children in Group II. Angle's Class I molar relationship was observed to be 86 (93.5%) and 57 (81.4%), respectively, for Groups I and II. Overjet and overbite were found to be increased in 34 (37.0%) and 5 (5.4%) for Group I and 23 (32.9%) and 5 (7.1%) for Group II, respectively. Conclusion: The burden of sickle cell anemia is not limited to systemic manifestations alone. Dental presentations that could affect psychosocial, function, health of oral tissues, and speech have also been observed. Therefore, it is expedient that these individuals on presentation to the clinic are examined in a holistic manner with a view to attending to all their presenting problems at an early stage.http://www.smjonline.org/article.asp?issn=1118-8561;year=2019;volume=22;issue=4;spage=200;epage=206;aulast=Temisanrenmalocclusionsickle cell anemiateeth
spellingShingle Orighoye Tosan Temisanren
Babatunde Oludare Fakuade
Fadekemi Adetutu Ajibade
Saleh Yuguda
Ahmed Girei
Pattern of malocclusion in children living with sickle cell anemia
Sahel Medical Journal
malocclusion
sickle cell anemia
teeth
title Pattern of malocclusion in children living with sickle cell anemia
title_full Pattern of malocclusion in children living with sickle cell anemia
title_fullStr Pattern of malocclusion in children living with sickle cell anemia
title_full_unstemmed Pattern of malocclusion in children living with sickle cell anemia
title_short Pattern of malocclusion in children living with sickle cell anemia
title_sort pattern of malocclusion in children living with sickle cell anemia
topic malocclusion
sickle cell anemia
teeth
url http://www.smjonline.org/article.asp?issn=1118-8561;year=2019;volume=22;issue=4;spage=200;epage=206;aulast=Temisanren
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AT fadekemiadetutuajibade patternofmalocclusioninchildrenlivingwithsicklecellanemia
AT salehyuguda patternofmalocclusioninchildrenlivingwithsicklecellanemia
AT ahmedgirei patternofmalocclusioninchildrenlivingwithsicklecellanemia