Malocclusion and treatment need in children and adolescents with sickle cell disease |
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Authors: | Ana Cludia Alves e Luna Fabiana Godoy Valdenice Aparecida de Menezes |
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Institution: | aPhD Student, Pediatric Dentistry, Dental School, University of Pernambuco, Camaragibe, Pernambuco, Brazil ; bPhD, Post-Doctoral Program, Pediatric Dentistry, Dental School, University of Pernambuco, Camaragibe, Pernambuco, Brazil ; cProfessor, Pediatric Dentistry, Dental School, University of Pernambuco, Camaragibe, Pernambuco, Brazil |
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Abstract: | Objective:To assess the prevalence of malocclusion and treatment need in children and adolescents with sickle cell disease (SCD).Materials and Methods:In this cross-sectional study, the sample size comprised 35 five-year-old children and 36 adolescents of both sexes, aged between 12 to 18 years, with SCD. Dental occlusion was assessed using two indexes: the Malocclusion Index (World Health Organization) and the Dental Aesthetic Index (DAI).Results:The prevalence of malocclusion in the preschool children was 62.9%. The main malocclusions observed in this age group were Class II (37.1%), increased overjet (28.6%), reduced overbite (28.6%), and open bite (17.1%). In the 12- to 18-year-old subjects, the prevalence of malocclusion was 100%, and the most prevalent types of malocclusion were maxillary overjet (63.9%) and maxillary misalignment (58.3%). It is noteworthy that the majority of adolescents (80.6%) had very severe or disabling malocclusions.Conclusion:The results revealed a high prevalence of malocclusion in children and adolescents with SCD. According to DAI score, the majority of the sample presented with very severe malocclusion and a compulsory treatment need. |
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Keywords: | Anemia Sickle cell Malocclusion Maxillofacial abnormalities |
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