Oral Health Profiles and Related Quality of Life in Thalassemia Children in Relation to Iron Overload: A Cross-Sectional Study

Hani T. Fadel, Mohammed A. Zolaly, Manal O. Alharbi, Lujain A. Qarah, Maher S. Alrehili, Abdulaziz D. Alamri and Ahmed M. Tarawah
Additional contact information
Hani T. Fadel: Department of Preventive Dental Sciences, College of Dentistry, Taibah University, AlMadinah AlMunawwarah 42313, Saudi Arabia
Mohammed A. Zolaly: Department of Pediatrics, College of Medicine, Taibah University, AlMadinah AlMunawwarah 42353, Saudi Arabia
Manal O. Alharbi: Private Practice, AlMadinah AlMunawwarah 42351, Saudi Arabia
Lujain A. Qarah: Private Practice, AlMadinah AlMunawwarah 42351, Saudi Arabia
Maher S. Alrehili: Private Practice, AlMadinah AlMunawwarah 42351, Saudi Arabia
Abdulaziz D. Alamri: Private Practice, AlMadinah AlMunawwarah 42351, Saudi Arabia
Ahmed M. Tarawah: Pediatric Hematology, King Abdullah Medical City, AlMadinah AlMunawwarah 42319, Saudi Arabia

IJERPH, 2020, vol. 17, issue 24, 1-9

Abstract: The aim was to assess the oral health of children with β-thalassemia major (BTM) and their oral health-related quality of life (OHRQoL) in relation to the serum ferritin level (SFL). Thirty-nine children with BTM underwent an interview, salivary sampling and an oral clinical examination. The Early Childhood Oral Health Impact Scale (ECOHIS) was used to assess their OHRQoL. The mean age of the participants was 9 ± 3 years, with 62% females. The body mass index and salivary secretion rate were within normal ranges. The mean plaque index, gingival bleeding index and number of decayed, missing and filled tooth surfaces were 70 ± 29, 38 ± 25 and 3.2 ± 4, respectively, with no significant differences between individuals with SFL below or above 2000 ng/mL ( p > 0.05). No significant differences were observed between the two groups in any of the ECOHIS questions ( p > 0.05). The mean ECOHIS score was 4.2 ± 4. Individuals with SFL ≥2000 ng/mL had a significantly higher mean score in the family domain “Parent Distress” than those with lower SFL ( p ≤ 0.05). Within the study limits, children with β-thalassemia major generally had high dental caries experience and gingival inflammation, yet an acceptable OHRQoL. Those with high SFL had less favorable scores in the domain “Parent Distress”.

Keywords: beta-thalassemia; iron overload; oral health; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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