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Document Type |
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Thesis |
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Document Title |
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Assessment of Oral Health Status and Salivary Characteristics in a Group of Pediatric Oncology Patients undergoing Chemotherapy تقييم الحالة الصحية للفم والأسنان و خصائص اللُعاب في مجموعة من الأطفال المصابين بالسرطان تحت العلاج الكيماوي |
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Subject |
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Faculty of Dentistry |
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Document Language |
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Arabic |
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Abstract |
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Background: Assessment of overall oral health status in pediatric oncology patients undergoing chemotherapy is limited so, it seemed appropriate to conduct a study to investigate this. Aim: The aim of this study was to assess oral health status and salivary characteristics in a group of pediatric oncology patients undergoing chemotherapy at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Methods: The sample size consisted of 49 pediatric oncology patients undergoing chemotherapy aged 3 to 14 years old. Dental caries was examined using dmft /DMFT indices. Oral hygiene status was evaluated using simplified oral hygiene index (OHI-S). Gingival and periodontal status was assessed using visual periodontal index (PI-V). Oral mucositis was assessed using the World Health Organization’s oral toxicity scale. The urgency for dental treatment need was assessed using codes developed by the Association of State and Territorial Dental. Saliva flow rate, pH and buffer capacity was assessed as well using GC Saliva-Check BUFFER kit. Subjective symptoms related to oral health was assessed using Visual Analog Scale (VAS). Pain was also assessed using the Wong-Baker FACES pain scale. Statistical analysis involved descriptive univariate and bivariate analysis using SPSS software. Significant differences were considered at p-value of 0.05. Results: Of the 49 subjects who were included in the study, (61.2%) of them were males and (38.8%) were females and their mean age was 7.41 ± 2.94. Ninety percent had no dental examination before starting chemotherapy. Eighty eight percent had oral complications after starting chemotherapy. The prevalence of dental caries in primary teeth and permanent teeth was (85.7% and 42.9% respectively). The mean dmft was 7.02 ± 5.55, however the mean DMFT was 1.86 ± 2.62. Eighty two percent had poor oral hygiene while forty one had severe gingivitis. Oral mucositis was present 39% . More than one third of the participants needed immediate dental care (40.8%), More than half of the children had hyposalivation (67%). The majority of them had low buffer capacity. The mean DMFT showed statistical significance difference with the age of the children (P<0.001). The mean dmft showed statistical significance difference with honey intake. Interestingly, subjects who took honey, had lower dmft scores (6.125.14) compared to subjects who did not take honey (11.635.60) and the difference was statistically significant (P= 0.012). Moreover, oral pain showed a statistically significant association with oral complications after starting chemotherapy. Subjects who reported oral complications after starting chemotherapy reported higher mean scores of pain (4.23 ± 3.18) compared to subjects who did not report that (1.00 ± 2.45) and the difference was statistically significant (P=0.017). On the other hand, The mean score of dmft and oral pain showed a statistically significant association with dental treatment urgency need (P= 0.003) (P<0.001) respectively. Conclusion: Pediatric oncology patients had significantly high percentage of caries, decreased salivary characteristics and overall poor oral health. This highlights the need of intense oral hygiene programs that involves preventive measures with oral health monitoring and periodic dental examinations before, during and after chemotherapy |
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Supervisor |
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Prof. Najla Al-Amoudi |
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Thesis Type |
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Master Thesis |
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Publishing Year |
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1443 AH
2022 AD |
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Co-Supervisor |
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Prof. Eman Al-Ashiri |
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Added Date |
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Friday, January 20, 2023 |
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Researchers
| شهد عيسى العمودي | Al-Amoudi, Shahd Issa | Researcher | Master | |
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