Redžepagić Vražalica Lejla, Jelešković Azra, Mujić Jahić Indira, Tiro Alisa, Džemidžić Vildana, Mušanović Alma
Univerzitet u Sarajevu, Stomatološki fakultet sa klinikama, Federacija BiH
Abstract
Background/Aim: The objective of this research was to evaluate the level of oral hygiene, the prevalence of caries, and the condition of the soft tissues in children and adolescents referred for their first orthodontic examination. Material and Methods: The research was conducted at the Department of Orthodontics of Sarajevo University – at the Faculty of Dentistry with the Dental Clinical Center. A total of 300 patients with mixed and permanent dentition who were referred for their first orthodontic examination were included in the study. The patients were offered to sign a Letter of Informed Consent for this study. All patients were assigned a Decayed, Missing, and Filled Teeth (dmft/DMFT) index. Periodontal indices were evaluated on all first permanent molars and all permanent central incisors. The periodontal indices included the determination of PI,CI,GI, PBI. Results: The results were processed with the application of standard statistical methods, by using the SPSS computer program for statistical analyses (SPSS-Statistical Package for Social Sciences) Version 21.0. The results of this study show a high dmft and DMFT indices in patients referred for orthodontic examination. The dmft index value in the respondents with mixed dentition was 3.0 (1.0 – 6.0). The DMFT index value in the respondents with permanent dentition was 4.0 (0.0 – 6.0), while in the respondents with mixed dentition, it was 1.0 (0.0 – 3.0). Our research also shows that out of 300 patients referred to an orthodontist for their first orthodontic examination, 250 of them (83.33%) have demonstrated an increased value of the Plaque index. Conclusions: The results of this research should be peculiarly alarming for pedodontists and general dentists, cautioning them to implement caries prevention measures more intensively and make referrals to an orthodontist only in case of those patients who have been cured previously.
Keywords: Orthodontic Patients; Dmft/DMFT Index; Periodontal Indices
Reference
Baskaradoss, J.K., Geevarghese, A., Roger, C., Thaliath, A. (2013) Prevalence of malocclusion and its relationship with caries among school children aged 11-15 years in southern India. Korean J Orthod, 43:35-41
Benjamin, R.M. (2010) Oral health: the silent epidemic. Public Health Rep, 125:158-159
Bernhardt, O., Krey, K.F., Daboul, A., Völzke, H., Splieth, C., Kocher, T., Schwahn, C. (2021) Association between coronal caries and malocclusion in an adult population. J Orofac Orthop, 82:295-312
Boke, F., Gazioglu, C., Akkaya, S., Akkaya, M. (2014) Relationship between orthodontic treatment and gingival health: A retrospective study. Eur J Dent, 8:373-380
Cernei, E.R., Maxim, D.C., Zegan, G. (2016) The study of the Association of Decay Risk With Malocclusions in Mixed Dentition at Children From Northeast Romania. A Transversal Retrospective Study. Rev Med Chir Soc Med Nat Iasi, 120:932-941
Doğramacı, E.J., Brennan, D.S. (2019) The influence of orthodontic treatment on dental caries: An Australian cohort study. Community Dent Oral Epidemiol, 47:210-216
Đuričković, M., Ivanović, M. (2011) The state of oral health in children at the age of 12 in Montenegro. Vojnosanit Pregl, vol. 68, br. 7, str. 550-555
Hadzic, S., Gojkov-Vukelic, M., Pasic, E., Jahic, I.M., Muharemovic, A., Redzepagic-Vrazalica, L., Jeleskovic, A., Nakas, E. (2022) Evaluation of Periodontal Changes in Patients Before, During, and After a Fixed Orthodontic Therapy. Mater Sociomed, 34:121-125
Karacaoglu, F., Gazioglu, C., Akkaya, S., Akkaya, M. (2016) Are the Effects of Fixed Orthodontic Treatment on Gingival Health Similar in Adolescents and Young Adults?. J Biomedical Sci, 6:1-6
Kukletova, M., Izakovicova, H.L., Musilova, K., Broukal, Z., Kukla, L. (2012) Relationship between gingivitis severity, caries experience and orthodontic anomalies in 13-15 year-old adolescents in Brno, Czech Republic. Community Dent Health, 29:179-183
Leong, P.M., Gussy, M.G., Barrow, S.-Y.L., de Silva-Sanigorski, A., Waters, E. (2013) A systematic review of risk factors during first year of life for early childhood caries. Int J Paediat Den, 23:235-250
Manohar, N., Hayen, A., Fahey, P., Arora, A. (2020) Obesity and dental caries in early childhood: A systematic review and meta-analyses. Obes Rev, 21:e12960
Markovic, N., Arslanagic, M.A., Kobaslija, S., Bajric, E., Selimovic-Dragas, M., Huseinbegovic, A. (2013) Caries prevalence of children and adolescents in Bosnia and Herzegovina. Acta Med Acad, 42:108-116
Mathur, V.P., Dhillon, J.K. (2018) Dental Caries: A Disease Which Needs Attention. Indian J Pediatr, 85:202-206
Preoteasa, C.T., Ionescu, E., Preoteasa, E. (2012) Risks and Complications Associated with Orthodontic Treatment. u: Bourzgui F. [ur.] Orthodontics: Basic Aspects and Clinical Considerations, Rijeka: In Tech, p.403-428
1
Seow, W.K. (2018) Early Childhood Caries. Pediatr Clin North Am, 65:941-954
Singh, A., Purohit, B., Sequeira, P., Acharya, S., Bhat, M. (2011) Malocclusion and orthodontic treatment need measured by the dental aesthetic index and its association with dental caries in Indian schoolchildren. Community Dent Health, 28:313-316
Soldo, M., Matijević, J., Malčić, I.A., Čuković-Bagić, I., Marks, L., Nikolov, B.D., Krmek, J.S. (2020) Impact of oral hygiene instructions on plaque index in adolescents. Cent Eur J Public Health, 28:103-107
1
Špalj, S., Katalinić, A., Varga, S., Radica, N. (2012) Ortodontski priručnik. Rijeka: Medicinski fakultet Sveučilišta u Rijeci, p. 97-8
Tadić, K., Katić, V., Špalj, S. (2018) Caries Experience of the Patients Referred for an Orthodontic Consultation. Acta Stomatol Croat, 52:123-131
Travess, H., Roberts-Harry, D., Sandy, J. (2004) Orthodontics. Part 6: Risks in orthodontic treatment. Br Dent J, 196:71-77
Velasco, S.R.M., Pistelli, G.C., Razera, F.P.M., Menezes-Silva, R., Bastos, R.S., Navarro, M.F.L. (2021) Dental caries spectrum profile in Brazilian public school children and adolescents. Braz Oral Res, 35:e067
Balkan Journal of Dental Medicine, 2023, vol. 27, br. 2, str. 98-102