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Can different stages of leprosy treatment influence the profile of oral health? Oral status in leprosy

Matos, Fernanda-Zanol ; Aranha, Andreza-Maria-Fábio ; Borges, Álvaro-Henrique ; Pedro, Fábio-Luiz-Miranda ; Raslan, Suzane A ; Hamida, Fádua ; Veiga, Kadyja ; Porto, Alessandra-Nogueira

Medicina Oral, Patología Oral y Cirugía Bucal, 2018, Vol.23(4), p.e376-e383 [Periódico revisado por pares]

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  • Título:
    Can different stages of leprosy treatment influence the profile of oral health? Oral status in leprosy
  • Autor: Matos, Fernanda-Zanol ; Aranha, Andreza-Maria-Fábio ; Borges, Álvaro-Henrique ; Pedro, Fábio-Luiz-Miranda ; Raslan, Suzane A ; Hamida, Fádua ; Veiga, Kadyja ; Porto, Alessandra-Nogueira
  • Assuntos: Research
  • É parte de: Medicina Oral, Patología Oral y Cirugía Bucal, 2018, Vol.23(4), p.e376-e383
  • Descrição: Background The aim of study was to evaluate the oral health status, salivary flow and halitosis among individuals diagnosed with leprosy as compared with healthy subjects. Material and Methods A sample of 160 individuals was allocated into four groups, as follows: (G1) individuals with complete leprosy treatment; (G2) individuals diagnosed with leprosy and under multi-drug therapy; (G3) individuals diagnosed with leprosy not yet under treatment; and (G4) healthy individuals. Then individuals were submitted to periodontal clinical examination (visible plaque index, bleeding index, depth of probing and clinical attachment level); DMFT index (decayed-missing-filled teeth index); evaluation of salivary flow and halitosis using a halimeter equipment (Interscan Corp, Chatsworth, CA, USA). Results The data were analyzed using Kruskal-Wallis and chi-square tests. The mean DMFT was found to be higher than 6.6, which is considered very high, with no significant difference between groups ( P >0.05). As for salivary flow, 76.2% of the subjects presented normal flow rates, while 10% and 13.7% showed low and very low salivary flow rates, respectively, with hyposalivation being mostly observed in Groups 1 and 2. The highest prevalence of noticeable odor was found in healthy individuals (G4), and the most prevalent periodontal diagnosis was gingivitis (63.1%) in Group 3 (individuals with leprosy not yet under multi-drug therapy) followed by periodontitis (25%) in Group 1 (individuals who had completed leprosy treatment). Conclusions It was observed that individuals with a history of leprosy present poor oral health similar to that of systemically healthy individuals. Key words: Leprosy, Periodontal diseases, Halitosis, CPO Index.

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