ORAL HYGIENE STATUS IN CRETINISM PATIENTS
DOI:
https://doi.org/10.61841/ct8d8655Keywords:
Hyperthyroidism, oral hygiene, cretinism, misalignment, tooth decay, treatmentAbstract
INTRODUCTION
Cretinism is a condition of severely stunted physical and mental growth owing to untreated congenital deficiency of thyroid hormone (congenital hypothyroidism), usually owing to maternal hypothyroidism. Dental characteristics of hypothyroidism are thick lips, a large-sized tongue, etc. Delayed eruption of primary and permanent dentitions can be observed. This study deals with the oral hygiene status in cretinism patients.
MATERIALS AND METHODS
A questionnaire was prepared and distributed among the undergraduate and postgraduate doctors in Saveetha Dental Hospital and nearby clinics. A total of 70 participants attended this survey. The questionnaire was based on the awareness and treatment of oral hygiene in cretinism patients.
RESULTS:
60% of the respondents were aware of cretinism. 56% were aware of stunted physical and mental growth. 52% come across any cretinism patients during practice. 87% were aware that treating cretinism patients is different from treating normal patients. 46% were aware that cretinism patients have compromised periodontal health - bone resorption. 68% feel orthodontic treatment is necessary for treating cretinism patients. (Table 1)
CONCLUSION
Cretinism patients usually vary from normal children in their external appearance, and most of them face difficulty in phonetics and mastication. Hence, special care must be taken while treating them. Malocclusion is misalignment or incorrect relation between the teeth of two dental arches. In cretinism patients, although the teeth reach normal size, they are frequently crowded due to the small size of the jaws. Hence, malocclusion and oral hygiene should be diagnosed and treated in cretinism patients. Correction of malocclusion may reduce the risk of tooth decay and help relieve excessive pressure on the temporomandibular joint.
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References
(1) Chandna S, Bathla M. Oral manifestations of thyroid disorders and their management. Indian J Endocrinol Metab. 2011;15:S113–6. [PMC free article] [PubMed]
(2) Nagendra J, Srinivasa J. Dental treatment alteration in thyroid disease. Pak Oral Dent J. 2011;31:23–6.
(3) Silverton SF. Endocrine disease. In: Greenberg MS, Glick M, editors. Burket's Oral Medicine Diagnosis and
Treatment. 10th ed. Hamilton: BC Decker Inc; 2003. pp. 578–91.
(4) Pinto A, Glick M. Management of patients with thyroid disease: Oral health considerations. J Am Dent
Assoc. 2002;133:849–58. [PubMed]
(5) Hanau KJ, Naoom ER, Mahammed HO. CPITN in Iraqi females with thyroid dysfunction. Mustansiriyah
Dent J. 2012;9:99–106.
(6) Pinto A, Glick M. Management of patients with thyroid disease: Oral health considerations. J Am Dent
Assoc. 2002;133:849–58. [PubMed]
(7) Little JW. Thyroid disorders. Part II: Hypothyroidism and thyroiditis. Oral Surg Oral Med Oral Pathol Oral
Radiol Endod. 2006;102:148–53. [PubMed]
(8) Stewart CM. Endocrine diseases. In: Silverman S, Eversole SL, Truelove EL, editors. Essentials of Oral
Medicine. 1st ed. Hamilton (London): BC Decker Inc; 2001. pp. 84–99.
(9) Ayna B, Tumen DS, Celenk S, Bolgul B. Dental treatment of congenital hypothyroidism: Case report. In
Dent Med Disord. 2008;1:34–6.
(10) Kapoor S, Kabra M. Newborn screening in India: Current perspectives. Indian Pediatr. 2010;47:219–24.
[PubMed]
(11) Kishore KR, Ranieri E, Fletcher J. Newborn screening for congenital hypothyroidism in India is overdue. J
Neonatal Biol. 2014;3:129.
(12)Dhar V, Jain A, Van Dyke TE, Kohli A. Prevalence of gingival diseases, malocclusion and fluorosis in
school-going children of rural areas in Udaipur district. J Indian Soc Pedod Prev Dent. 2007;25:103–5.
English JD, Buschang PH, Throckmorton GS. Does malocclusion affect masticatory performance?
Angle Orthod. 2002;72:21–7.
(14) Karaiskos N, Wiltshire WA, Odlum O, Brothwell D, Hassard TH. Preventive and interceptive orthodontic
treatment needs of an inner-city group of 6- and 9-year-old Canadian children. J Can Dent Assoc.
2005;71:649.
(15) Marques LS, Pordeus IA, Ramos-Jorge ML, Filogônio CA, Filogônio CB, Pereira LJ, et al. Factors
associated with the desire for orthodontic treatment among Brazilian adolescents and their parents. BMC Oral
Health. 2009;9:34.
(16) Mtaya M, Brudvik P, Astrøm AN. Prevalence of malocclusion and its relationship with socio-demographic
factors, dental caries, and oral hygiene in 12- to 14-year-old Tanzanian schoolchildren. Eur J Orthod.
2009;31:467–76. [PubMed]
(17) Brito DI, Dias PF, Gleiser R. Prevalence of malocclusion in children aged 9-12 years old in the city of Nova
Friburgo, Rio de Janeiro state, Brazil. Rev Dent Press Ortod Ortop Facial. 2009;14:118–24.
(18) Peres S.H., Goya S., Cortellazzi K.L., Ambrosano G.M., Meneghim Mde C., Pereira A.C. Self-perception
and malocclusion and their relation to oral appearance and function. Cienc. Saude Coletiva. 2011;16:4059–
4066. doi: 10.1590/S1413-81232011001100011. [PubMed]
(19) Foster Page L.A., Thomson W.M., Jokovic A., Locker D. Validation of the child perceptions questionnaire
(cpq11-14) J. Dent. Res. 2005;84:649–652. doi: 10.1177/154405910508400713. [PubMed]
(20) Choi S.H., Kim J.S., Cha J.Y., Hwang C.J. Effect of malocclusion severity on oral health-related quality of
life and food intake ability in a Korean population. Amer. J. Orthodont. Dent. Orthop. 2016;149:384–390.
doi: 10.1016/j.ajodo.2015.08.019. [PubMed]
[21] Legovic M, Mady L. Longitudinal occlusal changes from primary to permanent dentition in children with
normal primary occlusion. Angle Orthod. 1999;69:264–266. [PubMed] (22) Onyeaso CO, Isiekwe MC.
Occlusal changes from primary to mixed dentition in Nigerian children. Angle Orthod. 2008;78:64–69. doi:
10.2319/021207-66.1. [PubMed]
[23] Dimberg L, Lennartsson B, Arnrup K, Bondemark L. Prevalence and change of malocclusions from
Primary to early permanent dentition: a longitudinal study. Angle Orthod. 2015;85:728–734. doi:
10.2319/080414-542.1.[Pubmed]
[24] Huber MA, Terezhalmy GT. Risk stratification and dental management of the patient with thyroid
dysfunction. Quintessence Int. 2008;39:139–50. [PubMed] [25] McMillan C, Bradley C, Razvi S, Weaver
J. Psychometric evaluation of a new questionnaire measuring treatment satisfaction in hypothyroidism: The
ThyTSQ. Value Health. 2006;9:132–9. [PubMed] [26] Carlos-Fabue L, Jimenez-Soriano Y, Sarrion-Perez MG Dental management of patients with endocrine disorders. J Clin Exp Dent. 2010;2:196–203.
[27] Huber MA, Terezhalmy GT. Risk stratification and dental management of the patient with thyroid
dysfunction. Quintessence Int. 2008;39:139–50. [PubMed]
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