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. 2022 Oct 19;11(20):6174.
doi: 10.3390/jcm11206174.

Rate of Dental Extractions in Patients with Sickle Cell Disease

Adeel Ahmad  1 , Diana Mihalca  1 , Ben Stacey  1 , Sayna Samaee  1 , Dipal Mehta  1 , Stephen Hibbs  1 , Tanya Freeman  1 , Basabi Chatterjee  1 , Enamul Ali  2 , Leo Cheng  2 , Dimitris A Tsitsikas  1
Affiliations

Rate of Dental Extractions in Patients with Sickle Cell Disease

Adeel Ahmad et al. J Clin Med. .

Abstract

Background: Sickle cell disease is an inherited disorder associated with chronic haemolysis and anaemia, recurrent episodes of pain and potentially multisystem end-organ damage. A lot less is known about the dental health of these patients.

Aims: To explore the incidence of severe dental disease leading to dental extraction in our sickle cell population.

Patient/methods: We undertook an audit looking at the rate of dental extractions, as a composite marker of severe dental disease, among sickle cell patients over a 3-month period. The patients were unselected and approached during routine assessments. We analysed both clinical and laboratory data to look for possible associations between dental disease and sickle cell characteristics.

Results: 177 patients were interviewed between February 2022 and April 2022. Overall, 71% of the patients had at least one dental extraction with a median number of teeth extracted of three and a median age at first extraction of 26. More than half of the patients stated that they do not have regular dental check-ups. There were no significant associations with the severity of sickle cell phenotype, baseline Hb or markers of haemolysis.

Conclusion: A large number of patients with sickle cell disease require dental extractions at a relatively young age. The lack of any correlation with disease severity suggests that poor engagement with dental services and the underestimation of the importance of dental health are the main factors behind the increased prevalence of severe dental disease. Actively enquiring about dental problems should be part of any routine consultation with these patients, both in primary and specialist care.

Keywords: dental extraction; dental health; sickle cell disease.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Correlation between dental extraction and haematological and haemolytic markers. D.E. is ‘Dental Extraction’, <3 and ≥3 refer to the number of extractions, and <26 and ≥26 refer to the age of the patient at their first extraction.
See this image and copyright information in PMC

References

    1. Stuart S.M.J., Nagel R.L. Sickle-cell disease. Lancet. 2004;364:1343–1360. doi: 10.1016/S0140-6736(04)17192-4. - DOI - PubMed
    1. Du E., Diez-Silva M., Kato G.J., Dao M., Suresh S. Kinetics of sickle cell biorheology and implications for painful vaso-occlusive crisis. Proc. Natl. Acad. Sci. USA. 2015;112:1422–1427. doi: 10.1073/pnas.1424111112. - DOI - PMC - PubMed
    1. Piel F.B., Steinberg M.H., Rees D.C. Sickle Cell Disease. N. Engl. J. Med. 2017;376:1561–1573. doi: 10.1056/NEJMra1510865. - DOI - PubMed
    1. Yue H., Xu X., Liu Q., Li X., Jiang W., Hu B. Association between sickle cell disease and dental caries: A systematic review and meta-analysis. Hematology. 2020;25:309–319. doi: 10.1080/16078454.2020.1748927. - DOI - PubMed
    1. Kakkar M., Holderle K., Sheth M., Arany S., Schiff L., Planerova A. Orofacial Manifestation and Dental Management of Sickle Cell Disease: A Scoping Review. Anemia. 2021;2021:5556708. doi: 10.1155/2021/5556708. - DOI - PMC - PubMed

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