aim of the study:
1. to assess, investigate, and compare the oral health status and oral health related quality of life of a group of hemophilic Egyptian children before and after an oral health educational program 2. evaluate the effectiveness of oral health educational programs on the oral health status of the Egyptian hemophilic children
benefits to patients: oral health awareness and change in the oral care levels with methods that match their health needs benefits to clinician: better understanding of the oral conditions associated with hemophilic patients, and their effects on oral health benefits to community: improvement of children's oral health, oral health awareness, promoting the importance of regular dental check ups for children with hemophilia
both sexes having hemophilia A,B or C
no associated co morbid diseases
mild, moderate and severe forms of hemophilia
children whose parents agreed to participate in the study
patients with psychiatric disorders
children whose parents refused to participate in the study
patients using drugs( as cyclosporine, phenytoin) inducing periodontal problems
Factorial
oral health educational program
Behavioraloral health educational program to the hemophilic children guided by the oral and dental care instructions provided by the AAPD and World federation of hemophilia oral care instructions
oral health status in Egyptian hemophilic children
Oral Health Status 1. Dental Caries in Permanent Teeth (Decayed, Missing, and Filled Teeth Index) The Decayed, Missing, and Filled Teeth index records the number of decayed, missing due to caries, and filled permanent teeth. A mean score is calculated for the study group. Mean DMFT score. Minimum value: 0 - Maximum value: 28. Higher scores indicate worse oral health status. 2. Dental Caries in Primary Teeth (Decayed, Extracted, and Filled Teeth Index) The Decayed, Extracted, and Filled Teeth index records decayed, extracted due to caries, and filled primary teeth. A mean def score is reported for the study group. Minimum value: 0 - Maximum value: 20. Higher scores indicate worse oral health status. 3. Oral Hygiene Status (Oral Hygiene Index-Simplified) The Oral Hygiene Index-Simplified combines debris and calculus scores to assess oral hygiene status Mean score. least value: 0 - Max:6 Lower score indicate better oral hygiene, and higher scores indicate worse oral hygiene.
oral health related quality of life of a group of Egyptian hemophilic and non hemophilic children
Oral Health-Related Quality of Life 4. CPQ11-14 Total Score The validated Arabic Child Perceptions Questionnaire (CPQ11-14) includes 36 items across four domains: oral symptoms, functional limitations, emotional well-being, and social well-being. The sum of all items provides a total score. Higher scores indicate greater negative impact. Unit of Measure: Mean CPQ11-14 total score (range 0-144) 5. CPQ11-14 Domain Scores Description: Sub scores are reported separately for oral symptoms, functional limitations, emotional well-being, and social well-being. Unit of Measure: Mean domain score (Oral symptoms: 0-24; Functional limitations: 0-36; Emotional well-being: 0-36; Social well-being: 0-48) 6. Global Rating of Oral Health Description: Children provide a self-assessment of oral health: excellent, very good, good, acceptable, or bad. Unit of Measure: Ordinal score (0 = excellent, 1 = very good, 2 = good, 3 = acceptable, 4 = bad) 7. Overall Well-Being Impact of Oral Health ordinal score
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