Global Behavior and Periodontal Disease in Down's Syndrome Patients

University of Sao Paulo33 enrolled

Overview

This study aimed at correlating global behavior of Down's Syndrome patients to periodontal disease status.

There is a higher prevalence and severity of periodontal disease in Down's Syndrome patients. Plaque levels in these patients are high due to poor hygiene habits. Behavior also may contribute to the overall periodontal condition.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Behavior Periodontal Diseases

Interventions

Behavior AnalysisBEHAVIORAL

One examiner observed global behavior of patients during a dental care session, guided by a behavioral scale.

Eligibility

Sex: ALLMin age: 15 YearsMax age: 52 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Down's Syndrome Diagnose characterized by the whole chromosomal aneuploidy 15 to 52 years * Absence of severe hearing loss could impair the comprehension about the dental treatment * Absence of severe visual loss that could impair the comprehension about the dental treatment * Presence of at least four teeth being one for hemiarch. * Diagnose of gingivitis and periodontitis * Absence of acute periodontal disease and necrotizing periodontal disease. Exclusion Criteria: * Smokers * Use of alcohol * Menopause * Pregnancy * Absence of all teeth * Uncontrolled diabetes mellitus * Uncontrolled hyperthyroidism * Angina * Uncontrolled hypertension * Coagulopathy * Use of illicit drugs * Head and neck radiotherapy * Chemotherapy * Non-cooperative patients or patients with other diseases as autism.

Locations (1)

Bauru School of Dentistry

Bauru, São Paulo, Brazil

Outcomes

Primary Outcomes

Periodontal disease (gingivitis and periodontitis) measured by a periodontal probe and classified according to severity

Severe periodontitis was defined by the presence of ≥ 2 interproximal sites in different teeth with clinical attachment level (CAL) ≥ 6mm and ≥1 interproximal site with pocket probing depth (PPD) ≥5mm. Moderate periodontitis was defined by the presence of ≥ 2 interproximal sites in different teeth with CAL ≥ 4mm or ≥ 2 interproximal sites in different teeth with PPD ≥5mm. Mild periodontitis was defined as ≥ 2 interproximal sites in different teeth with ≥ 3 mm CAL and ≥ 2 interproximal sites in different teeth with ≥ 4 mm PPD or at least 1 site with PPD ≥ 5 mm (20,21). Gingivitis was determined as follows: Subjects were considered healthy if presented PPD ≤3mm/BOP extent scores \< 10% and with gingivitis if presented PPD ≤3mm/ bleeding on probing (BOP) extent scores \>10%. Prevalence of periodontal disease was the sum of gingivitis, mild, moderate and severe periodontitis.

Time frame: One day

Global behavior - observation and scoring based on a behavior scale

Behavioral aspects: Interaction to evaluator, Communicative intention, Attention time, Response to conversation, Comprehension of concrete/no concrete situations with/without visual support, Parental interference, Acceptance of activities, Mimic, Eye contact, Participation in the dialogue (speech), Logical time sequence, Dialogue keeping, Word production Scores: 0 - absence, 1 - strictly presented, 2 - evidently presented.

Time frame: One day

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.