Browsing by Author "Ghaith, Batool"

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Dental Caries Experience and Oral Health in Down Syndrome Children In Dubai, United Arab Emirates: A Case Control Study
(2016-08) Ghaith, Batool
Aims: The purpose of this study was to assess the oral health status in Down syndrome (DS) children in Dubai, United Arab Emirates (UAE). Materials and Methods: A total of 106 DS children (mean age = 9.3 ± 2.8)and 125 healthy children (mean age = 11.7 ± 4.4) were recruited from both special needs centres and private/public schools in Dubai. A dental examination including caries assessment using dmft/DMFT indices, oral hygiene assessment using the Simplified Oral Hygiene Index, an assessment of occlusal anomalies, dentofacial abnormalities, soft tissue abnormalities and erosion were conducted. Results: The mean number of DMFT in DS children was significantly higher than that in healthy children (3.32 ± 4.62 vs. 2.16 ± 2.86). The dmft scores were highest among the youngest age groups in DS with primary dentition compared to their controls. The Met Need Index (MNI) and Restorative Index (RI) were calculated from the mean dmft/DMFT of the studied DS sample. DS children in the primary dentition group had higher RI and MNI scores than the control group (RI= 27% and MNI= 40%vs RI= 2.52% and MNI= 2.54%). On the other hand, Calculus Index (CI) was found to be significantly higher among children with DS (0.25±0.52) compared with healthy controls (0.07±0.27) (p-value < 0.004).DS subjects had a significantly higher proportion of open bite compared to the controlgroup (40% vs 11.2%), crossbite (42% vs. 28%), scissor bite (9.5% vs 2.4%), anterior spacing (45.3% vs 32%) and posterior spacing (20.8% vs. 8%). Class IIImolar Angle malocclusion was significantly higher in DS (66%) compared to controls (11.2%). DS individuals had remarkably increased frequencies of dentofacial anomalies such as shovel shaped incisors, high arched palate and microdontia compared to controls. In addition, erosion was significantly higher among DS children compared to healthy control(34% vs. 15.3%). Conclusions: Individuals with DS feature unique medical and orofacial characteristics that might interfere with their oral health. This current study had concluded thatDS children in Dubai had higher caries rate compared to healthy children. Despite the high caries rate among DS subjects, they received more restorations and dental treatment compared to the controlgroup.DS subjectsin Dubai demonstrated most of the dentofacial anomalies usually seen in DS individuals.
Dental Implications of Down Syndrome (DS): Review of the Oral and Dental Characteristics
(2017-05-27) Ghaith, Batool; El-Halabi, Manal; Kowash, Mawlood B.
Abstract: A literature search was conducted to identify the key oral and dental manifestations of DS. These findings are discussed and used to suggest recommendations for treatment planning in DS patients for the practicing dental practitioner and also to help other medical professionals in understanding the oral health status of DS patients and the importance of liaison with dental professionals.
The hall technique in paediatric dentistry: a review of the literature and an “all hall” case report with a-24 month follow up
(2017) Ghaith, Batool; Hussein, Iyad
Aim: This paper highlights a non-invasive treatment option for primary molars, where decay is sealed under preformed stainless steel crowns (SSC). Summary: Restoring the carious primary molar in children using the “Hall Technique (HT)” is an internationally controversial but evidence-based new treatment modality. It started in the United Kingdom (UK) in 2007 where it is now considered the “Gold Standard” for managing the multi-surface asymptomatic carious primary molar. We review the literature and report a two year follow up of a case treated in Dubai, United Arab Emirates (UAE) where we restored all eight carious primary molars in a 3-year-old child by using the Hall Technique. This approach avoided the need for treatment under local analgesia general anesthesia in this very young child. It is relevant to general dental practitioners, with an interest in children’s dentistry in addition to specialists in pediatric dentistry. Key learning points: • SSCs placed using the HT are not suitable for all child patients with caries; • There are selection criteria that should be assessed before considering this technique; • There should be a clear radiolucent band between the carious lesion and pulp of the tooth intended • to be restored with the HT; • There should be no signs or symptoms of pulpal pathosis; • All teeth treated with the HT should be followed up clinically and radiographically following the same protocols as conventional treatments.