Edorium Journal of

Dentistry

 
     
Original Article
 
Oral health practices, plaques scores and gingivitis in children between 2–15 years old and living with HIV in Nairobi and Mombasa (Kenya)
Mariam Hussein1, Gladys Opinya2
1B.D.S (Manipal) MDS Paediatric Dent (Nairobi), Former Masters Student Department of Paediatric Dentistry & Orthodontics; School of Dental Sciences; College of Health Sciences University of Nairobi.
2BDS (Nbi) CAGS, MSc. (Boston) PhD (Nbi), Professor of Paediatric Dentistry, Department of Paediatric Dentistry & Orthodontics; School of Dental Sciences; College of Health Sciences, University of Nairobi.

Article ID: 100021D01MH2017
doi:10.5348/D01-2017-21-OA-1

Address correspondence to:
Gladys N. Opinya
Professor of Paediatric Dentistry, Department of Paediatric Dentistry & Orthodontics; School of Dental Sciences
College of Health Sciences, University of Nairobi
P.O.BOX 30197-00100
Nairobi Kenya

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How to cite this article
Hussein M, Opinya G. Oral health practices, plaques scores and gingivitis in children between 2–15 years old and living with HIV in Nairobi and Mombasa (Kenya). Edorium J Dent 2017;4:1–11.


Abstract
Aims: To determine the oral hygiene status, prevalence severity of plaque and gingivitis scores among HIV infected children.
Methods: Two hundred and thirty-seven children living with HIV aged between 2–15 years were recruited from two homes and two hospital based centres in Nairobi and Mombasa, Kenya. The clinical examination was undertaken and findings recorded on a modified World Health Organization (WHO) oral health assessment form; data was analyzed using SPSS version 20.0.
Results: There were 237 participants in which 112 (47.3%) were boys and 125 (52.7%) were girls, and mean age was 7.5 years. In turn those with fair and poor oral hygiene were 161 (67.9%) and 49 (20.7%). Children with mild and moderate gingivitis were 115 (48.5%) and 89 (37.6%) respectively. The oral hygiene difference were significant with a chi-square 17.511; 2df; p = 0.000. Better oral hygiene was observed in children with no evidence of immunosuppression compared to the children with moderate or severe immune suppression and this was significant; Chi, square 13.028; 4df; p = 0.011. Significant differences were noted in oral hygiene in children who had difficulties in maintaining oral hygiene and those who did not chi square 3.356; 2df; p = 0.001. Poor oral hygiene with high plague and gingival scores was observed amongst children who complained of difficulties in feeding; chi square 15.172; 2df; p = 0.001.
Conclusion: Poor oral health status; high plaque and gingivitis scores were noted in children who had severe immunosuppression and complained of pain and when challenges feeding.

Keywords: Children, Gingivitis, HIV/AIDS, Oral complaints, Plague


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Author Contributions:
Mariam Hussein – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gladys Opinya – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Mariam Hussein et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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