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A total of 126 patients were included in the study65 girls and 61 boys. The mean age of the subjects was 8±4 years (ranging from three to sixteen years). The most represented age group was that from 3-4 years of age. Most of the participants were from the Central Region (46%). All of the subjects were homozygous for hemoglobin SS. Subjects with yearly frequency of three vaso-occlusive crises represented 42.9% of the sample. 57.9% of the patients had been polytransfused within the past 3 years (> 2 transfusions). Up to 45.2% of the patients had been hospitalized within the past year. Ninety-eight percent (98%) of the patients used toothbrushes as main tool for bucco-dental hygiene. Sixty-nine percent (69%) of the patients brushed their teeth at least once daily and 53.2% of them brushed their teeth in the horizontal direction. Average plaque control was found in 47.6%. Mixed dentition was found in 41.3% of the patients. At least one dental anomaly was found in 65.9% of them with dental structural anomalies being the most frequent (43.4%) type of anomaly. The mean DMF (number of obstructed, absent or teeth with caries) was 4.12±12. The mean plaque index was 1.3±0.6 with average plaque control in 47.6%. All the patients had gingival inflammation to various degrees. Mucosal hypertrophy was found in 59.3% Pale (light) pink was found in 42.1% of them. Periodontitis was found in 27.8% of the patients.

Bucco-dental manifestations of sickle-cell anemia in Cameroonian children and adolescents