ORAL HYGIENE OF DOWN SYNDROME CHILDREN BORN TO ELDERLY PRIMIGRAVIDA

Materials and methods: Prospective study of reproductive age group of female patients in the range of 30-39 years were included in the study who had conceived for the first time -elderly primigravida were obtained from Navodaya hospitals during the period of 2017 to 2019 in Karnataka who had bad obstetric history with high risk of complications of hypertension, fibroids, malpresentation, malposition, prolonged labour, premature labour and perinatal mortality. Few of the elderly primigravida had past history of anaemia, diabetes and heart diseases. Children born to them who were suspected to be suffering from Down syndrome were evaluated genetically. Children suffering from Down syndrome who had bad oral hygiene comprising periodontal disease, dental caries, facial and dental anomalies and other clinical presentations like compromised immune system, hypotonia, seizures were included in the study of age ranging from 01-10 years. Total data obtained for a period of 3years were 108 children of which 62 were boys and remaining girls 46. Periodontal disease was the most common oral health problem in children with Down syndrome born to elderly primigravida with bad obstetric history followed by dental caries. Results: In the genetic evaluation the children who were suffering from Down syndrome found out to be was standard trisomy (83.6%), comparing to translocation1 and mosaicism. Majority of the children presented with periodontal disease were 33 (30.6%), of which 23 boys and remaining girls. Dental caries17 (15.7%), boys presented were 10 and the remaining cases were girls (07). Conclusion: Majority of the Down syndrome children presented with periodontal disease and caries teeth apart from other clinical presentations. Keywords: Elderly primigravida, Down syndrome, bad oral hygiene.