{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T15:11:21Z","timestamp":1775488281830,"version":"3.50.1"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2019,9,24]],"date-time":"2019-09-24T00:00:00Z","timestamp":1569283200000},"content-version":"vor","delay-in-days":1180,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Dent"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Objective: To assess differences in the dental care provided to sickle cell anemia (SCA) patients depending on age. This retrospective study used secondary data from the dental records of the Center of Hematology and Hemotherapy in Maranh\u00e3o (HEMOMAR). Materials and Methods: Data were obtained from 574 dental records of patients with SCA treated or under treatment in the Dental Department of HEMOMAR from 2000 to 2011. Data on the gender, age, duration of dental treatment, number of patients submitted to periodontal treatment (PT), number of filled teeth (FT), teeth extracted (EX), endodontically treated teeth (ET), and reason for the dental procedures were collected. The Kruskal\u2013Wallis test together with Dunn's post hoc test, Chi-square test, and Spearman's correlation was used for statistical analysis. An alpha error of 5% was considered acceptable. Results: Significant differences were found for FT, EX (P &lt; 0.05), ET and PT (P &lt; 0.001) between the age groups. There were fewer FT in children compared to other age groups (P &lt; 0.001). The most common reasons for restorations and endodontic treatment were dental caries (100%) and irreversible pulpitis (55.6%), respectively. The main reasons for teeth extractions were residual roots (21.3%), chronic apical periodontitis (19.7%), and crown destruction (19.3%). There were positive correlations between age and EX (r = 0.93; P = 0.025) and ET (r = 0.92; P = 0.028). Conclusions: FT, ET, EX, and PT procedures become more common in older patients. Tooth decay is the main reason for dental treatment in SCA patients.<\/jats:p>","DOI":"10.4103\/1305-7456.184149","type":"journal-article","created":{"date-parts":[[2016,6,17]],"date-time":"2016-06-17T00:10:18Z","timestamp":1466122218000},"page":"356-360","source":"Crossref","is-referenced-by-count":7,"title":["Dental care provided to sickle cell anemia patients stratified by age: A population-based study in Northeastern Brazil"],"prefix":"10.1055","volume":"10","author":[{"given":"Cyrene Piazera Silva","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Federal University of Maranh\u00e3o, S\u00e3o Lu\u00eds, Maranh\u00e3o, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e1rbara Tamires Cruz","family":"Aires","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Federal University of Maranh\u00e3o, S\u00e3o Lu\u00eds, Maranh\u00e3o, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika B\u00e1rbara Abreu Fonseca","family":"Thomaz","sequence":"additional","affiliation":[{"name":"Department of Public Health, Federal University of Maranh\u00e3o, S\u00e3o Lu\u00eds, Maranh\u00e3o, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soraia de F\u00e1tima Carvalho","family":"Souza","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Federal University of Maranh\u00e3o, S\u00e3o Lu\u00eds, Maranh\u00e3o, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,9,24]]},"reference":[{"key":"key-10.4103\/1305-7456.184149-1","first-page":"711","volume-title":"In search of equity in the Brazilian health system: The case of sickle cell disease","author":"Carvalho","year":"2014","journal-title":"Saude Soc"},{"key":"key-10.4103\/1305-7456.184149-2","first-page":"203","volume-title":"The sickle cell disease in Brazil","author":"Can\u00e7ado","year":"2007","journal-title":"Rev Bras Hematol Hemoter"},{"key":"key-10.4103\/1305-7456.184149-3","unstructured":"Department of Health Care Department of Specialized Care. Education Handbook for Health-Care Line in Sickle Cell Disease. Brasilia, Brazil: Ministry of Health; 2009."},{"key":"key-10.4103\/1305-7456.184149-4","first-page":"95","volume-title":"The association between sickle cell disease and dental caries in African Americans","author":"Laurence","year":"2006","journal-title":"Spec Care Dentist"},{"key":"key-10.4103\/1305-7456.184149-5","first-page":"60","volume-title":"Craniofacial bone abnormalities and malocclusion in individuals with sickle cell anemia: A critical review of the literature","author":"Costa","year":"2012","journal-title":"Rev Bras Hematol Hemoter"},{"key":"key-10.4103\/1305-7456.184149-6","first-page":"177","volume-title":"Association between sickle cell anemia and pulp necrosis","author":"Costa","year":"2013","journal-title":"J Endod"},{"key":"key-10.4103\/1305-7456.184149-7","first-page":"672","volume-title":"Oral and dental complications of sickle cell disease in Nigerians","author":"Okafor","year":"1986","journal-title":"Angiology"},{"key":"key-10.4103\/1305-7456.184149-8","first-page":"55","volume-title":"Sickle cell disease does not predispose to caries or periodontal disease","author":"Passos","year":"2012","journal-title":"Spec Care Dentist"},{"key":"key-10.4103\/1305-7456.184149-9","first-page":"373","volume-title":"The inclusion of the oral health team in the Brazilian family health strategy: Barriers, advances and challenges","author":"Mattos","year":"2014","journal-title":"Cien Saude Colet"},{"key":"key-10.4103\/1305-7456.184149-10","unstructured":"National Oral Health Division. 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