Prevalence of Enamel Defects and Caries in Diamond Blackfan Anaemia

  • Research type

    Research Study

  • Full title

    Prevalence of Enamel Defects and Dental Caries in Patients with Diamond Blackfan Anaemia Attending St. Mary's Hospital, London

  • IRAS ID

    158317

  • Contact name

    Marielle Kabban

  • Contact email

    marielle.kabban@nhs.net

  • Sponsor organisation

    King's College London, Guy's Campus

  • Research summary

    Diamond Blackfan Anaemia (DBA) is a rare genetic disorder. There is lack of information in the literature regarding the dental findings in DBA patients. Willis and Seale (1984) reported findings of a supernumerary (extra) tooth, impacted third molars, and obliterations of nerve canals of erupted teeth in one 15 year old DBA patient. An earlier case reported severe gingival inflammation, multiple tooth decay, and poor healing of recent tooth extraction sites (Sanger and Wilson, 1982). Craniofacial abnormalities described as ear deformities, under-development of the midface and lower jaw and cleft palate have also been reported to be associated with DBA (Gripp et al, 2001). Childhood medical problems especially in the first two years of life have been known as possible factors for defects of tooth enamel (Alaluusua, 2010). DBA patients are high risk for enamel defects. The aim of this study is to report the prevalence of enamel defects and dental decay in patients with DBA. All DBA paediatric patients already have a dental exam as part of their routine appointments at the Paediatric Haematology and Bone Marrow Transplantation Unit at St Mary's Hospital, London. Enamel defects will be scored using validated indices; the modified Dental Developmental Defect (DDE) index (FDI, 1992) and the International Caries Detection and Assessment System (ICDAS) index (Ismail, 2007). The postgraduate student will collate and report these findings.

  • REC name

    South Central - Oxford C Research Ethics Committee

  • REC reference

    14/SC/1264

  • Date of REC Opinion

    23 Sep 2014

  • REC opinion

    Further Information Favourable Opinion