Gingival inflammation and hematological parameters in children with visceral leishmaniasis: A cross-sectional study

Spec Care Dentist. 2022 Nov;42(6):630-637. doi: 10.1111/scd.12723. Epub 2022 Apr 7.

Abstract

Aims: This cross-sectional study aimed to assess gingival inflammation in 67 children aged 1-8 years (mean age 3.07) with visceral leishmaniasis (VL) at the time of hospitalization (D1) and 7 days after the first interview (D7) and compare the main hematological changes between the two time points.

Methods and results: The biofilm index was verified at D1 and D7 using the Simplified Oral Hygiene Index (OHI-S) and the gingival inflammation index based on the gingival index (GI), along with hematological parameters. The mean OHI-S was 2.35 ± 0.93 at D1 and 1.47 ± 0.75 at D7. The mean GI was 0.56 ± 0.59 at D1 and 0.11 ± 0.32 at D7. The variable OHI-S at D1 could predict GI at D1, as an increase in the OHI-S value by one unit was associated with an increase in the GI D1 value by 0.36 units (p < .05). Multivariate linear regression analysis showed that none of the hematological variables were predictive of gingival inflammation at D1 and D7.

Conclusion: Children with VL had poor oral hygiene on the first day of hospitalization. Clinically, the oral hygiene status progressed from poor at D1 to regular at D7. After 7 days the gingival bleeding scores also reduces.

Keywords: child; gingivitis; oral health; visceral leishmaniasis.

MeSH terms

  • Child
  • Cross-Sectional Studies
  • Gingivitis*
  • Humans
  • Infant, Newborn
  • Inflammation
  • Leishmaniasis, Visceral* / complications
  • Oral Hygiene