Correlation Between Periodontal Pocket Depth And Periodontal Disease In Down Syndrome Considering Age, Sex, Nutrition, Toothbrushing

Penulis

  • Naifatul Aulia Ahmad Universitas Mulawarman, Fakultas Kedokteran Gigi image/svg+xml
  • Nuryanni Dihin Utami Department of Periodontology, Faculty of Dentistry, Universitas Mulawarman, Samarinda, Indonesia image/svg+xml
  • Nydia Hanan Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Mulawarman, Samarinda, Indonesia image/svg+xml
  • Sinar Yani Faculty of Dentistry, Universitas Mulawarman, Samarinda, Indonesia image/svg+xml
  • Listiyawati Listiyawati Faculty of Dentistry, Universitas Mulawarman, Samarinda, Indonesia image/svg+xml

DOI:

https://doi.org/10.30659/medali.8.1.61-68

Kata Kunci:

Down Syndrome, Periodontal Disease, Periodontal Probing Depth, Age, Toothbrushing

Abstrak

Background: Down syndrome is a genetic disorder with a high prevalence of periodontal disease. Increased periodontal pocket depth is one of the important indicators in assessing periodontal tissue damage. Factors such as age, sex, nutritional status, and toothbrushing patterns are thought to influence periodontal conditions in individuals with Down syndrome. This study aims to analyze the relationship between these factors and periodontal pocket depth values in individuals with Down syndrome.

Method: This study used an analytical observational design with a cross-sectional approach involving 40 respondents who met the inclusion criteria. Clinical examination of periodontal pocket depth was carried out using a WHO probe at six points of each tooth. Nutritional status data were obtained through body mass index (BMI) measurements, while toothbrushing patterns and respondent characteristics were obtained through structured interviews. Data analysis included Spearman and Chi-square tests with a significance level of p<0,05.

Result: The results showed a significant relationship between age (p=0.000; r=0.646) and toothbrushing patterns (p=0.008; r=0.412) with periodontal pocket depth. Meanwhile, sex (p=0.726) and nutritional status (p=0.679) did not show a significant relationship with periodontal pocket depth in individuals with Down syndrome.

Conclusion: The results showed a significant relationship between age (p=0.000; r=0.646) and toothbrushing patterns (p=0.008; r=0.412) with periodontal pocket depth. Meanwhile, sex (p=0.726) and nutritional status (p=0.679) did not show a significant relationship with periodontal pocket depth in individuals with Down syndrome

Biografi Penulis

  • Naifatul Aulia Ahmad, Universitas Mulawarman, Fakultas Kedokteran Gigi
    Mahasiswa Program Sarjana, Fakultas Kedokteran Gigi, Universitas Mulawarman
  • Nuryanni Dihin Utami, Department of Periodontology, Faculty of Dentistry, Universitas Mulawarman, Samarinda, Indonesia
    Periodontist and lecturer at the Department of Periodontology, Faculty of Dentistry, Universitas Mulawarman, Indonesia.
  • Nydia Hanan, Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Mulawarman, Samarinda, Indonesia
    Pediatric dentist and lecturer at the Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Mulawarman, Indonesia.
  • Sinar Yani, Faculty of Dentistry, Universitas Mulawarman, Samarinda, Indonesia
    Lecturer at the Faculty of Dentistry, Universitas Mulawarman, Indonesia.
  • Listiyawati Listiyawati, Faculty of Dentistry, Universitas Mulawarman, Samarinda, Indonesia

    Lecturer at the Faculty of Dentistry, Universitas Mulawarman, Indonesia.

Referensi

Vergier V, Collignon A, Gosset M, Bonnet A. Periodontal diseases in Down syndrome during childhood: a scoping review.

https://doi.org/10.1186/s12903-025-05540-2

Ghaffarpour M, Karami-Zarandi M, Rahdar HA, Feyisa SG, Taki E. Periodontal disease in down syndrome: Predisposing factors and potential non-surgical therapeutic approaches. J Clin Lab Anal. 2024;38(1-2):1-14. https://doi.org/10.1002/jcla.25002

Umar W, Salim AA, Putri DNCK. The Prevention upon the Congenital Anomalies Effect: A Comparative Study between Indonesia, the United Kingdom and the United States. Indones Comp Law Rev. 2019;2(1). https://doi.org/10.18196/iclr.2115.

Antonarakis SE, Skotko BG, Rafii MS, Strydom A, Pape SE, Bianchi DW, et al. Down syndrome. Nat Rev Dis Primers. 2020;6(1):1-43. https://doi.org/10.1038/s41572-019-0143-7.

Nuernberg MAA, Ivanaga CA, Haas AN, Aranega AM, Casarin RCV, Caminaga RMS, et al. Periodontal status of individuals with Down syndrome: sociodemographic, behavioural and family perception influence. J Intellect Disabil Res. 2019;63(10):1181-92. https://doi.org/10.1111/jir.12629.

Scalioni FAR, Carrada CF, Martins CC, Ribeiro RA, Paiva SM. Periodontal disease in patients with Down syndrome: A systematic review. J Am Dent Assoc. 2018;149(7):628-39.e11. https://doi.org/10.1016/j.adaj.2018.03.010.

Amira S, Fauziah E, Suharsini M. Occurrence of gingivitis and oral hygiene in individuals with down syndrome. Pesqui Bras Odontopediatria Clin Integrada. 2019;19(1):1-7. https://doi.org/10.4034/PBOCI.2019.191.145.

Octafianto A, Saskianti T, Wahluyo S, Tedjosasongko U, Novianti A, Sahar D. Gingivitis in Children with Down Syndrome: Review of Local and Systemic Factors. Acta Med Philipp. 2023;57(6):52-8. https://doi.org/10.47895/amp.vi0.3955.

Puteri MM, Saskianti T, Estu AR, Bornado B, Maulani B, Naomi N. The Correlation between Oral Health Condition in Down Syndrome Children with Physical Fitness: A Literature Review. J Int Dent Med Res. 2022;15(2):922-5.

Roba I, Elena Z, de los Ángeles D, Gustavo S. Prevalence of Periodontal Disease in Young Adults with Down Syndrome. J Oral Health Dent Sci. 2018;2(3):1-7.

Culebras-Atienza E, Silvestre FJ, Silvestre-Rangil J. Possible association between obesity and periodontitis in patients with down syndrome. Med Oral Patol Oral Cir Bucal. 2018;23(3):e335-43. https://doi.org/10.4317/medoral.22311.

Barnett ML, Press KP, Friedman D, Sonnenberg EM. The Prevalence of Periodontitis and Dental Caries in a Down's Syndrome Population. J Periodontol. 1986;57(5):288-93. https://doi.org/10.1902/jop.1986.57.5.288.

Morgan J. Why is periodontal disease more prevalent and more severe in people with Down syndrome? Spec Care Dent. 2007;27(5):196-201. https://doi.org/10.1111/j.1754-4505.2007.tb00346.x.

Ziegler J, Spivack E. Nutritional and dental issues in patients with intellectual and developmental disabilities. J Am Dent Assoc. 2018;149(4):317-21. https://doi.org/10.1016/j.adaj.2017.11.014

Salmiah S, Mustafa NS. Gambaran Maloklusi Dan Kebiasaan Buruk Penderita Sindrom Down Usia 6-18 Tahun Di Slb-C Kota Medan. Dentika Dent J. 2016;19(1):42-6. https://doi.org/10.32734/dentika.v19i1.147.

Al Shayeb KNA, Turner W, Gillam DG. Periodontal probing: a review. Prim Dent J. 2014;3(3):25-9. https://doi.org/10.1308/205016814812736619.

Saptorini KK. Hubungan Oral Hgiene Index (OHI) Dengan Probing Pocket Depth (Ppd) Dan Loss Of Attachment (LOA) Pada Lanjut Usia. J Visikes. 2014;10(2):138-45.

https://doi.org/10.33633/visikes.v10i2.694

Helal, O., Göstemeyer, G., Krois, J., Fawzy El Sayed, K., Graetz, C., & Schwendicke, F. (2019). Predictors for tooth loss in periodontitis patients: Systematic review and meta-analysis. Journal of clinical periodontology, 46(7), 699–712

https://doi.org/10.1111/jcpe.13118

Porovic S, et al. Oral health of Down Syndrome adults in Bosnia and Herzegovina. Mater Sociomed 28 (2016): 437-9.

https://doi.org/10.5455/msm.2016.28.437-439

Goud E.V.S.S., et al. Implications of Down's syndrome on oral health status in patients: A prevalence-based study. J Family Med Prim Care. 2021;10(11):4247–52.

https://doi.org/10.4103/jfmpc.jfmpc_885_21

López M., Hernández J. Gender differences in periodontal disease prevalence. Int J Periodontol. 2016;11(3):145–53.

https://doi.org/10.1161/01.STR.0000136767.71518.36

Elrefadi R., et al. Oral health status in individuals with Down syndrome. Libyan J Med. 2022;17(1):2116794.

https://doi.org/10.1080/19932820.2022.2116794

Boukhalfa Y., et al. Prevalence and characteristics of oral and dental anomalies in Tunisian individuals with Down syndrome: a descriptive study. Egypt J Med Hum Genet. 2025;26(1):81.

https://doi.org/10.1186/s43042-025-00700-z

Stein Duker L.I., et al. Oral Care Experiences and Challenges for Children with Down Syndrome: Reports From Caregivers. Pediatr Dent. 2020;42(6):430–5.

Kayacı Ş.T., Gezgin O. Clinical investigation of the effects of oral health education in children with Down Syndrome. Med Sci Discov. 2022;9(6):319–23.

https://doi.org/10.36472/msd.v9i6.742

Putri M.H., et al. The effect of using dental and oral health book on the knowledge and skills of parents with Down Syndrome children. Padjadjaran J Dent. 2018;30(3):231–40.

https://doi.org/10.24198/pjd.vol30no3.19277

Saptiwi, B., Subijanto, A. A., & Cilmiaty, R. Problems in Maintaining Oral Health in Children with Down Syndrome: A Pilot Study with In-Depth Interview Analysis. Journal of International Dental & Medical Research, 2023. 16(2).

Makieh R.E., Kouchaji C.N. Nutritional status, dental caries and parental attitude to junior oral hygiene among children and adolescents with Down syndrome. Dent Med Probl. 2025;62(3):409–418.

https://doi.org/10.17219/dmp/174161

Diterbitkan

2026-02-25