Knowledge and Awareness of Sickle Cell Disease Among General Dental Practitioners

Abstract

Introduction: Sickle cell disease (SCD) is an inherited disorder where abnormally shaped red blood cells block blood flow and have a shorter lifespan. It is most prevalent among individuals of African and Caribbean descent. Due to the ethnic diversity in East London, general dental practitioners (GDPs) are likely to encounter SCD patients. Oral manifestations of SCD, including reduced salivary flow, enamel hypomineralization, increased plaque, and frequent hospitalizations, can contribute to a higher risk of dental caries. It is crucial for GDPs to recognize and manage these patients effectively. Method(s): A postal questionnaire was sent to GDPs who refer patients to a local hospital. Over 500 surveys were sent out. Result(s): A total of 99 fully completed questionnaires were returned from 107 GDPs. Of the 62 respondents treating SCD patients, two-thirds reported that their patients experienced jaw pain crises at least twice a year. Over half treated 1-5 SCD patients, with 10% treating 6 or more. Common patient complaints included orofacial pain (21%), dental pain (53%), and sensory deficits (5%). Less than 50% of respondents asked about SCD in their medical history questionnaires, and 89% expressed concerns about their lack of awareness of SCD. Conclusion(s): Early detection and intervention are essential for improving oral health outcomes in SCD patients. A multidisciplinary approach, incorporating SCD awareness into routine dental practice, is key to effective management.Copyright © 2025