Oral health care knowledge among Phenylketonuria patients in the Latvian population

Background: Phenylketonuria (PKU) is an autosomal recessive inherited disorder of phenylalanine (Phe) metabolism that results from a deficiency of phenylalanine hydroxylase (PAH). Patients with PKU rely on amino acid mixtures and low-protein diets, which often exhibit an acidic nature and pose vario...

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Main Authors: Iveta Abola, Nikola Anna Intlere, Anda Brinkmane, Sabine Laktina, Agnese Zarina, Lauma Vasilevska, Ingus Skadins, Georgijs Moisejevs, Linda Gailite, Madara Auzenbaha
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Molecular Genetics and Metabolism Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214426924001204
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author Iveta Abola
Nikola Anna Intlere
Anda Brinkmane
Sabine Laktina
Agnese Zarina
Lauma Vasilevska
Ingus Skadins
Georgijs Moisejevs
Linda Gailite
Madara Auzenbaha
author_facet Iveta Abola
Nikola Anna Intlere
Anda Brinkmane
Sabine Laktina
Agnese Zarina
Lauma Vasilevska
Ingus Skadins
Georgijs Moisejevs
Linda Gailite
Madara Auzenbaha
author_sort Iveta Abola
collection DOAJ
description Background: Phenylketonuria (PKU) is an autosomal recessive inherited disorder of phenylalanine (Phe) metabolism that results from a deficiency of phenylalanine hydroxylase (PAH). Patients with PKU rely on amino acid mixtures and low-protein diets, which often exhibit an acidic nature and pose various challenges to oral health. The objective of the study was to evaluate oral care habits of PKU patients in Latvia and the impact of the recommendations developed on improving oral care. Materials and methods: In this study, during a one-month interval before and after the implementation of oral hygiene recommendations, questionnaires were distributed to all patients with PKU diagnosed in Latvia, with a response rate of 78 % (79 of 101). Results: The group older and 18 years of age showed a poorer understanding of oral care even after receiving recommendations, 82 % brushing their teeth twice a day (92 % in the group <18 years of age), continuing 57 % rinsing their mouth after using amino acid formula (75 % in the younger group). Significant improvements were observed only in the respondent group younger than 18 years of age - including increases in toothbrushing twice a day by 25 % (p = 0.001), dental flossing by 23 % (p = 0.001), mouth rinsing after amino acid-based formula by 13 % (p = 0.020). Conclusion: This study concludes that PKU patients older and 18 years of age have a poor understanding of maintaining oral hygiene and the use of the necessary supplements to improve it. Activities are needed in the future that would regularly remind and motivate PKU patients to take care of their oral health.
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spelling doaj-art-accda48c629a4bfdb47dd9c5242da4982025-08-20T01:58:23ZengElsevierMolecular Genetics and Metabolism Reports2214-42692024-12-014110116710.1016/j.ymgmr.2024.101167Oral health care knowledge among Phenylketonuria patients in the Latvian populationIveta Abola0Nikola Anna Intlere1Anda Brinkmane2Sabine Laktina3Agnese Zarina4Lauma Vasilevska5Ingus Skadins6Georgijs Moisejevs7Linda Gailite8Madara Auzenbaha9Department of Conservative Dentistry and Oral Health, Rīga Stradiņš University, LV-1007 Rīga, Latvia; Scientific Laboratory of Molecular Genetics, Rīga Stradiņš University, LV-1007 Rīga, Latvia; Corresponding author at: Department of Conservative Dentistry and Oral Health, Rīga Stradiņš University, LV-1007 Rīga, Latvia.Department of Conservative Dentistry and Oral Health, Rīga Stradiņš University, LV-1007 Rīga, LatviaDepartment of Conservative Dentistry and Oral Health, Rīga Stradiņš University, LV-1007 Rīga, LatviaClinic of Medical Genetics and Prenatal Diagnostics, Children's Clinical University Hospital, LV-1004 Rīga, LatviaClinic of Medical Genetics and Prenatal Diagnostics, Children's Clinical University Hospital, LV-1004 Rīga, Latvia; Department of Biology and Microbiology, Rīga Stradiņš University, LV-1007 Rīga, LatviaClinic of Medical Genetics and Prenatal Diagnostics, Children's Clinical University Hospital, LV-1004 Rīga, LatviaDepartment of Biology and Microbiology, Rīga Stradiņš University, LV-1007 Rīga, LatviaScientific Laboratory of Molecular Genetics, Rīga Stradiņš University, LV-1007 Rīga, Latvia; Jekabpils Regional Hospital, LV-5201, Jekabpils, LatviaScientific Laboratory of Molecular Genetics, Rīga Stradiņš University, LV-1007 Rīga, LatviaScientific Laboratory of Molecular Genetics, Rīga Stradiņš University, LV-1007 Rīga, Latvia; Clinic of Medical Genetics and Prenatal Diagnostics, Children's Clinical University Hospital, LV-1004 Rīga, Latvia; Department of Biology and Microbiology, Rīga Stradiņš University, LV-1007 Rīga, Latvia; European Reference Network for Rare Hereditary Metabolic Disorders, LatviaBackground: Phenylketonuria (PKU) is an autosomal recessive inherited disorder of phenylalanine (Phe) metabolism that results from a deficiency of phenylalanine hydroxylase (PAH). Patients with PKU rely on amino acid mixtures and low-protein diets, which often exhibit an acidic nature and pose various challenges to oral health. The objective of the study was to evaluate oral care habits of PKU patients in Latvia and the impact of the recommendations developed on improving oral care. Materials and methods: In this study, during a one-month interval before and after the implementation of oral hygiene recommendations, questionnaires were distributed to all patients with PKU diagnosed in Latvia, with a response rate of 78 % (79 of 101). Results: The group older and 18 years of age showed a poorer understanding of oral care even after receiving recommendations, 82 % brushing their teeth twice a day (92 % in the group <18 years of age), continuing 57 % rinsing their mouth after using amino acid formula (75 % in the younger group). Significant improvements were observed only in the respondent group younger than 18 years of age - including increases in toothbrushing twice a day by 25 % (p = 0.001), dental flossing by 23 % (p = 0.001), mouth rinsing after amino acid-based formula by 13 % (p = 0.020). Conclusion: This study concludes that PKU patients older and 18 years of age have a poor understanding of maintaining oral hygiene and the use of the necessary supplements to improve it. Activities are needed in the future that would regularly remind and motivate PKU patients to take care of their oral health.http://www.sciencedirect.com/science/article/pii/S2214426924001204Dental health educationDental statusOral healthPhenylketonuria
spellingShingle Iveta Abola
Nikola Anna Intlere
Anda Brinkmane
Sabine Laktina
Agnese Zarina
Lauma Vasilevska
Ingus Skadins
Georgijs Moisejevs
Linda Gailite
Madara Auzenbaha
Oral health care knowledge among Phenylketonuria patients in the Latvian population
Molecular Genetics and Metabolism Reports
Dental health education
Dental status
Oral health
Phenylketonuria
title Oral health care knowledge among Phenylketonuria patients in the Latvian population
title_full Oral health care knowledge among Phenylketonuria patients in the Latvian population
title_fullStr Oral health care knowledge among Phenylketonuria patients in the Latvian population
title_full_unstemmed Oral health care knowledge among Phenylketonuria patients in the Latvian population
title_short Oral health care knowledge among Phenylketonuria patients in the Latvian population
title_sort oral health care knowledge among phenylketonuria patients in the latvian population
topic Dental health education
Dental status
Oral health
Phenylketonuria
url http://www.sciencedirect.com/science/article/pii/S2214426924001204
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