Oral health among children with congenital heart defects in Western Norway

Aim This was to describe oral health in children with congenital heart defects (CHD), to evaluate association of different background variables with oral health, and to compare caries prevalence at dentine level with caries data in the general population. Methods In this cross-sectional study, 5-yea...

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Bibliographic Details
Published in:	European archives of paediatric dentistry Vol. 17; no. 5; pp. 397 - 406
Main Authors:	Sivertsen, T. B., Aßmus, J., Greve, G., Åstrøm, A. N., Skeie, M. S.
Format:	Journal Article
Language:	English
Published:	Berlin/Heidelberg Springer Berlin Heidelberg 01-10-2016 Springer Nature B.V
Subjects:	Attitude to Health Child, Preschool Collaboration Congenital diseases Coronary vessels Cross-Sectional Studies Defects Dental care Dental Care - statistics & numerical data Dental Caries - diagnosis Dental Caries - epidemiology Dental enamel Dental Enamel - abnormalities Dental Enamel - pathology Dental Enamel Hypoplasia - epidemiology Dental Health Surveys - statistics & numerical data Dentin Dentistry Dietary Sucrose Educational Status Energy consumption Ethnic Groups Feeding Behavior Female Heart Heart Defects, Congenital - complications Humans Lesions Male Meals Medicine Morphology Norway - epidemiology Oral diseases Oral Health Oral hygiene Original Scientific Article Prevalence Risk factors Surveys and Questionnaires Teeth Tooth Erosion - epidemiology Tooth, Deciduous - abnormalities Tooth, Deciduous - pathology Norway Primary teeth Children Oral health Congenital heart defects
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Summary:	Aim This was to describe oral health in children with congenital heart defects (CHD), to evaluate association of different background variables with oral health, and to compare caries prevalence at dentine level with caries data in the general population. Methods In this cross-sectional study, 5-year-old children in Western Norway with a need for lifelong follow-up due to CHD were invited to participate ( n = 100). Children born in 2005, 2006, and 2007 underwent a comprehensive oral health examination during the period 2010–2012. Caries prevalence at the dentine level was compared with data available for 5-year-old children from the general population of Western Norway ( n = 18,974). Results The response rate was 67 %. Caries prevalence in children with CHD at d 1–5 mft was 37.3 % and at d 3–5 mft 25.4 %. Few children ( n = 4) had experienced fillings, indicating an unmet need for operative treatment. Enamel lesions (d 1–2 s) exceeded dentine lesions (d 3–5 s) in the study group, 60 % versus 40 %, indicating a significant need of non-operative treatment. At dentine level, caries prevalence in children with CHD was significantly higher than in children in the general population (25.4 versus 18.3 %). Erosion was more prevalent than caries (50.7 versus 37.3 %). In total, 37.3 % of all children had d 3–5 mfs caries, erosion (grades 3 or 4), developmental defects of enamel (DDE) with post-eruptive breakdown of enamel and exposure into dentine, or combinations of the diagnoses. Investigated background factors did not significantly affect caries, erosion, or DDE. Conclusion More than a third of the children with CHD were found to have an oral health status that may imply risk for systemic hazardous effects.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1818-6300 1996-9805
DOI:	10.1007/s40368-016-0243-y