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Evaluation of oral health status among asthma children treated with Budesonide

تقييم الحالة الصحية الفموية عند الأطفال المصابين بالربو و المعالجين بـدواء Budesonide الاستنشاقي

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 Publication date 2016
and research's language is العربية
 Created by Shamra Editor




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Aim of study:The purpose of this study is to evaluate the effect of antiasthma drug (Budesonide) on oral health of asthmatic children during one year of treatment. Materials and Methods: Thirty children with asthma aged (5-10) years were selected from the children who presented to children´s section at AL-Assad University Hospital in Lattakia with medium asthma severity and they needed to use antiasthma inhaled drug (Budesonide).This study have evaluated dental caries, gingival bleeding, dental plaque and saliva pH for each child before and after treatment with Budesonide in (3-6-9-12) months. Results: The results showed increasing in DMFT, dmft indices ,gingival bleeding index and dental plaque after follow- up for 12 months.


Artificial intelligence review:
Research summary
تتناول هذه الدراسة تأثير استخدام دواء Budesonide الاستنشاقي المضاد للربو على الصحة الفموية للأطفال المصابين بالربو. تمت متابعة 30 طفلاً تتراوح أعمارهم بين 5 و10 سنوات لمدة عام كامل، حيث تم تقييم النخر السني، النزف اللثوي، اللويحة السنية ودرجة حموضة اللعاب قبل وبعد استخدام الدواء. أظهرت النتائج زيادة في مشعر النخر السني (DMFT وdmft)، مشعر النزف اللثوي، واللويحة السنية بعد 12 شهر من المتابعة، بينما لم يكن هناك فرق إحصائي هام في قيمة pH اللعاب. خلصت الدراسة إلى أن استخدام دواء Budesonide يسبب تدهوراً في الحالة الصحية الفموية للأطفال المصابين بالربو، مما يستدعي اتخاذ إجراءات وقائية لتحسين الصحة الفموية لهؤلاء الأطفال.
Critical review
تعتبر هذه الدراسة مهمة لأنها تسلط الضوء على تأثيرات دواء Budesonide على الصحة الفموية للأطفال المصابين بالربو، وهو موضوع لم يتم تناوله بشكل كافٍ في الأبحاث السابقة. ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، حجم العينة صغير نسبياً (30 طفلاً فقط)، مما قد يؤثر على تعميم النتائج. ثانياً، لم يتم تناول العوامل الأخرى التي قد تؤثر على الصحة الفموية مثل النظام الغذائي والعادات الفموية. أخيراً، كان من الأفضل تضمين مجموعة ضابطة من الأطفال غير المصابين بالربو للمقارنة بشكل أفضل.
Questions related to the research
  1. ما هو الهدف الرئيسي من هذه الدراسة؟

    الهدف الرئيسي هو تقييم تأثير دواء Budesonide الاستنشاقي المضاد للربو على الصحة الفموية للأطفال المصابين بالربو خلال فترة متابعة لمدة سنة واحدة.

  2. ما هي المتغيرات التي تم تقييمها في الدراسة؟

    تم تقييم النخر السني، النزف اللثوي، اللويحة السنية ودرجة حموضة اللعاب.

  3. ما هي النتائج الرئيسية التي توصلت إليها الدراسة؟

    أظهرت النتائج زيادة في مشعر النخر السني، مشعر النزف اللثوي، واللويحة السنية بعد 12 شهر من المتابعة، بينما لم يكن هناك فرق إحصائي هام في قيمة pH اللعاب.

  4. ما هي التوصيات التي قدمتها الدراسة بناءً على النتائج؟

    يوصى باتباع الإجراءات الوقائية الفموية عند أطفال الربو الذين يستخدمون الأدوية، وإجراء دراسات إضافية لمعرفة تأثير الأدوية الأخرى المضادة للربو على الصحة الفموية.


References used
Dahllöf, G. ML. Children with chronic health conditions: implications for oral health. In: Koch G PS, editor. Pediatric Dentistry, A clinical approach. Copenhagen: Munksgaard. 2009, 421-444
Global Strategy for asthma management and prevention. Global Initiative for Asthma (GINA). Updated 2009; Available from: http://ginasthma.org; accessed 2010-10-08
Mannino,D.M; Homa,D.M; Pertowski,C.A; Ashizawa,A; Johnson,C.A. et al. Surveillience for asthma – United State. MMWR CDC Surveill Summ. Vol.47(1),1998, 1- 27
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