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Register a new userA Comparative Study of the Oral Health Status of Children with Congenital Heart Disease and Healthy Children in Lattakia
دراسة مُقارِنة للحالة الصحية الفموية عند الأطفال ذوي الأمراض القلبية الخلقية و الأطفال الأصحاء في اللاذقية
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الهدف من البحث: تقييم الحالة الصحية الفموية عند مجموعة من الأطفال المصابين بأمراض قلبية خلقية و مجموعة من الأطفال الأصحاء في مدينة اللاذقية. المواد و الطرائق: شملت العينة 100 طفل تراوحت أعمارهم بين (5-12) سنة من مراجعي قسم الأطفال في مشفى الأسد الجامعي - اللاذقية, 50 طفل منهم لديه إصابة قلبية خلقية مشخصة (مجموعة الدراسة), و 50 طفل سليم مطابق لهم بالعمر و الجنس (المجموعة الشاهدة). تم إجراء فحص فموي و تقييم النخر السني, اللويحة, التهاب اللثة و عيوب الميناء التطورية لكل طفل في كلتا المجموعتين. النتائج: كان متوسط مشعر النخر في الإسنان المؤقت dmft و كذلك كل من متوسط مشعر الالتهاب اللثوي و اللويحة السنية أعلى بشكل هام إحصائيا̋ في مجموعة الدراسة مقارنة بالمجموعة الشاهدة, في حين لم توجد فروق ذو أهمية إحصائية فيما يتعلق بكل من متوسط مشعر النخر في الإسنان الدائم DMFT و عيوب الميناء التطورية بين كلتا المجموعتين. الاستنتاجات: لوحظ أن مستوى الصحة الفموية عند الأطفال ذوي الأمراض القلبية الخلقية متدنٍ مقارنة بالأطفال الأصحاء, و هذا يزيد من خطورة تعرضهم لتجرثم دم و بالتالي الإصابة بالتهاب شغاف القلب الانتاني, و من هنا تكمن الأهمية الكبرى للرعاية السنية عند هؤلاء الأطفال منذ بزوغ أول سن.
Aim of study: Evaluating the oral health status of children with congenital heart disease in comparison with the healthy children in Lattakia city. Materials and Methods: A total of 100 children aged between 5 and 12 years attending the pediatric clinic of AL-Assad Hospital-Lattakia were included. The study group was consisted of 50 children diagnosed with heart disease. The control group was consisted of 50 healthy children of the same age and gender. Dental caries, plaque, gingivitis and developmental enamel defects were assessed for each child in the two groups. Results: Mean dmft, gingivitis and plaque were significantly higher in the cardiac group as compared to the control group. Statistically, no significant differences were found in the comparison between the prevalence of developmental enamel defects and mean DMFT for the two groups. Conclusion: Children with congenital heart disease had a poor oral health compared to the healthy children, which increased the risk of susceptibility to bacteremia and development of infective endocarditis. Therefore, dental care for children with heart disease must be seriously considered at an early age when the first tooth erupts.
References used
ZAFAR, S; HARNEKAR, SY; SIDDIQI, A; NAZ, F. Oral Health Status of Paediatric Cardia Patients: A Case-Control Study. International Dentistry South Africa, Vol. 10, No.6, 2008, 28-38
Al-SARHEED, M ; ANGELETOU, A; ASHELY, P ; LUCAS, V ;WHITEHEAD, B; ROBERTS, G. AnInvestigation of The Oral Status and Reported Oral Care of Children with and Heart-lung Transports. Int J Paediatr Dent UK. Vol.10, No.4, 2000, 298-30
ROSEN, L. Dental Caries and Background Factors in Children with Heart Disease. Umeå University Odontological Dissertations Sweden, No.115, 2011
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