Dental caries experience in children with congenital heart disease: a case‐control study
Summary. Objectives. To compare the dental health of a group of children with complex congenital heart disease with that of age and gender matched healthy controls. Design. Case‐control study. Setting. Faculty of Medicine and Odontology/Pediatric cardiology and Pedodontics, Umeå University, Sweden....
Published in: | International Journal of Paediatric Dentistry |
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crwiley:10.1111/j.1365-263x.2004.00531.x 2024-09-15T18:26:16+00:00 Dental caries experience in children with congenital heart disease: a case‐control study Stecksén‐Blicks, C. Rydberg, A. Nyman, L. Asplund, S. Svanberg, C. 2004 http://dx.doi.org/10.1111/j.1365-263x.2004.00531.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1365-263X.2004.00531.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-263X.2004.00531.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor International Journal of Paediatric Dentistry volume 14, issue 2, page 94-100 ISSN 0960-7439 1365-263X journal-article 2004 crwiley https://doi.org/10.1111/j.1365-263x.2004.00531.x 2024-08-01T04:21:47Z Summary. Objectives. To compare the dental health of a group of children with complex congenital heart disease with that of age and gender matched healthy controls. Design. Case‐control study. Setting. Faculty of Medicine and Odontology/Pediatric cardiology and Pedodontics, Umeå University, Sweden. Sample and Methods. All the cases and their controls lived in the county of Västerbotten in northern Sweden. Each group comprised 41 children with a mean age of 6·5 years. Data were collected from medical and dental records while all bitewing radiographs were read separately by one of the authors. Results. Children with congenital heart disease had significantly more caries in their primary teeth than the control group. The mean dmfs‐value was 5·2 ± 7·0 in the cardiac group compared to 2·2 ± 3·5 in the control group ( P < 0·05). Twenty‐six of the children had all four 6‐year‐molars, and their mean DMFS‐values were 0·9 ± 1·9 in the cardiac group compared to 0·3 ± 0·6 in the control group ( P > 0·05). The children with congenital heart disease had received more caries prevention based on the use of fluorides than the control group. There was a significant correlation between the number of fluoride varnish treatments and the dmfs value of the child ( r = 0·411, P < 0·01). Fifty‐two per cent of the children in the cardiac group had been prescribed fluoride tablets on one or more occasions compared to 17% in the control group ( P < 0·01). Number of months on digoxin medication and the dmfs‐value had a significant correlation ( r = 0·368, P < 0·05). Ten of the children had been on digoxin medication between 6 and 87 months; this subgroup had a mean dmfs‐value of 10·1 ± 8·5. Conclusion. Swedish children with complex congenital heart disease have poorer dental health than healthy age and gender matched controls in spite of intensive preventive efforts. In many cases, intervention had been given when caries were present. A closer cooperation between paediatric cardiology and paediatric dentistry is needed. Article in Journal/Newspaper Northern Sweden Wiley Online Library International Journal of Paediatric Dentistry 14 2 94 100 |
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Wiley Online Library |
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crwiley |
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English |
description |
Summary. Objectives. To compare the dental health of a group of children with complex congenital heart disease with that of age and gender matched healthy controls. Design. Case‐control study. Setting. Faculty of Medicine and Odontology/Pediatric cardiology and Pedodontics, Umeå University, Sweden. Sample and Methods. All the cases and their controls lived in the county of Västerbotten in northern Sweden. Each group comprised 41 children with a mean age of 6·5 years. Data were collected from medical and dental records while all bitewing radiographs were read separately by one of the authors. Results. Children with congenital heart disease had significantly more caries in their primary teeth than the control group. The mean dmfs‐value was 5·2 ± 7·0 in the cardiac group compared to 2·2 ± 3·5 in the control group ( P < 0·05). Twenty‐six of the children had all four 6‐year‐molars, and their mean DMFS‐values were 0·9 ± 1·9 in the cardiac group compared to 0·3 ± 0·6 in the control group ( P > 0·05). The children with congenital heart disease had received more caries prevention based on the use of fluorides than the control group. There was a significant correlation between the number of fluoride varnish treatments and the dmfs value of the child ( r = 0·411, P < 0·01). Fifty‐two per cent of the children in the cardiac group had been prescribed fluoride tablets on one or more occasions compared to 17% in the control group ( P < 0·01). Number of months on digoxin medication and the dmfs‐value had a significant correlation ( r = 0·368, P < 0·05). Ten of the children had been on digoxin medication between 6 and 87 months; this subgroup had a mean dmfs‐value of 10·1 ± 8·5. Conclusion. Swedish children with complex congenital heart disease have poorer dental health than healthy age and gender matched controls in spite of intensive preventive efforts. In many cases, intervention had been given when caries were present. A closer cooperation between paediatric cardiology and paediatric dentistry is needed. |
format |
Article in Journal/Newspaper |
author |
Stecksén‐Blicks, C. Rydberg, A. Nyman, L. Asplund, S. Svanberg, C. |
spellingShingle |
Stecksén‐Blicks, C. Rydberg, A. Nyman, L. Asplund, S. Svanberg, C. Dental caries experience in children with congenital heart disease: a case‐control study |
author_facet |
Stecksén‐Blicks, C. Rydberg, A. Nyman, L. Asplund, S. Svanberg, C. |
author_sort |
Stecksén‐Blicks, C. |
title |
Dental caries experience in children with congenital heart disease: a case‐control study |
title_short |
Dental caries experience in children with congenital heart disease: a case‐control study |
title_full |
Dental caries experience in children with congenital heart disease: a case‐control study |
title_fullStr |
Dental caries experience in children with congenital heart disease: a case‐control study |
title_full_unstemmed |
Dental caries experience in children with congenital heart disease: a case‐control study |
title_sort |
dental caries experience in children with congenital heart disease: a case‐control study |
publisher |
Wiley |
publishDate |
2004 |
url |
http://dx.doi.org/10.1111/j.1365-263x.2004.00531.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1365-263X.2004.00531.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-263X.2004.00531.x |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
International Journal of Paediatric Dentistry volume 14, issue 2, page 94-100 ISSN 0960-7439 1365-263X |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/j.1365-263x.2004.00531.x |
container_title |
International Journal of Paediatric Dentistry |
container_volume |
14 |
container_issue |
2 |
container_start_page |
94 |
op_container_end_page |
100 |
_version_ |
1810466715703705600 |