Prevalence of dental caries in children with congenital heart disease

BMC Pediatrics

Research Article

Steffen Koerdt¹  Norbert Neckel¹  Max Heiland¹  Julia Hartz²  Herbert Deppe²  Peter Ewert³  Stefan Hollatz⁴  Renate Oberhoffer⁴ 

[1] Department of Oral and Maxillofacial Surgery, Corporate Member of Freie Universität Berlin, Charité – Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, 13353, Berlin, Germany;Department of Oral and Maxillofacial Surgery, Technical University of Munich (TUM), Ismaninger Str. 22, D-81675, Munich, Germany;Department of Pediatric Cardiology and Congenital Heart Defects, German Heart Center, Technical University of Munich (TUM), Lazarettstraße 36, D-80636, Munich, Germany;Department of Sport and Health Sciences, Chair of preventive pediatrics, Technical University of Munich (TUM), Georg-Brauchle-Ring 60/62, D-80992, Munich, Germany;

关键词: Infective endocarditis;    congenital heart disease;    pediatrics;    oral health;    dmft;    caries;   

DOI  :  10.1186/s12887-022-03769-2

 received in 2021-05-06, accepted in 2022-11-22,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundCongenital heart defects (CHD) affect about 8 out of 1000 births worldwide. Most of the patients reach adulthood and are exposed to an increased risk of endocarditis. Since bacteria already enter the bloodstream during everyday activities, oral hygiene is given special importance in the prevention of endocarditis.MethodsIn this study 81 boys (55.1%) and 66 (44.9%) girls with CHD received a dental exam and additionally an assessment using the DIAGNOdent® pen. This study group consisting of patients with CHD was matched with a healthy epidemiological control group in Germany.ResultsEighty-one boys (55.1%) and 66 (44.9%) girls were examined. The mean age was 11 ± 4 years.38.8% showed at least one untreated carious lesions. 37.4% had a dmft/DMFT ≥2 and thus represented a group with an increased caries risk.The dmft value was 2.12 ± 1.25 in the age group 3-6 year olds. In the group of the 7-12 year old patients the DMFT/dmft was 2.06 ± 2.27, whereas DMFT in 13-17 year olds was at 2.12 ± 1.58. However, children and adolescents with CHD had a higher DMF index than healthy children in the same age group.ConclusionsThe present study reveals that more than one third of those examined have a dental condition in need of rehabilitation. In future, close interdisciplinary cooperation between pediatric cardiologists and dentists should ensure regular dental check-ups.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 1

12982_2022_119_Article_IEq226.gif