Assessment of the oral health status of asthmatic children

Abstract

Objectives:To assess the oral health status and salivary composition in a group of children suffering from bronchial asthma.Materials and Methods:The sample consisted of sixty asthmatic children, sixty healthy negative controls, and sixty healthy positive controls of both sexes with age ranging from 4 to 12 years old. The asthmatics were grouped according to disease severity into mild, moderate, or severe asthmatic. All the children were clinically examined to assess their dental caries experience (decayed, indicated for extraction, and filled primary tooth [def] and decayed-missing-filled permanent tooth [DMF]), dental erosion condition (tooth wear index), and gingival health condition (gingival index [GI]). Salivary samples were collected and assessed for salivary flow rate, salivary pH, and the level of calcium, sodium, and potassium.Results:The results of this study revealed that asthmatic children presented significantly higher def, DMF score, and GI mean values compared to the control groups. Severe asthmatics significantly presented the highest def and GI score. Salivary analysis revealed reduced stimulated salivary flow rate and altered salivary pH. In addition, significantly elevated mean salivary calcium level found to be associated with higher GI mean score.Conclusions:Children suffering from bronchial asthma should receive special dental preventive attention as presented with greater risk for oral and dental diseases as compared to the healthy controls.

Asthma and oral changes in children: Associated factors in a community of southern Brazil

“…These children have a longitudinal follow‐up of care that involves a multiprofessional health team. To select a bidirectional alpha of 0.05 and beta of 0.20, a total sample of 214 individuals was estimated considering the estimated prevalence of dental caries, dental erosion, and enamel defects . To avoid losses, 362 children were selected at random (204 non‐asthmatic and 158 asthmatic), and 228 were examined, as described in Figure .…”

“…To select a bidirectional alpha of 0.05 and beta of 0.20, a total sample of 214 individuals was estimated considering the estimated prevalence of dental caries, dental erosion, and enamel defects. 8,9 To avoid losses, 362 children were selected at random (204 non-asthmatic and 158 asthmatic), and 228 were examined, as described in Figure 1. Of the 228 children, 112 were asthmatic and 116 non-asthmatic; in addition, they were drawn from a table with random numbers, which were obtained from the list of registered users in both health facilities.…”

Is There an Association between Asthma and Dental Caries and Molar Incisor Hypomineralisation?

“…Some authors proposed that asthma could be a cause for the increased 74 Despite the fact that there is a considerable amount of literature on the effect of asthma on 80 dental caries, the results seem to be conflicting, e.g. [Chuang et al, 2018;Arafa et al, 2017]. In 81 a recent meta-analysis, which included 18 studies, Alavaikko et al confirmed the association 82 between asthma and dental caries and assessed that asthma increased the risk of caries by two 83 fold [Alavaikko et al, 2011].…”

Riesgo de caries dental en pacientes pediátricos asmáticos en tratamiento con la terapia inhalatoria de salbutamol y budesonida, Perú

“…Esto podría deberse a que los pacientes asmáticos presentaban pigmentaciones en las piezas dentarias que predisponían a la acumulación de placa bacteriana por el uso de inhaladores. Esto fue similar a lo reportado por Arafa et al (12) , quienes encontraron que los pacientes asmáticos severos presentaron una inflamación gingival severa significativa, que se reflejó con un mayor índice de placa dental, a comparación de los que presentaban asma leve y moderado. Santos et al (13), encontraron que pacientes pediátricos en tratamiento con corticoesteroides inhalados presentaron mayor índice de placa dental con 70,5% en comparación a pacientes sanos con 60,7%; p=0,03.…”