Comparison of the frequency of dental caries in asthmatic children under treatment with inhaled corticosteroids and healthy children in Sabzevar in 2017-2018

Hassanpour, Kazem; Tehrani, Human; Goudarzian, Maryam; Beihaghi, Sarah; Ebrahimi, Mina; Amiri, Parvin

doi:10.29333/ejgm/93478

Cited by 8 publications

(3 citation statements)

References 18 publications

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“…A study of Shulman et al discover that adolescents with severe AD with permanent teeth had lower DMFT and fewer carious lesions than systemically healthy controls, but the same relationship was not significant in children with primary dentition [25]. Hassanpour et al (2019) have found a higher mean DMFT in patients with AD than in a healthy group (p < 0.05) [26]. This finding supports the results of the paper showing that patients with AD who used inhaled corticosteroids were 6.4 times (OR = 6.41, 95% CI 1.88-21.08, p = 0.003) more likely to have carious lesions than patients who did not use inhaled corticosteroids.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of dental caries in pediatric patients with atopic dermatitis

Волосовець

Дікова

Mozyrska

et al. 2023

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Background. Children with atopic dermatitis may be at increased risk of developing dental caries. This problem is poorly understood and needs attention. The aim of this study was to investigate the oral health status of children and adolescents with atopic dermatitis. Materials and methods. One hundred children with atopic dermatitis aged 2 to 17 years, median of 6 [3.5; 10], and 103 children without atopic dermatitis, median age 7 [5; 12.5] years, were included in the study. Clinical parameters included age, sex, age of onset and severity of atopic dermatitis according to the SCORing AD index (SCORAD). Patients with at least one type of caries at any stage of progression (from white spots to carious lesions with pulpal damage) were included in the caries group. The risk of caries in the atopic dermatitis group and in healthy children, and the significance of the presence of asthma and allergic rhinitis for the development of caries were evaluated using the odds ratio (OR) with a 95% confidence interval (CI). Results were considered statistically significant at the p < 0.05 level. Results. Caries was detected in 46 % of children with atopic dermatitis and 22 % controls (OR = 2.9630, CI 1.6131–5.4424, p = 0.0005). In the group of allergic rhinitis, 24 patients were found to have caries, and among those without allergic rhinitis, 22 children had caries. It was found that patients with concomitant allergic rhinitis were significantly more likely to develop caries (OR = 3.4406, CI 1.4693–8.0563, p = 0.0044). No such significance was found depending on the presence of asthma (OR = 1.3986, CI 0.4913–3.9814, p = 0.5). Conclusions. Children with atopic dermatitis have a significantly higher risk of dental caries than healthy children. Based on the results of our study, clinicians should be aware of dental manifestations in patients with atopic dermatitis and recommend regular dental examinations for early caries detection.

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Section: Discussionmentioning

confidence: 99%

Prevalence of dental caries in pediatric patients with atopic dermatitis

Волосовець

Дікова

Mozyrska

et al. 2023

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“…Yet, salivary flow reduction and dry mouth are some of the side effects related to the use of inhaled drugs (Smidt et al, 2010). Studies have been demonstrating lack of consistency in the use of inhaled corticoid and its relation with dental caries especially in asthmatic patients, but Hassanpour et al (2019) found a higher mean of dmft in asthmatic patients than healthy group (p < 0.05) (Hassanpour et al, 2019;Mohamed et al, 2015). This result supports the finding of our work, which demonstrated that patients with AD that used inhaled corticoid were 6.4 times (OR = 6.41; p = 0.003, 95% CI: 1.88-21.08) more likely to have caries than patients that did not use inhaled corticoid.…”

Section: Ta B L E 1 (Continued)mentioning

confidence: 99%

Clinical oral profile of pediatric patients with atopic dermatitis: A cross‐sectional study

et al. 2020

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Objectives: This work aims to describe oral health conditions, eating habits, and oral hygiene in pediatric and adolescent patients with atopic dermatitis and correlate them with the severity of the Scoring Atopic Dermatitis (SCORAD). Also, we aim to estimate the effect of several variables on the diagnosis of dental caries in these patients. Material and Methods:A total of 92 children and adolescents with atopic dermatitis had their oral cavities examined. The effect of independent variables on the diagnosis of dental caries (outcome) was assessed using multiple binary logistic regression model. Results:Mild patients presented higher score of decayed, missing, and filled teeth in permanent dentition than moderate patients (p = 0.040). In the multivariable regression final model, the covariates using inhaled corticoid (OR = 6.4; p = 0.003), type of teething [deciduous dentition (OR = 7.9; p = 0.027) and mixed dentition (OR = 10.5; p = 0.007)], and brushing quality [poor mechanical control (OR = 10.6; p < 0.0001)] demonstrated significant direct effect on the diagnosis of dental caries. Conclusions:Our findings suggest that the presence of dental biofilm, use of inhaled corticoid, and type of teething are related to the presence of caries in atopic dermatitis patients. K E Y W O R D S adolescent, atopic dermatitis, children, mouth, oral health | 1835 SODRÉ et al. | INTRODUC TI ONPediatric patients with chronic diseases generally have a higher risk for the development of oral commitment, which may be related to the pathological mechanism of the disease itself or even to the implemented therapy (Turkistani et al., 2010). Among the diseases that most affect individuals since early childhood, there are topic disorders, like dental caries and atopic dermatitis (Bagramian et al., 2009;Thomsen, 2015;Williams et al., 2008). Due to its chronic feature, atopic dermatitis (AD) has numerous factors that are complexly interrelated, such as skin barrier dysfunction, genetic predisposition, immunological and environmental abnormalities, in addition to the participation of infectious agents, and psychological, nutritional, and pharmacological factors (Akdis et al., 2006;Nutten, 2015). Furthermore, AD is known to be linked to changes in the skin microbiome (dysbiosis) that is evidenced by the lower bacterial diversity, which is characterized by enrichment of Staphylococcus aureus and Staphylococcus epidermidis and depletion of Propionobacterium (Bjerre et al., 2017). This colonization by S. aureus demonstrates a relationship with the severity of the disease and consequently susceptibility to infections (Abad et al., 2020;Bjerre et al., 2017). The severity of AD can be classified by SCORAD or the "Scoring atopic dermatitis" index, which is based on the extension and intensity parameters of the lesions and subjective symptoms such as sleep and pruritus (Hanifin & Hajka, 1980). Patients with AD, especially the severe ones, tend to develop comorbidities like atopic conditions such as asthma, allergic rhinitis, and food allergies (NIAI...

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“…У детей 9-12 лет, страдающих БА, распространенность кариозного процесса наиболее выражена при тяжелой степени заболевания [17]. Тяжесть кариеса зубов и заболеваний пародонта находится в прямой зависимости от степени тяжести БА и АтД [18][19][20][21]. Исследования показали, что распространенность кариеса у детей и подростков с аллергической патологией достигает 90-100% [22,23].…”

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Characteristics of Oral Cavity Microflora in Children with Bronchial Asthma and Atopic Dermatitis

Popova¹,

Алеманова²,

Vivtanenko³

et al. 2019

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Comparison of the frequency of dental caries in asthmatic children under treatment with inhaled corticosteroids and healthy children in Sabzevar in 2017-2018

Cited by 8 publications

References 18 publications

Prevalence of dental caries in pediatric patients with atopic dermatitis

Prevalence of dental caries in pediatric patients with atopic dermatitis

Clinical oral profile of pediatric patients with atopic dermatitis: A cross‐sectional study

Characteristics of Oral Cavity Microflora in Children with Bronchial Asthma and Atopic Dermatitis

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