Comprehensive dental evaluation of children with congenital or acquired heart disease

Cantekin, Kenan; Cantekin, Işın; Torun, Yasemin Altuner

doi:10.1017/s1047951112001953

Cited by 24 publications

(48 citation statements)

References 25 publications

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“…However, compared to the present findings, both higher and lower caries prevalence figures in children with CHDs have also been published [15, 16, 35, 36]. Similar to our significantly higher caries experience among cases compared to controls, several studies have also revealed significantly higher caries experience values for children with CHDs than for healthy children [10, 13, 16, 17, 35, 36]. In contrast, some other studies reported similar levels of caries experience in both groups without differences [18–20].…”

Section: Discussionsupporting

confidence: 89%

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Presence of plaque, gingivitis and caries in Sudanese children with congenital heart defects

et al. 2016

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ObjectivesThe objective of this study is to assess the presence of plaque, gingivitis, and caries in a group of Sudanese children with congenital heart defects CHDs (cases) and compare them to children without CHDs (controls).Materials and methodsThis analytical cross-sectional study included cases (N = 111, with a mean age of 7.2 ± 3.0 years) and controls (N = 182, with a mean age of 7.2 ± 2.8 years) from Khartoum, Sudan. Examinations were done by two calibrated dentists using plaque index, gingival index, and WHO (World Health Organization) caries diagnostic criteria (dmft/DMFT index: decayed, missing, and filled teeth).ResultsChildren with CHDs (cases) had statistically significantly higher mean number of sites with plaque and gingivitis than children without CHDs (controls), although almost all children experienced plaque. Cases also experienced significantly higher mean dmft/DMFT than controls (age group 1, 3–7 years: 3.7 vs 2.3 and age group 2, 8–12 years: 1.3 vs 0.6). The Significant Caries Indices in cases (age groups 1 and 2) were also significantly higher than among controls (SiC 8.2 vs 5.9 and 1.8 vs 0.8, respectively). Fillings were totally lacking among cases and scarce among controls.ConclusionsThe findings clearly showed that this group of Sudanese children with CHDs was more severely affected with gingivitis and caries than the control group without CHDs. These results are cause for concern in children at risk of developing systemic infections and serious complications related to poor oral health.Clinical relevanceThese findings provide important baseline data for planning appropriate dental preventive strategies for Sudanese children with CHDs.

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Section: Discussionsupporting

confidence: 89%

“…In some of these studies, the prevalence of caries and gingivitis among children with CHDs was much higher than in their counterparts [13, 16, 17]; however, other studies failed to demonstrate such differences [18, 19]. One study even reported better oral health parameters among children with CHDs than among other children [20].…”

Section: Introductionmentioning

confidence: 99%

Presence of plaque, gingivitis and caries in Sudanese children with congenital heart defects

et al. 2016

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“…These conditions are not currently recognized as one of the most common noncardiac inpatient needs for this population, although a few previous studies [15][16][17][18] have reported worse dental caries experience and comorbidities in digestive system for children with heart disease. However, it is unclear from this study whether these admissions simply reflect more inpatient needs for this population on commonly seen conditions due to anesthesia concerns or that these children indeed had worse dental and digestive outcomes.…”

mentioning

confidence: 98%

Hospital Inpatient Costs for Single Ventricle Patients Surviving the Fontan Procedure

Huang

Schilling

Dalziel

et al. 2017

The American Journal of Cardiology

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We estimated the inpatient resource use for a Fontan patient from birth to adulthood and explored factors that might induce cost differences (2014 US dollar). Inpatient costing records from four hospitals with greatest numbers of Fontan patients in Australia and New Zealand were linked with the Fontan registry database. Inpatient records between July 1995 and September 2014 for 420 Fontan patients were linked, and the most frequent primary diagnoses were hypoplastic left heart syndrome (HLHS) (20.7%), tricuspid atresia (19.7%), and double inlet left ventricle (17.1%). The mean hospital cost for a Fontan patient from birth to 18 years of age was estimated to be $390,601 (95% confidence interval [CI] $264,703 to $516,499), corresponding to 164 (95% CI 98 to 231) inpatient days. The cost incurred from birth through to Fontan completion (the staged procedures period) was $219,482 (95% CI $202,410 to $236,553) and the cost thereafter over 15 years was $146,820 (95% CI $44,409 to $249,231), corresponding to 82 (95% CI 72 to 92) and 65 (95% CI 18 to 112) inpatient days respectively. Costs were higher in male and HLHS patients in the staged procedures period (P<0.001). Having fenestration was associated with higher costs in the staged procedures period (P<0.001) and lower cost post Fontan over 15 years (P=0.66). In conclusion, patients with single-ventricle congenital heart disease continue to demand considerable inpatient resources after the staged procedures period. Over 40% of the pediatric hospital costs for Fontan patients were estimated to occur after the last planned surgery.Key Words: Fontan patients, hospital cost, congenital heart disease, health serviceThe Fontan procedure is the final in a series of staged palliations for single-ventricle congenital heart disease, affecting approximately 1 in 2000 live births. 1, 2 As the outcomes of the staged procedures improve, an increasing number of children with complex heart conditions have survived into adulthood. [2][3][4][5] More patients are now undergoing staged procedures 6-8 but the trend in long-term inpatient cost and care needs for this population are unclear. Using hospital billing data associated with encounters, Keren et al. (2012) have shown that the cumulative costs of the 10 most expensive pediatric conditions in the US accounted for approximately one third of the standardized costs for all pediatric visits to hospital, and single-ventricle congenital heart defects such as hypoplastic left heart syndrome (HLHS) ranked 7 th on the list. 9 Previous studies also documented the costs of a single staged procedure 10, 11 , the costs of non-cardiac admissions to pediatric hospitals 12 , and the costs of admissions in adults for this patient group. 13 Nevertheless, the literature is limited by its focus on single encounters and knowledge regarding the long-term trend in hospital costs for single-ventricle patients is lacking. The purpose of this study was to assess the trend in longterm hospital costs for single-ventricle patients surviving the F...

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“…Literatürler gözden geçirildiğinde, çocuklarda bazı sistemik hastalıklarda Dmirjian metodu kullanılarak dişlerdeki kalsifikasyon derecesine göre dental yaşın belirlendiği çok sayıda çalışma yayınlanmıştır. [6][7][8][9][10][11][12][13] Ancak ALL tedavisinin dental yaş üzerine etkisiyle ilgili araştırmaların az olması nedeniyle kesin sonuçlar elde edilememiştir. [14][15][16][17] Bu çalışmanın amacı, radyoterapi ile kombine veya sadece kemoterapi içeren tedavi ALL protokollerinin çocukların dental yaşı üzerine etkisini incelemektir.…”

Section: Introductionunclassified

The Effect of Treatment of Acute Lymphoblastic Leukemia on Dental Maturity in Children

Avşar¹,

Yücel²,

Albayrak³

2016

EÜ Dişhek Fak Derg

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Çalışmanın amacı çocuklarda Akut Lenfoblastik Lösemi (ALL) tedavisinin dental yaş üzerine etkisini sağlıklı çocuklarla karşılaştırarak incelemektir. Yöntem: Ondokuz Mayıs Üniversitesi Pedodonti Anabilim Dalına tedavi amacıyla başvuran ALL tedavisi tamamlanmış yaş aralığı 4-14 olan 47 ALL hastası çalışma grubunu, aynı yaştaki ve cinsiyetteki 47 sağlıklı çocuk kontrol grubunu oluşturmuştur. Dental sebeplerle alınan panoromik radyografilar üzerinde Demirjian yöntemi kullanılarak dental yaş belirlenmiştir. Her radyografi iki değerlendirici tarafından incelenerek değerlendirme hatası minimalize edilmiştir. Gruplar arası farklılığı belirlemek için bağımsız T-testi uygulanmıştır. Sonuçların istatistiksel önemlilik düzeyi p < 0.05 olarak belirlenmiştir Bulgular: Panoramik radyografilerde Demirjian metoduyla dental yaş hesaplandığında, her iki grupta da cinsiyetler arasında dental ve kronolojik yaşın istatistiksel olarak farklı olmadığı belirlenmiştir. Kontrol grubuyla kıyaslandığında ALL tedavisi gören çocukların dental yaşının istatistiksel olarak anlamlı şekilde daha yüksek olduğu saptanmıştır. Kemoterapiyle birlikte radyoterapi uygulanan grupta dental yaşın, sadece kemoterapi uygulanan gruba göre yüksek olduğu, ancak aradaki farkın istatistiksel olarak anlamlı olmadığı saptanmıştır. Sonuç: ALL tedavi uygulanan çocuklarda kemoterapi ve radyoterapi içeren tedavi protokolü dental yaş üzerinde etkili olduğu saptanmıştır.

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Comprehensive dental evaluation of children with congenital or acquired heart disease

Abstract: Once thorough knowledge of the child’s cardiac status is gained, a definitive dental treatment plan for the child with a cardiac disease can be established.

Cited by 24 publications

References 25 publications

Presence of plaque, gingivitis and caries in Sudanese children with congenital heart defects

Presence of plaque, gingivitis and caries in Sudanese children with congenital heart defects

Hospital Inpatient Costs for Single Ventricle Patients Surviving the Fontan Procedure

The Effect of Treatment of Acute Lymphoblastic Leukemia on Dental Maturity in Children

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