Dental attitudes, knowledge, and health practices of parents of children with congenital heart disease

Saunders, C P; Roberts, GJ

doi:10.1136/adc.76.6.539

Cited by 47 publications

(70 citation statements)

References 2 publications

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“…Garg et al [21] related the higher risk of dental caries in CHD patients to a decrease in salivary nitric oxide, which has an antimicrobial effect. Saunders and Roberts [22] noticed that the healthier children regularly brushed their teeth twice daily, while almost 80% of CHD patients never or hardly ever brushed on a regular basis, which was in agreement with our findings. Meanwhile, regarding visits to the dentist, 18% of cardiac patients never attended a dental office compared with only 3% for the healthy children [22].…”

Section: Discussionsupporting

confidence: 92%

“…Saunders and Roberts [22] noticed that the healthier children regularly brushed their teeth twice daily, while almost 80% of CHD patients never or hardly ever brushed on a regular basis, which was in agreement with our findings. Meanwhile, regarding visits to the dentist, 18% of cardiac patients never attended a dental office compared with only 3% for the healthy children [22]. In addition, Hallett et al [16] found that about 60% of these patients were deprived of even parental help during tooth brushing.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Salivary Profile and Dental Status in Children with Congenital Heart Disease: A Descriptive Study

Mortazavi¹,

Livani²,

Baharvand³

2016

Dent. Med. Probl.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Salivary Profile and Dental Status in Children with Congenital Heart Disease: A Descriptive Study

Mortazavi¹,

Livani²,

Baharvand³

2016

Dent. Med. Probl.

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“…A research conducted in England compared the attitude, knowledge and oral health practices of children's parents with heart disease with parents of healthy children, and found that, the group with heart disease received less oral health care than the group without cardiopathy [12]. The authors suggest that parents have neglected dental care due to the increased over the heart and other diseases such as respiratory infections, but these findings also show that the strategy of the team failed in information, recommendations and setting priorities.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies indicate that parents' knowledge about their children's heart problems is inadequate, as well as the necessary precautions to prevent EI [9][10][11][12][13]. The Brazilian Society of Cardiology has no guidelines for IE prophylaxis and the various departments of pediatric cardiology embraced the AHA recommendations by 2007.…”

Section: Introductionmentioning

confidence: 99%

Conhecimento dos pais sobre profilaxia de endocardite infecciosa em crianças portadoras de cardiopatias congênitas

Haag¹,

Casonato²,

Varela³

et al. 2011

Rev Bras Cir Cardiovasc

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Introduction:The guidelines to prophylaxis of infectious endocarditis changed, but many congenital heart diseases continue to be considered as high risk for the development of the disease.Objective: To evaluate the knowledge of parents or guardians of children and adolescents with congenital heart disease seen at a referral center in Rio Grande do Sul, Brazil on infective endocarditis and its prevention.Methods: Cross-sectional study with 90 patients with congenital heart defects in regular outpatient treatment. The parents' knowledge was assessed using a specific questionnaire and other data were obtained through medical records.Results: The median age of patients was 5.6 years (3 months -14 years), being 57,7% males. The median follow-up time in service was 3.49 years (1.20-7.38). The years of formal schooling of the parents had a mean of 7.67 ± 3.25 years. According to the score previously established, the knowledge of the interviewed parents was considered satisfactory in 37.7%, regular in 33.3% and unsatisfying in 28,8%. There was significant correlation between the index of parentsḱ nowledge and monitoring of children at service (r=0.584; P=0.796). There was no correlation between parentsé ducation and knowledge of them (r=0.028; P=0.796). Conclusion:The parents' knowledge about endocarditis and its prevention was inadequate, requiring greater attention to the orientations passed in consultations.Descriptors: Primary Prevention. Endocarditis. Knowledge. Resumo

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“…Generally, caries and periodontal diseases have low mortality, however, both have high morbidity and are responsible for dental pain, teeth loss as well as being risk factors for other systemic complications especially among children [2]. Children with a CHD are at a disadvantage in that, because of their underlying medical condition, development of an oral disease can put their general health at risk [3]. The main risks and conditions caused by odontogenic bacteraemia are life-threatining conditions, including infective endocarditis and brain abcesses [4].…”

Section: Introductionmentioning

confidence: 99%

Oral-health-related background factors and dental service utilisation among Sudanese children with and without a congenital heart defects

et al. 2016

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BackgroundSudanese children with congenital heart defects (CHDs) were found to have poorer oral health than those without CHDs. The aims of this study were to: describe the patterns of oral-health-related background factors in children with and without CHD and explore any differences, and to evaluate the effects of background factors on caries and gingivitis prevalence and dental services utilisation.MethodsIn this analytical cross-sectional study, caregivers of children aged 3–12 years with (CHD cases n = 111) and without CHDs (Controls n = 182), underwent face-to-face interviews using a structured questionnaire. The questionnaire items covered several oral health background factors (independent variables) including: child’s health status, oral hygiene practices, dental services utilization, mother’s level of education, and caregiver’s perception and awareness of their child’s oral health. The relationship between these factors and occurrence of ‘caries’ and ‘gingivitis’ as well as ‘child’s dental services utilisation’ (dependent variables) were explored using multiple adjusted and hierarchal logistic regression analyses.ResultsCompared with controls, CHD cases had lower frequencies of brushing and use of fluoridated toothpaste, and their caregivers were less knowledgeable about caries. Among CHD cases, the variables (brushing and fluoridated toothpaste use) had significant impacts on caries prevalence (odd ratio (OR) =5.6, 95% confidence interval (CI): 1.4–22.8 and OR = 0.3, 95% CI: 0.1–0.8 for infrequent compared to frequent ones, respectively) as well as the mother’s level of education (OR = 2.6, 95% CI: 1.0–6.4). When differences in background factors were controlled for, the adjusted ORs for caries and gingivitis prevalence in CHD cases compared with controls were 1.8, (95% CI: 1.1–3.2) and 5.3 (95% CI: 2.9–9.4), respectively. Among CHD cases, the child’s age (8–12 years: OR = 11.9, 95% CI: 1.9–71.6), and the mother’s level of education (lower education: OR = 0.2, 95% CI: 0.03–0.9) were significantly associated with the child’s dental services utilisation.ConclusionsLower frequencies of brushing and use of fluoride tooth paste were reported among CHD cases, and brushing had the predominant significant impact on caries prevalence. The child’s age and the mother’s level of education were the main factors affecting the child’s (CHD cases) dental services utilisation.Electronic supplementary materialThe online version of this article (doi:10.1186/s12903-016-0318-5) contains supplementary material, which is available to authorized users.

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Dental attitudes, knowledge, and health practices of parents of children with congenital heart disease

Cited by 47 publications

References 2 publications

Salivary Profile and Dental Status in Children with Congenital Heart Disease: A Descriptive Study

Salivary Profile and Dental Status in Children with Congenital Heart Disease: A Descriptive Study

Conhecimento dos pais sobre profilaxia de endocardite infecciosa em crianças portadoras de cardiopatias congênitas

Oral-health-related background factors and dental service utilisation among Sudanese children with and without a congenital heart defects

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