Impact of Oxidative Status in Infant and Children with Cyanotic and Acyanotic Congenital Heart Diseases

Saad, Rania Ragab; El-Drawany, Zeinb Ismail; khalil, azaa; Abdel-Wehab, Lamiaa

doi:10.21608/zumj.2020.23923.1739

Cited by 1 publication

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“…Furthermore, the mean number of teeth with enamel defects in the CHD group with decreased pulmonary blood flow with an RL shunt (cyanotic CHD) was higher than in that of healthy children and children with other CHD types. These may be associated with the lower saturation value of CHD with an RL shunt and CHD with stenosis than in healthy children [39]. These findings support a relationship between enamel defects and hypoxia, which is rated as one of etiological factors for DDE but not yet entirely proven.…”

Section: Discussionmentioning

confidence: 55%

The Evaluation of Oral Health Condition and Oral and Dental Care in Children with Congenital Heart Disease

SARAÇ

Derelioğlu

Şengül

et al. 2023

JCM

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Objective: Congenital heart disease (CHD) plays a key role in oral and dental health regarding its own impacts on teeth (i.e., enamel hypoplasia), infective endocarditis and choice of dental treatment. The purpose of this study’s comparing the oral and dental health status in children with or without CHD is to contribute to the literature by determining the effects of CHD on oral and dental health. Material and Methods: The present study was conducted using a descriptive and correlational design and consisted of 581 children aged between 6 months and 18 years who were healthy (n = 364) or experienced CHD (n = 217). CHD-impacted children were classified according to their shunt and stenosis and then their saturation values were noted. In the intraoral examination, caries data (dmft/DMFT, PUFA/pufa), oral hygiene (OHI-S) and enamel defect (DDE) indices were recorded. Statistical analyses were performed using SPSS 26.0 at a significance level of 0.05. Results: In our study, caries index scores of children with or without CHD in primary or permanent dentition were found to be similar. The mean OHI-S index (p < 0.001) and gingivitis findings (p = 0.047) of children with CHD had a higher prevalence than the healthy ones. The incidence of enamel defects was determined as 16.5% in CHD-affected children whereas an incidence rate of 4.7% was observed in healthy children. The mean saturation value of the participants with enamel defects (89 ± 8.9) was observed to be significantly lower (p = 0.03) than the patients with no enamel defects (95 ± 4.2). Conclusions: Whereas the caries index scores of CHD-affected children with a history of hypoxia in primary and permanent dentition were found to be similar to the healthy ones, children with CHD were observed to be more prone to enamel defects and periodontal diseases. Furthermore, considering the risk of infective endocarditis resulting from existing carious lesions and periodontal problems, it is highly important for pediatric cardiologists, pediatricians and pediatric dentists to collaborate in a multidisciplinary manner.

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Section: Discussionmentioning

confidence: 55%