Oral health in preschool children with asthma

Stensson, Malin; Wendt, Lill‐Kari; Koch, G; Oldæus, Göran; Birkhed, Dowen

doi:10.1111/j.1365-263x.2008.00921.x

Cited by 70 publications

(73 citation statements)

References 13 publications

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“…It appears that the oral health of asthmatics is affected in different age groups, from early childhood to young adulthood. In recent studies by our research group, investigating the oral health of younger asthmatics, it was concluded that it was not the disease per se that caused a higher caries prevalence but rather caries-related factors, such as a lower salivary secretion rate, frequent mouthbreathing and a higher consumption of sugary drinks [8,9]. This is in line with the present study, including the same caries-related factors.…”

Section: Discussionsupporting

confidence: 82%

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Oral health in young adults with long-term, controlled asthma

Stensson

Wendt

Koch³

et al. 2011

Acta Odontologica Scandinavica

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Objectives. The aim of the present investigation was to study oral health in young adults with long-term, controlled asthma. Material and methods. Twenty 18-to 24-year-olds with a mean duration (SD) of asthma disease of 13.5 (5.4) years and 20 matched healthy controls were included. A clinical examination was performed and the prevalence of caries, erosions, gingival inflammation, cervicular fluid, periodontal pockets and plaque formation rate, were registered. The salivary flow rate, numbers of mutans streptococci and lactobacilli in saliva were determined. Plaque pH was measured after a sucrose rinse up to 40 min at two approximal sites. The participants were interviewed regarding dietary and oral hygiene habits. Results. The mean (SD) DFS, including manifest and initial caries, was 8.6 (10.6) in the asthma group and 4.0 (5.2) in the control group (p = 0.09). Initial caries lesions were more common in the asthma group than in the control group, 6.0 (8.1) and 1.3 (2.0 (p = 0.02). The asthma group had more gingivitis (p = 0.01) and lower stimulated salivary rate than the controls (p = 0.01). The asthmatics had also a somewhat, but not statistically significant, lower initial pH value in plaque and more pronounced pH drop compared with the controls. In the asthma group, 65% reported frequent mouthbreathing compared with 10% in the controls (p = 0.01). No differences were found in tooth-brushing and dietary habits between the groups. Conclusions. Young adults with long-term, controlled asthma had more initial caries, more gingival inflammation and lower stimulated salivary secretion rate than individuals without asthma.

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Section: Discussionsupporting

confidence: 82%

“…The majority of these reports found that both children and adolescents with asthma run a greater risk of dental caries and/or gingival inflammation than healthy controls [5][6][7][8][9][10][11][12]. This impaired oral health may result in a foundation for further caries development and periodontal diseases later in life.…”

Section: Introductionmentioning

confidence: 99%

Oral health in young adults with long-term, controlled asthma

Stensson

Wendt

Koch³

et al. 2011

Acta Odontologica Scandinavica

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“…The possible cause of an increase in caries prevalence among asthmatic patients has been related to the use of beta 2-agonists in the treatment of asthma which leads to a reduction in the salivary flow. Stensson et al, 19 Shashikiran et al, 20 and McDerra et al 21 do not demonstrate a positive association between asthma and dental caries. GINA has subdivided asthma by severity, based on the level of symptoms, airflow limitation, and lung function variability, into four categories: Intermittent, mild persistent, moderate persistent, or severe persistent ( Table 9).…”

Section: Discussionmentioning

confidence: 99%

Comparative Evaluation of Dental Caries in Asthmatic and Asthma-free Children: A Cross-sectional Study

Kumar¹,

Alagumalai²,

Kashyap³

et al. 2017

IJPCDR

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Aims and objectives:The aim of this study is to assess the prevalence of dental caries in asthmatic children of age group 5 to 16 years and to evaluate and compare the dental caries status among asthmatic and asthma-free children. Materials and methods:A cross-sectional study was done on 200 children aged 5 to 16 years. The participants were divided into two groups. The study group included 100 asthmatic children/adolescent diagnosed with asthma attended the local hospitals. Asthma-free group composed of 100 asthma-free children⁄adolescents recruited in two public schools. The details on asthma severity were obtained from patient's records, by consulting the pediatrician treating these children or by interviewing their parents/caregivers. Dental caries status was assessed using DMFT and dmft indices. Chi-square and independent Student's t-test used for statistical analysis of data. Results:The prevalence of dental caries in the asthmatic children, for permanent dentition was 28% and primary teeth caries experience was 67% and the result was statistically significant. Asthmatic children had a higher mean DMFT (0.54 ± 0.82)/dmft (2.74 ± 2.59) score. There was statistically significant difference existed for DMFT among five drug forms (chi-square = 60.437; p-value = 0.001). No significant differences were encountered in anti-asthmatic drugs and DMFT/dmft. Conclusion:There is a high prevalence of dental caries in both permanent and deciduous teeth in asthmatic children. Children given beta 2 agonists, inhaler form of antiasthmatic medication are at a higher risk of developing caries in their teeth. Physicians and dentists should recommend preventive measures against caries for children with asthma.

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“…SSB consumption is associated with poor health, including conditions such as obesity (15) , CVD (16) , type 2 diabetes (15) and metabolic syndrome (15) . Interestingly, recent data also link SSB with airway health, specifically asthma (7,(17)(18)(19) . One recent cross-sectional study found that SSB consumption was positively associated with asthma in a sample of 16 907 Australian adults aged 16 years and older (7) .…”

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confidence: 99%

The potential link between sugar-sweetened beverage consumption and post-exercise airway narrowing across puberty: a longitudinal cohort study

Emerson

Rosenkranz

et al. 2015

Public Health Nutr.

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Objective: The prevalence of asthma is rising, presenting serious public health challenges. Recent data suggest that sugar-sweetened beverage (SSB) consumption plays a role in asthma aetiology. The purpose of the present study was to determine whether SSB consumption is linked to post-exercise airway narrowing (predictor of asthma development) across puberty. Design: Participants completed pulmonary function tests, physical activity and dietary habit questionnaires, and an exercise test to exhaustion. Setting: Community in Manhattan, Kansas, USA. Subjects: We recruited ten boys and ten girls from an original cohort of forty participants tested in our laboratory approximately 5 years prior. Participants were aged 9·7 (SD 0·9) years at baseline and 14·7 (SD 0·9) years at follow-up. Results: Pre-puberty, boys consumed 6·8 (SD 4·8) servings/week and girls consumed 6·9 (SD 3·7) servings/week, while post-puberty boys consumed 11·5 (SD 5·3) servings/week and girls consumed 7·7 (SD 4·3) servings/week. Using Pearson correlation, SSB consumption was not significantly related to postexercise airway narrowing at pre-puberty (r = − 0·35, P = 0·130). In linear regression analyses, SSB consumption was significantly related to post-exercise airway narrowing post-puberty before (standardized β = − 0·60, P = 0·005) but not after (standardized β = − 0·33, P = 0·211) adjustment for confounders. Change in SSB consumption from pre-to post-puberty was significantly associated with post-exercise airway narrowing post-puberty (r = − 0·61, P = 0·010) and change in post-exercise airway narrowing from pre-to post-puberty (r = − 0·45, P = 0·048) when assessed via Pearson correlations. Conclusions: These findings suggest a possible link between SSB consumption and asthma development during maturation. Reduced SSB intake may be a possible public health avenue for blunting rising asthma prevalence.

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Oral health in preschool children with asthma

Cited by 70 publications

References 13 publications

Oral health in young adults with long-term, controlled asthma

Oral health in young adults with long-term, controlled asthma

Comparative Evaluation of Dental Caries in Asthmatic and Asthma-free Children: A Cross-sectional Study

The potential link between sugar-sweetened beverage consumption and post-exercise airway narrowing across puberty: a longitudinal cohort study

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