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Comprehensive dental evaluation of children with congenital or acquired heart disease

Published online by Cambridge University Press:  20 November 2012

Kenan Cantekin ,
Isin Cantekin  and
Yasemin Torun
Kenan Cantekin*
Affiliation:
Department of Paediatric Dentistry, Faculty of Dentistry, University of Erciyes, Kayseri, Turkey
Isin Cantekin
Affiliation:
Department of Internal Medicine, Faculty of Health Sciences, University of Meliksah, Kayseri, Turkey
Yasemin Torun
Affiliation:
Department of Pediatrics, Division of Pediatric Hematology, Kayseri Education and Research Hospital, Kayseri, Turkey
*
Correspondence to: K. Cantekin, Assistant Professor, Department of Paediatric Dentistry, Faculty of Dentistry, University of Erciyes, Kayseri 38390, Turkey. E-mail: k_cantekin@hotmail.com
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Abstract

Objective

The aims of this case–control study were to (a) compare the caries experience and oral hygiene, and (b) quantify the persistence of a delay in the dental age in children with cardiac disease and a group of healthy children.

Methods and Materials

The study population comprised a group of 268 3- to 16-year-old children and adolescents with a cardiac disease and a group of 268 age- and sex-matched healthy children and adolescents. Specifically, the decayed, missed, and filled teeth indices, simplified oral hygiene index, and the dental ages of the two groups of children were calculated and then compared.

Results

Although the oral health of the children with either a congenital or an acquired heart disease was the same as that of the healthy children, there were significant differences in the decayed, missed, and filled teeth indices. Dental ages of the children with a congenital heart disease were significantly lower than those of healthy children. The findings showed that complex univentricular heart diseases had the highest negative impact on dental development (−1.1), followed by complex biventricular (−0.9), simple surgical (−0.5), and mild (−0.4) heart disease patients.

Conclusion

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.

Keywords

Congenital heart diseasesdental ageoral careacquired heart diseases
Type
Original Articles
Information
Cardiology in the Young , Volume 23 , Issue 5 , October 2013 , pp. 705 - 710
Copyright
Copyright © Cambridge University Press 2012 

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