al-Sarheed M, Angeletou A, Ashley P F, Lucas V S, Whitehead B, Roberts G J
Department of Paediatric Dentistry, Eastman Dental Institute, London, UK.
Int J Paediatr Dent. 2000 Dec;10(4):298-305. doi: 10.1046/j.1365-263x.2000.00212.x.
To investigate the oral health status and oral microflora of children who have received heart and heart-lung transplants. Parental knowledge and current practice of oral health procedures by the child were also investigated.
Thirty-five children attending the Cardio-Thoracic Transplant Unit, Great Ormond Street Hospital for Children were included. Measurements were compared with children matched by age and gender attending the trauma clinic at the Department of Paediatric Dentistry, Eastman Dental Hospital. Teeth were examined for the presence or absence of caries or enamel defects. Plaque deposition, gingivitis, gingival bleeding and gingival enlargement were measured and a swab was taken to look at the oral microbial flora. A questionnaire was used to assess parental knowledge of dental health procedures and the current practice of these.
There were no significant differences between transplant and control children in caries experience, plaque or gingivitis. Children with heart or heart-lung transplants had significantly greater numbers of enamel defects and more gingival enlargement than control children, children in the heart transplant group had significantly more gingival bleeding. There was little difference in the dental knowledge and reported behaviour of the transplant group compared to the control group.
The dental needs of heart and heart-lung transplant patients treated at the Great Ormond Street Hospital for Children were similar to those of the control group in this study, however further improvement could be made in educating parents and children on the importance of caries prevention and good oral hygiene.
调查接受心脏和心肺移植的儿童的口腔健康状况及口腔微生物群。同时也调查家长对孩子口腔健康护理的了解情况及当前做法。
纳入了35名在大奥蒙德街儿童医院心胸移植科就诊的儿童。将测量结果与在伊斯特曼牙科医院儿童牙科创伤诊所就诊的年龄和性别匹配的儿童进行比较。检查牙齿是否存在龋齿或牙釉质缺陷。测量菌斑沉积、牙龈炎、牙龈出血和牙龈肿大情况，并采集拭子以观察口腔微生物群。使用问卷评估家长对牙齿健康护理的了解情况及当前做法。
移植儿童与对照儿童在龋齿经历、菌斑或牙龈炎方面无显著差异。接受心脏或心肺移植的儿童牙釉质缺陷数量显著多于对照儿童，牙龈肿大情况也更严重，心脏移植组儿童的牙龈出血情况显著更多。与对照组相比，移植组在牙齿知识和报告行为方面差异不大。
在本研究中，大奥蒙德街儿童医院治疗的心脏和心肺移植患者的牙齿护理需求与对照组相似，然而在教育家长和儿童了解预防龋齿和保持良好口腔卫生的重要性方面仍可进一步改进。
