Department of Paediatric Dentistry, Institute for Postgraduate Dental Education, Jönköping, Sweden.
Int J Paediatr Dent. 2010 May;20(3):165-72. doi: 10.1111/j.1365-263X.2010.01037.x.
The aim of this study was to investigate caries and its determinants in preschool children with and without asthma, followed from 3 to 6 years.
Caries, plaque, and gingivitis were examined at 3 and 6 years of age in 64 asthmatic children and 50 matched, healthy control children. Furthermore, at 6 years radiographic examination and saliva sampling were conducted. The parents were interviewed about various oral health-related factors.
Initial caries increment between 3 and 6 years of age was statistically significant higher for children with asthma compared with children without asthma (P < 0.05). Asthmatic children had more bleeding gingivitis and a higher consumption of sugary drinks than healthy children at 3 years of age (P < 0.05). At both 3 and 6 years of age, the asthmatic children were more frequently mouth breathers than healthy children, only statistically significant for 6-year olds (P < 0.05).
Preschool children with asthma at 3 years of age run a higher risk of developing caries lesions until 6 years of age compared with children without asthma. Children with asthma have a higher prevalence of bleeding gingivitis, a higher intake of sugary drinks and are more frequently mouth breathers than preschool children without asthma.
本研究旨在调查患有和不患有哮喘的学龄前儿童的龋齿及其决定因素，随访时间为 3 至 6 年。
在 3 岁和 6 岁时，对 64 名哮喘儿童和 50 名匹配的健康对照儿童进行了龋齿、牙菌斑和牙龈炎检查。此外，在 6 岁时进行了放射检查和唾液采样。家长接受了有关各种口腔健康相关因素的访谈。
与无哮喘儿童相比，哮喘儿童在 3 至 6 岁期间的初始龋齿增量具有统计学意义（P < 0.05）。与健康儿童相比，哮喘儿童在 3 岁时牙龈出血更多，含糖饮料摄入量更高（P < 0.05）。在 3 岁和 6 岁时，哮喘儿童比健康儿童更频繁地用口呼吸，仅在 6 岁时具有统计学意义（P < 0.05）。
与无哮喘的儿童相比，3 岁时患有哮喘的学龄前儿童在 6 岁之前发生龋齿病变的风险更高。与无哮喘的学龄前儿童相比，哮喘儿童的牙龈炎出血更常见，含糖饮料摄入量更高，并且更频繁地用口呼吸。
