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先天性心脏病患儿预防性治疗后的口腔健康状况

Oral health of children with congenital heart disease following preventive treatment.

作者信息

Suvarna Reshma M, Rai Kavitha, Hegde Amitha M

机构信息

Department of Pedodontics and Preventive Children Dentistry, A.B. Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India.

出版信息

J Clin Pediatr Dent. 2011 Fall;36(1):93-8. doi: 10.17796/jcpd.36.1.h337135318140078.

Abstract

Congenital heart disease (CHD), abnormalities in the structural development of the heart, occurs in approximately 8:1000 live births. The causative microorganism for infective endocarditis in more than 60% of the patients with positive hemoculture of viridans streptococci (s.mutans, s.mitior) thus making it mandatory for these children to maintain their oral health. The present study assessed the oral health of children with congenital heart disease following preventive treatment. A total of 74 children with congenital heart disease were selected for the study with 30 healthy controls between the ages 5-16. The oral health was assessed by measuring the microbial counts, the OHI-S and the gingival indices. The data thus obtained were subjected to paired and unpaired t-test. Poor oral health was prevalent among these children of the study group as compared to the controls indicating a lack of sound knowledge of the maintenance of oral hygiene. Following preventive treatment the oral health improved considerably.

摘要

先天性心脏病(CHD)是心脏结构发育异常,在每1000例活产中约有8例发生。超过60%血培养出草绿色链球菌(变形链球菌、轻链球菌)呈阳性的感染性心内膜炎患者的致病微生物,因此这些儿童必须保持口腔健康。本研究评估了预防性治疗后先天性心脏病患儿的口腔健康状况。共选取74例先天性心脏病患儿进行研究,并选取30名年龄在5至16岁之间的健康对照者。通过测量微生物计数、OHI-S和牙龈指数来评估口腔健康状况。对由此获得的数据进行配对和非配对t检验。与对照组相比,研究组的这些儿童口腔健康状况较差,表明他们缺乏保持口腔卫生的正确知识。经过预防性治疗后,口腔健康状况有了显著改善。

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