Education and Research Department, Instituto Nacional de Cardiologia - INC, Rio de Janeiro, RJ, Brazil.
Braz Oral Res. 2013 Mar-Apr;27(2):103-8. doi: 10.1590/s1806-83242013000100016.
Oral care is frequently suboptimal in children from developing countries, especially those suffering from severe systemic diseases. The aim of the present study was to analyze the oral epidemiological profile of 3-to-5-year-old children with congenital heart disease. Dental and medical records of children evaluated at the Dental Service of the National Institute of Cardiology, Rio de Janeiro, Brazil, were reviewed. Caries experience was reported using the dmft index. Negative behavior towards dental management was recorded. The sample consisted of 144 children aged 4.41 ± 0.95 years. The mean dmft value was 5.4 ± 4.9, and 80.5% had at least one caries lesion. Dmft index was greater in the presence of cyanotic cardiac disease and in children with negative behavior. An increase in the "missing" component of the dmft index was also found in children using medicine on a daily basis. A higher caries experience was associated with children whose fathers had only an elementary education. In conclusion, children with congenital heart disease had high levels of caries experience at a young age. Cyanosis, negative behavior, daily use of medicine, one-parent family and the educational level of fathers seem to influence caries experience in children with congenital cardiac disease.
口腔保健在发展中国家的儿童中常常不尽如人意，尤其是那些患有严重系统性疾病的儿童。本研究旨在分析患有先天性心脏病的 3 至 5 岁儿童的口腔流行病学特征。对巴西里约热内卢国家心脏病学研究所牙科服务处评估的儿童的牙科和医疗记录进行了回顾。使用 dmft 指数报告龋齿经历。记录了对牙科管理的负面行为。样本包括 144 名年龄为 4.41 ± 0.95 岁的儿童。平均 dmft 值为 5.4 ± 4.9，80.5%的儿童至少有一个龋齿病变。在存在紫绀性心脏病和具有负面行为的儿童中，dmft 指数更大。在每天使用药物的儿童中，dmft 指数的“缺失”成分也有所增加。龋齿经历与父亲仅接受过小学教育的儿童有关。总之，患有先天性心脏病的儿童在很小的年龄就有很高的龋齿经历。紫绀、负面行为、每日使用药物、单亲家庭和父亲的教育水平似乎会影响患有先天性心脏病儿童的龋齿经历。
