Cantekin Kenan, Gumus Husniye, Torun Yasemin A, Sahin Hakan
1Department of Pediatric Dentistry, Faculty of Dentistry,Erciyes University,Kayseri,Turkey.
2Department of Pediatrics,Division of Pediatric Hematology,Kayseri Education and Research Hospital,Kayseri,Turkey.
Cardiol Young. 2015 Feb;25(2):312-6. doi: 10.1017/S1047951113002308. Epub 2013 Dec 23.
The aim of this study was to determine developmental enamel defects and dental treatment conditions in children with congenital heart disease by comparing them with a control group of healthy children.
Children included in the study were referred to a paediatric dentistry for dental examination and treatment after undergoing routine examination in a paediatric clinic.
The congenital heart disease group included 72 children and the control group included 56 healthy children. Children in the age group of 3-14 years were included in this study. The mean age of the congenital heart disease group and control group was 6.24±2.85 and 6.73±3.01, respectively. The mean values of the decayed, missing, and filled indices for primary and permanent teeth in the congenital heart disease group were 2.80±3.77 and 0.81±1.63, respectively. In the control group, the values were 1.87±3.31 and 0.72±1.46, respectively. The care score for primary teeth was 3.6% in the congenital heart disease group and 13.3% in the control group. The enamel defect was detected in at least one permanent tooth in seven out of 72 children (9.7%) in the congenital heart disease group and in three out of 56 children (5.3%) in the control group.
Although there was no significant difference in the development of dental caries or the prevalence of enamel defects between children with congenital heart disease and healthy children, the care score was low in children with congenital heart disease. In addition, children with congenital heart disease had a higher rate of pulled primary teeth and delayed treatment of decayed teeth.
本研究旨在通过将先天性心脏病患儿与健康儿童对照组进行比较，确定先天性心脏病患儿的牙釉质发育缺陷和牙科治疗情况。
纳入本研究的儿童在儿科诊所接受常规检查后，被转介到儿童牙科进行牙齿检查和治疗。
先天性心脏病组包括72名儿童，对照组包括56名健康儿童。本研究纳入了3至14岁年龄组的儿童。先天性心脏病组和对照组的平均年龄分别为6.24±2.85岁和6.73±3.01岁。先天性心脏病组乳牙和恒牙的龋失补牙指数平均值分别为2.80±3.77和0.81±1.63。对照组的相应值分别为1.87±3.31和0.72±1.46。先天性心脏病组乳牙的护理评分是3.6%，对照组是13.3%。先天性心脏病组72名儿童中有7名（9.7%）至少一颗恒牙检测到牙釉质缺陷，对照组56名儿童中有3名（5.3%）检测到。
虽然先天性心脏病患儿与健康儿童在龋齿发展或牙釉质缺陷患病率方面没有显著差异，但先天性心脏病患儿的护理评分较低。此外，先天性心脏病患儿乳牙拔除率较高，龋齿治疗延迟。
