Garrocho-Rangel A, Echavarría-García A-C, Rosales-Bérber M-A, Flores-Velázquez J, Pozos-Guillén A
Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, Av. Dr. Manuel Nava #2, Zona Universitaria, C.P. 78290, San Luis Potosí, S.L.P. México,
Med Oral Patol Oral Cir Bucal. 2017 Jul 1;22(4):e458-e466. doi: 10.4317/medoral.21864.
Congenital Heart Diseases (CHD) involves a wide range of pathological conditions, such as Pulmonary Atresia with Ventricle Septal Defect (PA/VSD). This disorder leads to the systemic circulation of oxygen-poor blood (cyanosis), with associated features and consequences in the oral cavity.
Using scoping review methodology for screening and article selection, the primary objectives of this paper were as follows: first, to pose a research question; second, to identify relevant studies in order to answer the research question; third, to select and retrieve the studies; fourth, to chart the critical data, and finally, to collate, summarize, and report the results from the most important articles on the dental management of children affected with PA/VSD. Relevant articles (Randomized Controlled Trials [RCT], reviews, observational studies, and clinical case reports) published over a 10-year period were identified and retrieved from four Internet databases: PubMed; Embase/Ovid; Cochrane Library, and Google Scholar.
By title and abstract screening and after removing duplicates, 24 articles were finally included in the present scoping review. According to the extracted data, the following are the most important clinical issues to be considered when treating children with PA/VSD in the dental setting: prevalence of dental caries; prevention of dental disease (oral hygiene and diet); bacteremia and infective endocarditis risk, and child behavior control and treatment under general anesthesia.
Pediatric Dentists should bear in mind that early diagnosis and treatment, together a long-term follow-up of children with PA/VSD, continue to be the best approaches for achieving enhanced patient psychological well-being and, in consequence, their good quality of life.
先天性心脏病（CHD）涉及多种病理状况，如室间隔缺损合并肺动脉闭锁（PA/VSD）。这种疾病会导致含氧少的血液进行体循环（发绀），并在口腔产生相关特征和后果。
采用范围综述方法进行筛选和文章选择，本文的主要目标如下：第一，提出研究问题；第二，识别相关研究以回答研究问题；第三，选择并检索研究；第四，梳理关键数据，最后，整理、总结并报告关于PA/VSD患儿牙科管理的最重要文章的结果。从四个互联网数据库中识别并检索了在10年期间发表的相关文章（随机对照试验[RCT]、综述、观察性研究和临床病例报告）：PubMed；Embase/Ovid；Cochrane图书馆和谷歌学术。
通过标题和摘要筛选并去除重复项后，最终有24篇文章纳入本范围综述。根据提取的数据，在牙科环境中治疗PA/VSD患儿时，以下是最重要的临床问题需要考虑：龋齿患病率；预防牙科疾病（口腔卫生和饮食）；菌血症和感染性心内膜炎风险，以及儿童行为控制和全身麻醉下的治疗。
儿科牙医应牢记，对PA/VSD患儿进行早期诊断和治疗以及长期随访，仍然是提高患者心理健康水平从而提高其生活质量的最佳方法。
