Department of Pediatric Dentistry, Near East University Faculty of Dentistry, Nicosia/ TRNC, 99138 Mersin 10, Turkey.
Department of Otorhinolaryngology, Near East University Training and Research Hospital, Nicosia/ TRNC, 99138 Mersin 10, Turkey.
Biomed Res Int. 2021 Apr 2;2021:5550267. doi: 10.1155/2021/5550267. eCollection 2021.
We aimed to investigate the oral health of children in terms of the presence of dental caries, periodontal health, halitosis, and dentofacial changes in patients who had adenotonsillar hypertrophy related to mouth breathing and compared these findings with nasal breathing healthy and adenotonsillectomy-operated children. The patient group comprised 40 mouth-breathing children who were diagnosed with adenotonsillar hypertrophy, while the control group consisted of 40 nasal breathing children who had no adenotonsillar hypertrophy. Forty children who had undergone an adenotonsillectomy operation at least 1 year prior to the study were included in the treatment group. Oral examinations of all children were conducted, and the parents were asked about medical and dental anamnesis, demographic parameters, toothbrushing and nutrition habits, oral health-related quality of life (OHRQoL), and symptoms of their children. Demographic parameters, toothbrushing and nutrition habits, and the presence of bad oral habits did not differ between groups ( > 0.05). Adenotonsillectomy is associated with a remarkable improvement in symptoms; however, some symptoms persist in a small number of children. The salivary flow rate, dmft/s, DMFT/S index, plaque, and gingival index scores did not differ between groups ( > 0.05). The patient group showed higher rates of halitosis when compared with the treatment and control groups ( < 0.001). Mouth breathing due to adenotonsillar hypertrophy caused various dentofacial changes and an increase in Class II division 1 malocclusion ( < 0.001). It was shown that adenotonsillar hypertrophy does not negatively affect OHRQoL, it could be a risk factor for dental caries, periodontal diseases, and halitosis, but by ensuring adequate oral health care, it is possible to maintain oral health in children with adenotonsillar hypertrophy. Also, it is recommended that orthodontic treatment should start as soon as possible if it is required. In this context, otorhinolaryngologists, pedodontists, and orthodontists should work as a team in the treatment of children with adenotonsillar hypertrophy.
我们旨在研究与口呼吸相关的腺样体扁桃体肥大患者的口腔健康状况，包括龋齿、牙周健康、口臭和牙颌面变化，并将这些发现与鼻呼吸健康和腺样体扁桃体切除术治疗的儿童进行比较。患者组包括 40 名被诊断为腺样体扁桃体肥大的口呼吸儿童，对照组包括 40 名无腺样体扁桃体肥大的鼻呼吸儿童。40 名至少在研究前 1 年接受过腺样体扁桃体切除术的儿童被纳入治疗组。对所有儿童进行口腔检查，并询问其父母有关病史、人口统计学参数、刷牙和营养习惯、口腔健康相关生活质量（OHRQoL）和儿童症状。组间人口统计学参数、刷牙和营养习惯以及不良口腔习惯的存在差异无统计学意义（>0.05）。腺样体扁桃体切除术与症状的显著改善相关，但少数儿童仍存在一些症状。唾液流率、dmft/s、DMFT/S 指数、菌斑和牙龈指数评分在组间无差异（>0.05）。与治疗组和对照组相比，患者组口臭发生率更高（<0.001）。腺样体扁桃体肥大使各种牙颌面发生变化，并增加 II 类 1 分类错颌畸形（<0.001）。结果表明，腺样体扁桃体肥大致龋、牙周病和口臭的危险因素，但通过确保充分的口腔保健，可维持腺样体扁桃体肥大儿童的口腔健康。此外，如果需要，建议尽早开始正畸治疗。在这种情况下，耳鼻喉科医生、儿童牙科医生和正畸医生应在治疗腺样体扁桃体肥大儿童时作为一个团队共同合作。
