Karikoski Essi, Sarkola Taisto, Blomqvist My
Department of Children and Adolescents, Children's Hospital, Helsinki University and Helsinki University Hospital, Helsinki, Finland.
Department of Oral and Maxillofacial Diseases, Children's Hospital, Helsinki University and Helsinki University Hospital, Helsinki, Finland.
Int J Paediatr Dent. 2023 May;33(3):278-288. doi: 10.1111/ipd.13062. Epub 2023 Mar 10.
Good oral health in children with congenital heart defect (CHD) is important.
To assess oral health behavior during early childhood in children with CHD in comparison with children with no known systemic conditions and to explore parental oral health behavior associated with children's behavior.
Seventy of all 89 children born in Finland between April 1, 2017, and March 31, 2020, with (a) major CHD potentially included in the criteria of endocarditis prophylaxis or (b) any CHD with surgical repair combined with a chromosomal syndrome, and a comparison group of 87 children with no known systemic conditions were recruited. Thirty-five children with CHD were randomized to usual care (no intensified counseling) and were compared with 87 matched comparison children by a parental questionnaire assessing child and parental oral health behavior at child age at 24 months.
Toothbrushing twice a day (p = .008) and the use of fluoride toothpaste twice a day (p = .059) were less common in children with CHD than in children in the comparison group. Nonwater drinks between meals was more common among children in the CHD group than in the comparison group (p = .015).
Children with major CHD experience poorer oral health behavior in comparison with children with no known systemic conditions during early childhood.
先天性心脏病（CHD）患儿保持良好的口腔健康很重要。
评估先天性心脏病患儿幼儿期的口腔健康行为，并与无已知全身性疾病的儿童进行比较，同时探讨与儿童行为相关的父母口腔健康行为。
招募了2017年4月1日至2020年3月31日在芬兰出生的89名儿童中的70名，其中（a）患有可能纳入心内膜炎预防标准的严重先天性心脏病，或（b）患有任何先天性心脏病并接受手术修复且合并染色体综合征，以及87名无已知全身性疾病的儿童作为对照组。35名先天性心脏病患儿被随机分配到常规护理组（无强化咨询），并通过一份父母问卷将其与87名匹配的对照儿童进行比较，该问卷评估了儿童24个月大时儿童和父母的口腔健康行为。
先天性心脏病患儿每天刷牙两次（p = 0.008）和每天使用含氟牙膏两次（p = 0.059）的情况比对照组儿童少见。先天性心脏病组儿童在两餐之间喝非水饮料的情况比对照组更常见（p = 0.015）。
与无已知全身性疾病的儿童相比，患有严重先天性心脏病的儿童在幼儿期的口腔健康行为较差。
