Factors Associated with Caries Experiences of Children with Congenital Heart Disease at Chiangrai Prachanukroh Hospital
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Abstract
Objective: This cross-sectional study aimed to investigate caries prevalence and risk factors associated with caries experiences in children with congenital heart disease at Chiangrai Prachanukroh Hospital
Materials and Methods: One hundred and twenty-two children with congenital heart disease aged ranging from 1 month to 12 years old and had at least 1 primary tooth and their primary caregivers were invited to join the study. The study was conducted using a self-administered questionnaire and an interview consisting of demographic background and questions regarding knowledge, attitude, and the primary caregiver’s practice in oral health care. A trained investigator performed clinical examinations to determine children’s caries status and oral hygiene status using dmft/DMFT index and Simplified Debris Index (DI-S), respectively. Data were analyzed using descriptive statistics, Fisher’s exact test, Kruskal-Wallis test, Mann-Whitney U Test, Spearman’s rank correlation and multiple logistic regression analysis.
Results: The results demonstrated that the prevalence of dental caries in children with congenital heart disease was 80.3 percent. There was negligible correlation between knowledge, attitude and practice (KAP) and dmft/DMFT index (rs ≤0.13). Parental knowledge in moderate level were mostly inspected. Age of children, parenthood and education level of main caregivers were related to dmft/DMFT index (p=0.0008, p=0.007 and p=0.029 respectively). Also, the age of children was the only factor affecting caries prevalence (p<0.001).
Conclusion: In conclusion, there was high caries prevalence in children with congenital heart disease. Age of children, parenthood and education level of the main caregivers were related to dmft/DMFT index. Accordingly, parental knowledge in oral hygiene care of these children should be improved to raise awareness of the children’s oral health.
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Nuttanicha S. nursing care of children with congenital heart disease. Nurs J CMU. 2019;46(2):128-38.
Mostaghim AS, Lo HYA, Khardori N. A retrospective epidemiologic study to define risk factors, microbiology, and clinical outcomes of infective endocarditis in a large tertiary-care teaching hospital. SAGE Open Med. 2017;13(5):1-9.
Berger SA WS, Edberg SC, Casey JI. bacteremai after the use of irrigation device. Ann Intern Med 1974;80(4):510-1.
Roberts GJ, Holzel HS, Sury MR, Simmons NA, Gardner P, Longhurst P. Dental bacteremia in children. Pediatr Cardiol. 1997;18(1):24-7.
Hollatz S, Wacker-Gussmann A, Wilberg S, Folwaczny M, Neidenbach R, Kaemmerer H, et al. Awareness of oral health in adults with congenital heart disease. Cardiovasc Diagn Ther. 2019;9(2):28191.
Cantekin K YY, Cantekin I, Torun Y. Comprehensive dental evaluation of children with congenital oral cquired heart disease Cardiol Young. 2013; 23(3):705-10.
Franco E SC, Roberts GJ, Suwanprasit A. Dental disease,caries related microflora and salivary IgA of children with severe congenital cardiac disease: an epidemiological and oral microbial survey. Pediatr Dent. 1996;18(3):228-35.
Stecksén-Blicks C, Rydberg A, Nyman L, Asplund S, Svanberg C. Dental caries experience in children with congenital heart disease: a case-control study. Int J Paediatr Dent. 2004;14(2):94-100.
Wilawan W, Wiboon W. Oral health status and oral health care in pediatric patients with congenital heart disease at srinagarind hospital, khon kaen university, Thailand. Srinagarind Med J. 2011;26(4):309-16.
Youry M, Basmah E, Gehan A, Fatma M. Deciduous teeth structure changes in congenital heart disease: Ultrastructure and microanalysis. Interv Med & Applied Sci. 2014; 6(3):111-7.
Balmer R, Booras G, Parsons J. The oral health of children considered very high risk for infective endocarditis. Int J Paediatr Dent. 2010;20(3):173-8
Kavita R, Supriya S, Amitha MH. Oral health status of children with congenital heart disease and the awareness, attitude and knowledge of their parents. J Clin Pediatr Dent. 2009;33(4):315-8.
Schulz-Weidner N, Logeswaran T, Schlenz MA, Kramer N, Bulski JC. Parental awareness of oral health and nutritional behavior in children with congenital heart diseases compared to healthy children. Int J Environ Res Public Health. 2020;17(19):1-10.
Benjamin SB, Max DE, Edward JF, Walker HH, David RK. Taxonomy of educational objectives, handbook I: cognitive domain 1956 [cited 2023 19 March]. Available from: https://web.archive. org/web/.
Organization WH. Oral health surveys-basic methods. 5 edition., Geneva: World Health Organization; 1997 [cited 2023 21 March]. Available from: https://www.who.int/publications/ i/item/.
Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68:7-13.
Bursac Z, Gauss CH, Williams DK, Hosmer DW. Purposeful selection of variables in logistic regression. Source Code Biol Med. 2008;3(1):1-8.
Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988 [cited 2023 27 March]. Available from: https://doi.org/10.4324/978 0203771587.
Karikoski E, Sarkola T, Blomqvist M. Dental caries prevalence in children with congenital heart disease-a systematic review. Acta Odontol Scand. 2021;79(3):232-40.
Sivertsen T, Aßmus J, Greve G, Åstrøm A, Skeie M. Oral health among children with congenital heart defects in Western Norway. Eur Arch Paediatr Dent. 2016;17(5):397-406.
da Silva DB, Souza IP, Cunha MC. Knowledge, attitudes and status of oral health in children at risk for infective endocarditis. Int J Paediatr Dent. 2002;12(3):124-31.
Suvarna R, Rai K, Hegde A. Oral health of children with congenital heart disease following preventive treatment. J Clin Pediatr Dent. 2011;36(2):93-8.
Suramathi T, Saravana Kumar B, Manjular D, Hemalatha V, Aarthai Nisha V. Prevalence, severity and associated factors of dental caries in 3-6 year old children. J Clin Diagn Res. 2013; 7(8):1789-92.
Maj Saravanan S, Lokesh S, Tejaswin P, Akhilesh S. Prevalence, severity and associated factors of dental caries in 3-6 year old children - A cross sectional study. IJDSR. 2014;2(6):5-11.
Shang XH, Li DL, Huang Y, Chen H, Sun RP. Prevalence of dental caries among preschool children in shanghe county of shandong province and relevant prevention and treatment strategies. Chin Med J. 2008;121(22):2246-9.
Roberts B, Blinkhorn A, Duxbury J. The power of children over adults when obtaining sweet snacks. Int J Paediatr Dent. 2003;13(2):76-84.
Pujar P, Subbareddy VV. Evaluation of the tooth brushing skills in children aged 6-12 years. Eur Arch Paediatr Dent. 2013;14(4):213-9.
Oulis CJ, Tsinidou K, Vadiakas G, Mamai-Homata E, Polychronopoulou A, Athanasouli T. Caries prevalence of 5, 12 and 15-year-old Greek children: a national pathfinder survey. Community Dent Health. 2012;29(1):29-32.
Pimentel EL, Azevedo VM, Castro Rde A, Reis LC, De Lorenzo A. Caries experience in young children with congenital heart disease in a developing country. Braz Oral Res. 2013;27(2):103-8.
Feldens CA, Kramer PF, Sequeira MC, Rodrigues PH, Vitolo MR. Maternal education is an independent determinant of cariogenic feeding practices in the first year of life. Eur Arch Paediatr Dent. 2012;13(2):70-5.
Patil AN, Karkare S, Jadhav HS, Damade Y, Punjari BK. Knowledge, Attitude, and practice of parents toward their children's oral health and its influence on the dental caries status of 5-10-year-old schoolchildren in nashik, maharashtra: a cross-sectional study. Int J Clin Pediatr Dent. 2022;15(2):126-30.
Norkham S, Sukcharoenkosol H. The association between knowledge attitude and behaviors of parents and oral health status of pre-school children in area without dental nurse, Fang district, Chiang mai province. Chiang rai med J. 2561;10(2):42-53.
Grahn K, Wikström S, Nyman L, Rydberg A, Stecksén-Blicks C. Attitudes about dental care among parents whose children suffer from severe congenital heart disease: a case-control study. Int J Paediatr Dent. 2006;16(4):231-8.
da Fonseca MA, Evans M, Teske D, Thikkurissy S, Amini H. The impact of oral health on the quality of life of young patients with congenital cardiac disease. Cardiol Young. 2009;19(3):252-6.
Hallett KB RD, Seow WK. Oral health of children with congenital cardiac diseases: a controlled study. Pediatr Dent. 1992;14(4):224-30.
Balmer R, Bu'Lock FA. The experiences with oral health and dental prevention of children with congenital heart disease. Cardiol Young. 2003;13(5):439-43.
Lili Xu JT, Huiyu Wang,Changhui Shao,Yibo Wu,Zaimu Yang,et al. Study of Parents’ KAP regarding their Children’s Oral Health and the Factors that Influence Children’s Risk of Dental Caries. Research square. 2019;12(1):1-16.
Law CS. The impact of changing parenting styles on the advancement of pediatric oral health. J Calif Dent Assoc. 2007;35(3):192-7.
Chen KJ, Gao SS, Duangthip D, Li SKY, Lo ECM, Chu CH. Dental caries status and its associated factors among 5-year-old Hong Kong children: a cross-sectional study. BMC Oral Health. 2017;17(1):121.
Baumrind D. Parental Disciplinary Patterns and social competence in children. Youth & Society. 1978;9(3):239-67.
Viswanath S, Asokan S, Geethapriya PR, Eswara K. Parenting styles and their influence on child's dental behavior and caries status: an analytical cross-sectional study. J Clin Pediatr Dent. 2020;44(1):8-14.
Howenstein J, Kumar A, Casamassimo PS, McTigue D, Coury D, Yin H. Correlating parenting styles with child behavior and caries. Pediatr Dent. 2015;37(1):59-64.
Pourmoghaddas Z, Meskin M, Sabri M, Norousali Tehrani MH, Najafi T. Dental caries and gingival evaluation in children with congenital heart disease. Int J Prev Med. 2018;19(9):1-6.
Gokhale N, Nuvvula S. Knowledge, Attitudes and practices of parents regarding oral health and its correlation with dental caries status of their children: a cross sectional study. Bhavnagar J Dent. 2015;5(3):1-5.
Shitie A, Addis R, Tilahun A, Negash W. Prevalence of dental caries and its associated factors among primary school children in ethiopia. Int J Dent. 2021;77(4):1-7.
Sun X, Bernabé E, Liu X, Gallagher JE, Zheng S. Early life factors and dental caries in 5-year-old children in China. J Dent. 2017;64(2):73-9.
Arafa MA, Zaher SR, El-Dowaty AA, Moneeb DE. Quality of life among parents of children with heart disease. Health Qual Life Outcomes. 2008;6(3):91.
Lawoko S, Soares JJ. Quality of life among parents of children with congenital heart disease, parents of children with other diseases and parents of healthy children. Qual Life Res. 2003;12(6):655-66.
Goldbeck L, Melches J. Quality of life in families of children with congenital heart disease. Qual Life Res. 2005;14(5):1915-24.
Wong FMF, Shie HWH, Kao E, Tsoi HM, Leung WK. Educational Programme on Knowledge, Attitudes, and practice of oral care/hygiene provision by healthcare providers to older residents in long-term care institutions: a case-control study. Geriatrics (Basel). 2024;9(1)12-3.
