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Oral health among children with congenital heart defects in Western Norway

  • Original Scientific Article
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Abstract

Aim

This was to describe oral health in children with congenital heart defects (CHD), to evaluate association of different background variables with oral health, and to compare caries prevalence at dentine level with caries data in the general population.

Methods

In this cross-sectional study, 5-year-old children in Western Norway with a need for lifelong follow-up due to CHD were invited to participate (n = 100). Children born in 2005, 2006, and 2007 underwent a comprehensive oral health examination during the period 2010–2012. Caries prevalence at the dentine level was compared with data available for 5-year-old children from the general population of Western Norway (n = 18,974).

Results

The response rate was 67 %. Caries prevalence in children with CHD at d1–5mft was 37.3 % and at d3–5mft 25.4 %. Few children (n = 4) had experienced fillings, indicating an unmet need for operative treatment. Enamel lesions (d1–2s) exceeded dentine lesions (d3–5s) in the study group, 60 % versus 40 %, indicating a significant need of non-operative treatment. At dentine level, caries prevalence in children with CHD was significantly higher than in children in the general population (25.4 versus 18.3 %). Erosion was more prevalent than caries (50.7 versus 37.3 %). In total, 37.3 % of all children had d3–5mfs caries, erosion (grades 3 or 4), developmental defects of enamel (DDE) with post-eruptive breakdown of enamel and exposure into dentine, or combinations of the diagnoses. Investigated background factors did not significantly affect caries, erosion, or DDE.

Conclusion

More than a third of the children with CHD were found to have an oral health status that may imply risk for systemic hazardous effects.

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Acknowledgments

We would like to acknowledge co-examiner Astrid Halle, Department of Clinical Dentistry-Paediatrics, University of Bergen and the staff at the following institutions; Department of Clinical Dentistry-Paediatrics, Haukeland University Hospital-Department of Paediatrics; Public Dental Health staff in Hordaland, northern Rogaland, Sogn & Fjordane, and the dental clinics in Førde and Haugesund. Lastly, our thanks go to all the parents and children who participated in the study.

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Authors and Affiliations

  1. Department of Clinical Dentistry, University of Bergen, Aarstadveien 19, NO-5020, Bergen, Norway

    T. B. Sivertsen, A. N. Åstrøm & M. S. Skeie

  2. Department of Clinical Science, University of Bergen, NO-5020, Bergen, Norway

    G. Greve

  3. Department of Heart Disease, Haukeland University Hospital, NO-5021, Bergen, Norway

    G. Greve

  4. Department of Paediatrics, Haukeland University Hospital, NO-5021, Bergen, Norway

    G. Greve

  5. Centre for Clinical Research, Haukeland University Hospital, NO-5021, Bergen, Norway

    J. Aßmus

Authors
  1. T. B. Sivertsen
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  2. J. Aßmus
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  3. G. Greve
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  4. A. N. Åstrøm
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  5. M. S. Skeie
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Corresponding author

Correspondence to T. B. Sivertsen.

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Funding

This study was funded by University of Bergen.

Conflict of interest

The authors declare they have no conflict of interest.

Ethical approval

This article does not contain any studies with animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from parents to all individual participants included in the study.

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Sivertsen, T.B., Aßmus, J., Greve, G. et al. Oral health among children with congenital heart defects in Western Norway. Eur Arch Paediatr Dent 17, 397–406 (2016). https://doi.org/10.1007/s40368-016-0243-y

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  • DOI: https://doi.org/10.1007/s40368-016-0243-y

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