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Published on: December 31, 2017
Oral health in preschool children with asthma
Malin Stensson1, Lill-Kari Wendt, Göran Koch
1Department of Paediatric Dentistry, Institute for Postgraduate Dental Education, Jönköping, Sweden. malin.stensson@lj.se
Insights
Preschool children with asthma show higher rates of tooth decay (caries) compared to healthy children. Key factors contributing to this include increased sugary drink consumption and mouth breathing.
Area of Science:
- Pediatric Dentistry
- Respiratory Medicine
- Public Health
Background:
- Asthma is a common chronic respiratory condition in children.
- Oral health is crucial for overall child development and well-being.
- Limited research exists on oral health disparities in young asthmatic children.
Purpose of the Study:
- To investigate the prevalence of dental caries and gingivitis in 3- and 6-year-old children with asthma.
- To identify oral health determinants in asthmatic children compared to healthy controls.
Main Methods:
- A case-control study involving 127 asthmatic children and 117 healthy controls aged 3 and 6 years.
- Clinical examination for caries (decayed, missing, filled teeth - dfs) and gingivitis.
- Parental interviews on oral health-related behaviors and factors.
Main Results:
- Asthmatic 3-year-olds exhibited significantly higher caries prevalence (mean dfs 1.4 vs 0.5) and gingival bleeding than controls.
- Asthmatic children reported higher sugar-sweetened beverage intake and were more likely to be mouth breathers.
- A higher caries prevalence was observed in 3-year-old asthmatic children with an immigrant background.
Conclusions:
- Preschool children with asthma have a greater risk of developing caries.
- Dietary factors (sugary drinks), mouth breathing, and immigrant background are significant predictors of caries in asthmatic children.
Objective:
The aim of this study was to investigate oral health and its determinants in 3-year-old and 6-year-old children with asthma.
Methods And Subjects:
Caries and gingivitis were examined in 127 asthmatic (all children with asthma in a selected area and born during a specific time period) and 117 matched, healthy control children. The parents were interviewed regarding various oral-health-related factors.
Results:
The mean dfs (+/- standard deviation) in the 3-year-old with asthma was 1.4 +/- 3.2 compared with 0.5 +/- 1.2 in the controls (P < 0.05). The corresponding figures for the 6-year-old were 2.5 +/- 3.9 and 1.8 +/- 2.8. The 3-year-old asthmatic children had more gingival bleeding than the healthy controls (P < 0.05). There were no significant differences in gingivitis in the 6-year-old children. Asthmatic children reported higher consumption of sugar-containing drinks and were more frequently mouthbreathers than healthy children (P < 0.05). In 3-year-old children with asthma and immigrant background, the mean dfs was higher compared with immigrant children in the control group (P < 0.01).
Conclusion:
The results indicate that preschool children with asthma have higher caries prevalence than healthy children. The factors discriminating for caries in asthmatic children are higher intake of sugary drinks, mouth breathing, and immigrant background.
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