The oral health of children considered very high risk for infective endocarditis

Richard Balmer1, Georgia Booras, Jonathan Parsons

  • 1Division of Child Dental Health, Leeds Dental Institute, Leeds, UK. r.c.balmer@leeds.ac.uk

Insights

Children at high risk for infective endocarditis (IE) showed similar dental health to healthy peers, despite high caries rates. Parental awareness of oral health

Area of Science:

  • Pediatric Cardiology
  • Oral Health
  • Infective Endocarditis

Background:

  • Children with prior infective endocarditis (IE) or prosthetic heart valves face very high IE risk.
  • Oral health is a critical factor in managing IE risk in high-risk pediatric populations.

Purpose of the Study:

  • To compare dental health between high-risk children and healthy controls.
  • To assess parental awareness of oral health's importance in preventing IE.

Main Methods:

  • Dental examinations were conducted on 28 high-risk children and 28 healthy controls.
  • Parental awareness of oral health was evaluated using questionnaires.

Main Results:

  • No significant differences in DMFT scores were found between the high-risk and control groups.
  • 36% of the high-risk group had untreated caries, despite excellent parental knowledge.
  • Parental awareness regarding the link between oral health and IE was notably high.

Conclusions:

  • Oral health status did not significantly differ between high-risk cardiac children and healthy controls.
  • High rates of untreated caries in the study group are concerning, even with good dental awareness and attendance.
  • Further investigation into maintaining oral hygiene in high-risk pediatric populations is warranted.
Abstract

Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...