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Oral Health in Children With Congenital Heart Diseases: A Comprehensive Narrative Review

Wafaa Saleh1, Ghada A Elhusseiny1, Hamad Alharbi2

  • 1Oral Medicine, Periodontology, Diagnosis and Oral Radiology Department, Faculty of Dentistry, Mansoura University, Egypt.

Clinical Medicine Insights. Pediatrics
|April 24, 2026
PubMed

Insights

Children with congenital heart disease (CHD) face increased oral health issues like cavities and gum disease. This review emphasizes a multidisciplinary approach for better dental care and improved quality of life for these children.

Area of Science:

  • Pediatric Cardiology
  • Dental Public Health
  • Congenital Anomalies

Background:

  • Congenital heart disease (CHD) is the most common congenital anomaly in live births.
  • Improved surgical treatments lead to a growing population of children with CHD.
  • These children exhibit poorer oral health compared to healthy peers due to various factors.

Purpose of the Study:

  • To address the lack of clear guidelines for managing oral health in children with CHD.
  • To review oral manifestations and dental management strategies for children with CHD.
  • To emphasize the importance of a multidisciplinary team approach.

Main Methods:

  • A comprehensive literature search was conducted across major scientific databases (PubMed, Scopus, Web of Science, Google Scholar).
  • Relevant studies on oral health and dental management in children with CHD were identified and analyzed.
  • This narrative review synthesizes existing knowledge to provide guidance.

Main Results:

  • Children with CHD often present with poor oral hygiene, reduced fluoride exposure, and medication side effects impacting oral health.
  • Higher prevalence of caries and gingival diseases necessitates comprehensive dental treatment.
  • A multidisciplinary team approach is crucial for effective management.

Conclusions:

  • Optimal dental management strategies are essential for improving the overall health outcomes and quality of life for children with CHD.
  • Clear guidelines are needed for dentists, pediatric cardiologists, and parents.
  • Early intervention and consistent oral care are vital.

Keywords:
childrencongenital heart diseasesnarrative revieworal health

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