Oral health and related factors in cystic fibrosis and other chronic respiratory disorders
Oral health and related factors in cystic fibrosis and other chronic respiratory disorders
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DOI：
10.1136/adc.88.8.702
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发表时间：
2003-08-01
影响因子：
5.2
通讯作者：
Bush, A
中科院分区：
文献类型：
--
作者：
Narang, A;Maguire, A;Bush, A
目的：比较龋齿，牙石，釉质缺损的患病率与囊性纤维化（CF）和其他慢性呼吸系统疾病的儿童。方法：横断面观察调查。一名检查员（AN）进行口腔检查，以评估龋齿，牙周健康，牙釉质缺陷的儿童参加呼吸门诊。（35例男性;平均年龄10.7岁，范围2.5 - 16.5岁）与106例其他慢性呼吸系统疾病患者的对照组进行了比较（52例男性;平均年龄9.1岁，范围3.0 - 16.5）。CF患者恒牙釉质缺损明显多于其他慢性呼吸系统疾病患儿。此外，非显着的趋势，对一个较低的龋齿患病率，在两个牙列，增加了数量的六分仪与结石存款，和健康的牙龈六分仪的数量减少，观察囊性fibrosis.Conclusions：牙釉质缺损，特别是牙釉质混浊，这可能是毁容，更常见的CF患者。早期定期看牙可以防止这些缺陷成为牙齿残疾，也可以清除牙石沉积。长期使用抗生素和胰酶可能会对囊性纤维化患者龋齿的发展和进展提供一些保护。在管理这些儿童护理的多专业小组中包括一名儿科牙医将是一个优势。
Aim: To compare the prevalence of dental caries, dental calculus, and enamel defects in children with cystic fibrosis (CF) and children with other chronic respiratory disorders.Methods: A cross sectional observational survey. One examiner ( AN) undertook oral examinations to assess dental caries, periodontal health, and enamel defects in children attending respiratory outpatient clinics.Results: A total of 74 patients with CF ( 35 male; mean age 10.7 years, range 2.5 - 16.5) were compared with a control group of 106 patients with other chronic respiratory disorders ( 52 male; mean age 9.1 years, range 3.0 - 16.5). There were significantly more defects of enamel in the permanent teeth of CF patients, compared with the teeth of those children with other chronic respiratory disorders. In addition, non-significant trends towards a lower caries prevalence in both dentitions, increased numbers of sextants with calculus deposits, and a reduced number of healthy gingival sextants were observed in the patients with cystic fibrosis.Conclusions: Enamel defects, particularly enamel opacities, which can be disfiguring, are more common in CF patients. Early, regular dental visits may prevent such defects becoming dentally disabling and would also permit the removal of dental calculus deposits. The use of long term antibiotics and pancreatic enzymes may confer some protection against the development and progression of dental caries in patients with cystic fibrosis. The inclusion of a specialist paediatric dentist, as part of the multiprofessional team managing the care of these children, would be an advantage.