ORIGINAL ARTICLE
Comparison of the frequency of dental caries in asthmatic children under treatment with inhaled corticosteroids and healthy children in Sabzevar in 2017-2018
 
More details
Hide details
1
Sabzevar university of medical sciences, Sabzevar, Iran
 
2
Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
 
3
General Dentist, Sabzevar university of medical sciences, Sabzevar, Iran
 
4
Department of Health and Community Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
 
 
Online publication date: 2018-07-15
 
 
Publication date: 2019-04-22
 
 
Electron J Gen Med 2019;16(2):em119
 
KEYWORDS
ABSTRACT
Background and Objective:
Regarding the prevalence of premature dental caries in childhood and the role of asthma as a risk factor for increased vulnerability to dental caries, the present study aimed to determine and compare the frequency of dental caries between asthmatic children under treatment with inhaled corticosteroids and healthy children.

Methodology:
In this case-control study, 70 children with asthma who were taking corticosteroid sprays for at least one year and 70 healthy children aged 3-12 visiting the clinic or office of pediatricians in 2017-2018 were selected as the sample based on convenient sampling method. Clinical examination for the diagnosis of dental caries was conducted using the decayed-missing-filled teeth (DMFT) index. The obtained data were statistically analyzed in SPSS-18.

Results:
The mean score of DMF index, in each of the subscales of decayed teeth (D/d), missing teeth (M/m), and filled teeth (F/f), was higher in asthmatic children compared to healthy children (p<0.05).

Conclusion:
The study findings suggest that it is necessary to pay a special attention to prevention programs including increasing the awareness of parents and training in strategies for the reduction of complications of drugs and providing organized dental care and services, especially for asthmatic children who are at greater risk of dental caries.

 
REFERENCES (24)
1.
Ektah K, Arun RJ, Elza T. Oral findings in asthmatic children. J Amr Med. 2014;10(1):1-44.
 
2.
Shulman JD, Taylor SE, Nunn ME. The association between Asthma and Dental Caries in Children and Adolescents: A Population-Based Case-Control Study. Caries Res. 2001;35:240-6. https://doi.org/10.1159/000047... PMid:11423718.
 
3.
Ersin NK, Gulen F, Ernot N, Cogula D, Demir E, Tanac R, Aydemir S. Oral and Dental Manifestations of young Asthmatics Related to Medication, Severity and Duration of Condition. Pediatrics Int. 2006;48:549-54. https://doi.org/10.1111/j.1442... PMid:17168972.
 
4.
Karova E, Christoff G. Impact of different combinations of in haled corticosteroid and long acting sympathicomimetics on dental health of asthmatic. J Iamb. 2012;18:224-8.
 
5.
Stensson M, Wendt LK, Koch G, Oldaeus G, Ramberg P, Birkhed D. Oral health in young adults with long-term, controlled asthma. Acta Odontol Scand. 2011;69:158–64. https://doi.org/10.3109/000163... PMid:21231815.
 
6.
Smidt D, Torpet LA, Nauntofte B, Heegaard KM, Pedersen AM. Associations between labial and whole salivary flow rates, systemic diseases and medications in a sample of older people. Community, Dent Oral Epidemiology. 2010;38:422–35. https://doi.org/10.1111/j.1600... PMid:20545715.
 
7.
Mohamed Hamid S, Elkhadir EF, Hassan A. Dental caries in 3–12 year old Sudanese children with bronchial asthma. J Dent Res Rev. 2017;167-71.
 
8.
Vazquez EM, Vazquez F, Barrientos MC, Cordova JA, Lin D, Beltran FJ, et al. Association between asthma and dental caries in the primary dentition of Mexican children. World J Pediatr 2011;7(4):344-9. https://doi.org/10.1007/s12519... PMid:21633854.
 
9.
Golshan M, Mohammad-Zadeh Z, Zahedi Nejad N, Rostam Poor B. Prevalence of asthma and related symptoms in primary school children of Isfahan, Iran, in 1998. Asian Pac J of Allergy Immunol. 2001;19:163-70. PMid:11826910.
 
10.
Paganini M, Dezan C, Bichaco T, de Andrade F, Neto A, Fernandes K. Dental caries status and salivary properties of asthmatic children and adolescents. Int J Paediatr Dent. 2011;21(3):185-91. https://doi.org/10.1111/j.1365... PMid:21281365.
 
11.
Stensson M, Wendt LK, Koch G, Oldaeus G, Birkhed D. Oral health in preschool children with asthma. Int J Paediatr Dent. 2008;18:24350. https://doi.org/10.1111/j.1365... PMid:18489575.
 
12.
Çolak H, Dülgergil ÇT, Dalli M, Hamidi MM. Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med. 2013;4(1):29–38. https://doi.org/10.4103/0976-9... PMid:23633832 PMCid:PMC3633299.
 
13.
Twetman S. Caries prevention with fluoride toothpaste in children: an update. Eur Arch Paediatr Dent. 2009;10(3):162-8. https://doi.org/10.1007/BF0326... PMid:19772846.
 
14.
Heidari A, Seraj B, Shahrabi M, Maghsoodi H, Kharazifard MJ, Zarabian T. Relationship Between Different Types and Forms of Anti-Asthmatic Medications and Dental Caries in Three to 12 Year Olds. J Den Med Sci 2016;13(4):238-43.
 
15.
Khalifa MA, Abouelkheir HM, Khodiar SE, Mohamed GA. Salivary composition and dental caries among children controlled asthmatics. J Egyp Chest Dis and Tubs. 2014;63(4):777-88. https://doi.org/10.1016/j.ejcd....
 
16.
Wongkamhaeng K, Poachanukoon O, Koontongkaew S. Dental caries, cariogenic microorganisms and salivary properties of allergic rhinitis children. Inter J of Ped Otorh. 2014;78:860-5. https://doi.org/10.1016/j.ijpo... PMid:24679591.
 
17.
Kilinc G, Uzuner N, Karaman O. Effect of dental care programmer and fluoridation in the prevention of dental caries in asthmatic children. J Pak Med Assoc. 2016;66(11):1378-84. PMid:27812052.
 
18.
Chellaih P, Sivas’s G, Chintu S, Vedam V, Arunachalam R, Sarsu M. Effect of anti-asthmatic drugs on dental health: A comparative study. J Pharm Bioallied Sci. 2016;8(1):77–80.
 
19.
Ehsani S, Moin M, Meighani Ghasem, Pourhashemi Jalal, Khayatpisheh Hadi, Yarahmadi Nazli, Oral Health Status in Preschool Asthmatic Children in Iran. J Allergy Asthm immune 2013;12(3):254-61.
 
20.
Pereira SM, Tagliaferro EP, Cortellazzi KL, Ambrosano GM, Mialhe FL, Meneghim Mde C, et al, Estimate of DMFT index using teeth most affected by dental caries in twelve-year-old children. Rev Saude Publica. 2009;43(1):179-82. https://doi.org/10.1590/S0034-....
 
21.
Mcdonald RE, Avary DR, Stooky GK, Chin JR. Dental Caries in the Child and Adolescent. Ninth ed., Missouri, Mosby Elsevier. 2011:184. https://doi.org/10.1016/B978-0....
 
22.
Santos NC, Jamelli S, Costa L, Baracho FC, Medeiros D, Rizzo JA, Sarinho E, assessing caries, dental plaque and salivary flow in asthmatic adolescents using inhaled corticosteroids. Allerg et immune. 2012;40(4):220-4.
 
23.
Namal N, Yüceokur A, Can G. Significant caries index values and related factors in 5-6-year-old children in Istanbul, Turkey. East Mediterr Health J. 2009;15(1):178-84. PMid:19469441.
 
24.
Botelho MP, Maciel SM, Cerci NA, Dezan CC, Fernandes KB, de Andrade FB. Cariogenic microorganisms and oral conditions in asthmatic children. Caries Res. 2011;45(4):386-92. https://doi.org/10.1159/000330... PMid:21822017.
 
eISSN:2516-3507
Journals System - logo
Scroll to top