Doğuştan kalp hastalığı olan çocuklarda ağız-diş sağlığı durumu ve ebeveynlerinde infektif endokardit farkındalık düzeyleri

Melis Yılmaz; Ayşe Buse Serin; Abdullah Özyurt; Derya Karpuz; Olgu Hallıoğlu Kılınç

doi:10.26559/mersinsbd.648783

Research Article

Doğuştan kalp hastalığı olan çocuklarda ağız-diş sağlığı durumu ve ebeveynlerinde infektif endokardit farkındalık düzeyleri

Year 2020, Volume: 13 Issue: 1, 117 - 125, 30.04.2020

Melis Yılmaz Ayşe Buse Serin Abdullah Özyurt Derya Karpuz Olgu Hallıoğlu Kılınç

https://doi.org/10.26559/mersinsbd.648783

Cited By: 1

Abstract

Amaç: Bu çalışmada, doğuştan kalp hastalığı olan çocukların ağız-diş sağlığı durumlarının sağlıklı kontrollerle karşılaştırılması ve hasta çocukların ebeveynlerinin infektif endokardit (İE) bilgi düzeyinin ve İE’den korunma yolları farkındalıklarının değerlendirilmesi amaçlanmıştır. Yöntem: Prospektif, kontrollü bir çalışma olarak planlanan bu kohorta doğuştan kalp hastalığı ile izlenen, yaşları 5-18 yaş arası 71 hasta ve 70 kontrol grubu olmak üzere 141 çocuk dahil edildi. Ebeveynlerin hastalık ve İE ile ilgili bilinç düzeyleri soru-cevap şeklinde anket formuna not edildi. Anket cevapları; biliyor, bilmiyor, eksik biliyor, yanlış biliyor şeklinde 4 farklı seçenekten oluşturuldu. Ağız içi muayene; Plak İndeksi (Pİ), Gingival İndeks (Gİ) ve DMFT-dmft İndekslerine göre değerlendirildi. Bulgular: Çalışma grubunda ebeveynlerin sadece 24'ü (%33,8) endokarditi bildiğini söyledi fakat bunların sadece 6'sı (%8.5) doğru olarak biliyordu. Ebeveynlerin 36’sı (%50.7) ise ağız-hijyeni ile endokardit ilişkisini biliyordu. Çalışma ve kontrol grupları arasında Pİ,Gİ, DMFT-dmft indeksi değerleri arasında istatistiksel olarak anlamlı bir fark saptanmadı. Sonuç: Bu çalışmada kalp hastalığı olan hastaların ebeveynlerinde İE’den korunmak için iyi bir ağız hijyeninin önemine ilişkin farkındalık düzeyinin yetersiz olduğu görülmüştür. Yanı sıra; Pİ, Gİ, DMFT indeksleri açısından gruplar arasında istatistiksel olarak herhangi bir anlamlı fark saptanmamıştır.

Keywords

Doğuştan kalp hastalığı, endokardit, ağız hijyeni, ebeveyn

Supporting Institution

Mersin Lamos Rotary Klübü

Project Number

yok

Thanks

Mersin Lamos Rotary Klübü' ne teşekkür ederiz.

References

1. Young SE. Aetiology and epidemiology of infective endocarditis in England and Wales. Journal of Antimicrobial Chemotherapy. 1987;20(suppl_A):7-14.
2. Balmer R, Booras G, Parsons J. The oral health of children considered very high risk for infective endocarditis. International journal of paediatric dentistry. 2010;20(3):173-8.
3. Nomura R, Kokomoto K, Ohara T, Nakatani S, Ooshima T, Nakano K. Current knowledge among Japanese experienced general dentists regarding prevention of infective endocarditis. Odontology. 2018;106(3):297-305.
4. Thornhill MH, Jones S, Prendergast B, Baddour LM, Chambers JB, Lockhart PB, et al. Quantifying infective endocarditis risk in patients with predisposing cardiac conditions. European heart journal. 2017;39(7):586-95.
5. van den Brink FS, Swaans MJ, Hoogendijk MG, Alipour A, Kelder JC, Jaarsma W, et al. Increased incidence of infective endocarditis after the 2009 European Society of Cardiology guideline update: a nationwide study in the Netherlands. European Heart Journal–Quality of Care and Clinical Outcomes. 2016;3(2):141-7.
6. Da Silva D, Souza I, Cunha M. Knowledge, attitudes and status of oral health in children at risk for infective endocarditis. International journal of paediatric dentistry. 2002;12(2):124-31.
7. Thuny F, UK BP, Vilacosta I, Moreillon P, de Jesus Antunes M, Thilen U, et al. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009). European Heart Journal. 2009;30:2369-413.
8. Cahill TJ, Dayer M, Prendergast B, Thornhill M. Do patients at risk of infective endocarditis need antibiotics before dental procedures? bmj. 2017;358:j3942.
9. Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta J-P, Del Zotti F, et al. 2015 ESC guidelines for the management of infective endocarditis: the task force for the management of infective endocarditis of the European Society of Cardiology (ESC) endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). European heart journal. 2015;36(44):3075-128.
10. Haag F CS, Varela F, Firpo C. . Parents' knowledge of infective endocarditis in children with congenital heart disease. Rev Bras Cir Cardiovasc. 2011;26(3):413-8.
11. MAhARAJ B, Parrish A. Prevention of infective endocarditis in developing countries. Cardiovascular journal of Africa. 2012;23(6):303.
12. Knöchelmann A, Geyer S, Grosser U. Maternal understanding of infective endocarditis after hospitalization: assessing the knowledge of mothers of children with congenital heart disease and the practical implications. Pediatric cardiology. 2014;35(2):223-31.
13. Koerdt S, Hartz J, Hollatz S, Frohwitter G, Kesting MR, Ewert P, et al. Dental prevention and disease awareness in children with congenital heart disease. Clinical oral investigations. 2018;22(3):1487-93.
14. Marakoglu I, Gursoy UK, Marakoglu K, Cakmak H, Ataoglu T. Periodontitis as a risk factor for preterm low birth weight. Yonsei medical journal. 2008;49(2):200-3.
15. Reddy ER, Rani ST, Manjula M, Kumar LV, Mohan TA, Radhika E. Assessment of caries status among schoolchildren according to decayed-missing-filled teeth/decayed-extract-filled teeth index, International Caries Detection and Assessment System, and Caries Assessment Spectrum and Treatment criteria. Indian Journal of Dental Research. 2017;28(5):487.
16. Gökalp S, Doğan B. Root caries in 35-44 and 65-74 year-olds in Turkey. Community dental health. 2012;29(3):233-8.
17. Pollard M, Curzon M. Dental health and salivary Streptococcus mutans levels in a group of children with heart defects. International journal of paediatric dentistry. 1992;2(2):81-5.
18. Hallett KB, Radford DJ, Seow W. Oral health of children with congenital cardiac diseases: a controlled study. Pediatric dentistry. 1992;14(4):225.
19. Suma G, Mohan Das U, Ambika G, Jairanganath. Oral health status of normal children and those affiliated with cardiac diseases. Journal of Clinical Pediatric Dentistry. 2011;35(3):315-8.
20. Bizmark RS, Chang R-KR, Tsugawa Y, Zangwill KM, Kawachi I. Impact of AHA’s 2007 guideline change on incidence of infective endocarditis in infants and children. American heart journal. 2017;189:110-9.
21. Di SF. Infective endocarditis prophylaxis in congenital heart disease. Presse medicale (Paris, France: 1983). 2017;46(6 Pt 1):606-11.
22. Smith A, Adams D. The dental status and attitudes of patients at risk from infective endocarditis. British dental journal. 1993;174(2):59.

Determination of oral-dental health status in children with heart disease and level of awareness of infective endocarditis in their parents

Year 2020, Volume: 13 Issue: 1, 117 - 125, 30.04.2020

Melis Yılmaz Ayşe Buse Serin Abdullah Özyurt Derya Karpuz Olgu Hallıoğlu Kılınç

https://doi.org/10.26559/mersinsbd.648783

Cited By: 1

Abstract

Aim: In this study, it was aimed to compare oral and dental health conditions of children with congenital heart disease with healthy controls and to evaluate the awareness of infective endocarditis. Method: This cohort, designed as a prospective, controlled, multicentre study, included 71 children (min-max:5-18 years) with a heart disease and 70 children in control groups. Parents filled in a questionnaire form and the survey responses were composed of 4 different options: knows, does not know, imperfect knowledge, wrong information. Intraoral examination was evaluated with Plaque Index (PI), Gingival Index (GI), and DMFT-dmft values. Results: In the patient group, only 24 (33.8%) of the parents said that they knew endocarditis, only 6 (8.5%) knew correctly and 36 (50.7%) knew the oral-hygiene and endocarditis relationship. No statistically significant differences were found between the patient and control groups in terms of plaque index (p:0.416), gingival index (p:0.098) and DMFT-dmft index (p:0.262). Conclusion: In this study, it is found out that the parents of the children with heart disease’s awarness about the association with good oral hygene and knowledge of IE’s protection is poor. Besides, no statistically significant difference was detected about PI, GI, DMFT index values between the groups.

Keywords

endocarditis, oral hygiene, Congenital heart disease, parents

Project Number

yok

References

1. Young SE. Aetiology and epidemiology of infective endocarditis in England and Wales. Journal of Antimicrobial Chemotherapy. 1987;20(suppl_A):7-14.
2. Balmer R, Booras G, Parsons J. The oral health of children considered very high risk for infective endocarditis. International journal of paediatric dentistry. 2010;20(3):173-8.
3. Nomura R, Kokomoto K, Ohara T, Nakatani S, Ooshima T, Nakano K. Current knowledge among Japanese experienced general dentists regarding prevention of infective endocarditis. Odontology. 2018;106(3):297-305.
4. Thornhill MH, Jones S, Prendergast B, Baddour LM, Chambers JB, Lockhart PB, et al. Quantifying infective endocarditis risk in patients with predisposing cardiac conditions. European heart journal. 2017;39(7):586-95.
5. van den Brink FS, Swaans MJ, Hoogendijk MG, Alipour A, Kelder JC, Jaarsma W, et al. Increased incidence of infective endocarditis after the 2009 European Society of Cardiology guideline update: a nationwide study in the Netherlands. European Heart Journal–Quality of Care and Clinical Outcomes. 2016;3(2):141-7.
6. Da Silva D, Souza I, Cunha M. Knowledge, attitudes and status of oral health in children at risk for infective endocarditis. International journal of paediatric dentistry. 2002;12(2):124-31.
7. Thuny F, UK BP, Vilacosta I, Moreillon P, de Jesus Antunes M, Thilen U, et al. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009). European Heart Journal. 2009;30:2369-413.
8. Cahill TJ, Dayer M, Prendergast B, Thornhill M. Do patients at risk of infective endocarditis need antibiotics before dental procedures? bmj. 2017;358:j3942.
9. Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta J-P, Del Zotti F, et al. 2015 ESC guidelines for the management of infective endocarditis: the task force for the management of infective endocarditis of the European Society of Cardiology (ESC) endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). European heart journal. 2015;36(44):3075-128.
10. Haag F CS, Varela F, Firpo C. . Parents' knowledge of infective endocarditis in children with congenital heart disease. Rev Bras Cir Cardiovasc. 2011;26(3):413-8.
11. MAhARAJ B, Parrish A. Prevention of infective endocarditis in developing countries. Cardiovascular journal of Africa. 2012;23(6):303.
12. Knöchelmann A, Geyer S, Grosser U. Maternal understanding of infective endocarditis after hospitalization: assessing the knowledge of mothers of children with congenital heart disease and the practical implications. Pediatric cardiology. 2014;35(2):223-31.
13. Koerdt S, Hartz J, Hollatz S, Frohwitter G, Kesting MR, Ewert P, et al. Dental prevention and disease awareness in children with congenital heart disease. Clinical oral investigations. 2018;22(3):1487-93.
14. Marakoglu I, Gursoy UK, Marakoglu K, Cakmak H, Ataoglu T. Periodontitis as a risk factor for preterm low birth weight. Yonsei medical journal. 2008;49(2):200-3.
15. Reddy ER, Rani ST, Manjula M, Kumar LV, Mohan TA, Radhika E. Assessment of caries status among schoolchildren according to decayed-missing-filled teeth/decayed-extract-filled teeth index, International Caries Detection and Assessment System, and Caries Assessment Spectrum and Treatment criteria. Indian Journal of Dental Research. 2017;28(5):487.
16. Gökalp S, Doğan B. Root caries in 35-44 and 65-74 year-olds in Turkey. Community dental health. 2012;29(3):233-8.
17. Pollard M, Curzon M. Dental health and salivary Streptococcus mutans levels in a group of children with heart defects. International journal of paediatric dentistry. 1992;2(2):81-5.
18. Hallett KB, Radford DJ, Seow W. Oral health of children with congenital cardiac diseases: a controlled study. Pediatric dentistry. 1992;14(4):225.
19. Suma G, Mohan Das U, Ambika G, Jairanganath. Oral health status of normal children and those affiliated with cardiac diseases. Journal of Clinical Pediatric Dentistry. 2011;35(3):315-8.
20. Bizmark RS, Chang R-KR, Tsugawa Y, Zangwill KM, Kawachi I. Impact of AHA’s 2007 guideline change on incidence of infective endocarditis in infants and children. American heart journal. 2017;189:110-9.
21. Di SF. Infective endocarditis prophylaxis in congenital heart disease. Presse medicale (Paris, France: 1983). 2017;46(6 Pt 1):606-11.
22. Smith A, Adams D. The dental status and attitudes of patients at risk from infective endocarditis. British dental journal. 1993;174(2):59.

There are 22 citations in total.

Details

Primary Language	Turkish
Subjects	Health Care Administration
Journal Section	Articles
Authors	Melis Yılmaz 0000-0002-8414-8613 Ayşe Buse Serin 0000-0001-6779-8166 Abdullah Özyurt 0000-0003-2643-2795 Derya Karpuz This is me 0000-0002-3007-1403 Olgu Hallıoğlu Kılınç 0000-0002-9679-9202
Project Number	yok
Publication Date	April 30, 2020
Submission Date	November 21, 2019
Acceptance Date	February 14, 2020
Published in Issue	Year 2020 Volume: 13 Issue: 1

Cite

APA	Yılmaz, M., Serin, A. B., Özyurt, A., Karpuz, D., et al. (2020). Doğuştan kalp hastalığı olan çocuklarda ağız-diş sağlığı durumu ve ebeveynlerinde infektif endokardit farkındalık düzeyleri. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 13(1), 117-125. https://doi.org/10.26559/mersinsbd.648783
AMA	Yılmaz M, Serin AB, Özyurt A, Karpuz D, Hallıoğlu Kılınç O. Doğuştan kalp hastalığı olan çocuklarda ağız-diş sağlığı durumu ve ebeveynlerinde infektif endokardit farkındalık düzeyleri. Mersin Univ Saglık Bilim derg. April 2020;13(1):117-125. doi:10.26559/mersinsbd.648783
Chicago	Yılmaz, Melis, Ayşe Buse Serin, Abdullah Özyurt, Derya Karpuz, and Olgu Hallıoğlu Kılınç. “Doğuştan Kalp hastalığı Olan çocuklarda ağız-Diş sağlığı Durumu Ve Ebeveynlerinde Infektif Endokardit farkındalık düzeyleri”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 13, no. 1 (April 2020): 117-25. https://doi.org/10.26559/mersinsbd.648783.
EndNote	Yılmaz M, Serin AB, Özyurt A, Karpuz D, Hallıoğlu Kılınç O (April 1, 2020) Doğuştan kalp hastalığı olan çocuklarda ağız-diş sağlığı durumu ve ebeveynlerinde infektif endokardit farkındalık düzeyleri. Mersin Üniversitesi Sağlık Bilimleri Dergisi 13 1 117–125.
IEEE	M. Yılmaz, A. B. Serin, A. Özyurt, D. Karpuz, and O. Hallıoğlu Kılınç, “Doğuştan kalp hastalığı olan çocuklarda ağız-diş sağlığı durumu ve ebeveynlerinde infektif endokardit farkındalık düzeyleri”, Mersin Univ Saglık Bilim derg, vol. 13, no. 1, pp. 117–125, 2020, doi: 10.26559/mersinsbd.648783.
ISNAD	Yılmaz, Melis et al. “Doğuştan Kalp hastalığı Olan çocuklarda ağız-Diş sağlığı Durumu Ve Ebeveynlerinde Infektif Endokardit farkındalık düzeyleri”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 13/1 (April 2020), 117-125. https://doi.org/10.26559/mersinsbd.648783.
JAMA	Yılmaz M, Serin AB, Özyurt A, Karpuz D, Hallıoğlu Kılınç O. Doğuştan kalp hastalığı olan çocuklarda ağız-diş sağlığı durumu ve ebeveynlerinde infektif endokardit farkındalık düzeyleri. Mersin Univ Saglık Bilim derg. 2020;13:117–125.
MLA	Yılmaz, Melis et al. “Doğuştan Kalp hastalığı Olan çocuklarda ağız-Diş sağlığı Durumu Ve Ebeveynlerinde Infektif Endokardit farkındalık düzeyleri”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, vol. 13, no. 1, 2020, pp. 117-25, doi:10.26559/mersinsbd.648783.
Vancouver	Yılmaz M, Serin AB, Özyurt A, Karpuz D, Hallıoğlu Kılınç O. Doğuştan kalp hastalığı olan çocuklarda ağız-diş sağlığı durumu ve ebeveynlerinde infektif endokardit farkındalık düzeyleri. Mersin Univ Saglık Bilim derg. 2020;13(1):117-25.

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https://doi.org/10.33805/2573.3877.156

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