Madhavan, V (2011) Oral Health Status of Children with Cardiac Disease and the Awareness, Attitude and Knowledge of their Parents. Masters thesis, Ragas Dental College and Hospital, Chennai.
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Abstract
The prevention of oral disease is the most desirable way of ensuring good dental health for children with cardiac disease. Oral cavity is a natural source of many microorganism and alteration in oral health leads to changes in the eco system where some of the organisms become pathogenic and move into the blood stream leading to septicaemia. Dental and gingival infections in patients with cardiac disease may lead to several cardiac complications. Many situations in which bacteraemia occur, may not be readily identifiable, and other bacteraemia may occur spontaneously and cannot logically be prevented. All children at risk should be properly instructed to establish and maintain best possible oral health to reduce these potential sources of bacteraemia. In children with complex heart disease, other associated problems often appear that may jeopardize dental health. Many of these children have difficulties with nutrition during the first year of life. Vomiting is a common problem and to compensate for this they should be fed frequently and night meals are often necessary to maintain energy intake at an acceptable level. In addition some of the medicines for heart disease contain sucrose together with diuretics that can cause xerostomia. Infections often last for longer periods than in normal children with an increased need for feeding, sometimes at night when salivary protection is low. Considering all these aspects, the importance of evaluating the practice and oral health conditions of children at risk for infective endocarditis was recognized, as was the need to discover the extent of their parental awareness.9 This study was done to determine the oral health status of children and the parental knowledge on the importance of oral health in preventing cardiac complications. AIMS AND OBJECTIVES: The aim of this study was To assess the oral health status of children with cardiac problems. To determine their parental knowledge, attitude and awareness about the cardiac disease, importance of maintaining oral health and importance of infective endocarditis prophylaxis to prevent cardiac complications CONCLUSION: It can be concluded : This study shows that the prevalence of dental caries was high (81.7%) among the cardiac patients with a mean deft of 3.6 and mean DMFT of 0.76. The study also showed the untreated component (85% in primary and 98% in mixed dentition) of the caries experience was more than the treated component (15% in primary and 2% in mixed dentition). 31.33% of children had poor oral hygiene. The caries experience is relatively high even though the children’s oral hygiene practices are good. The study showed that 97.3% of children were tooth brush users, 97.3% were paste users, 93.3% of children were those who brushed atleast once daily. Very few parents were aware of the importance of maintaining oral health (16% ) and importance of infective endocarditis prophylaxis (7% ) even though most of them were aware of the cardiac problems of children (87%). Attitude towards dentistry among parents was poor. 84% had never taken their child to a dentist.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Oral Health Status ; Children ; Cardiac Disease ; Awareness, Attitude ; Knowledge ; Parents. |
| Subjects: | DENTAL > Paedodontics and Preventive Dentistry |
| Depositing User: | Subramani R |
| Date Deposited: | 04 Jul 2017 13:26 |
| Last Modified: | 04 Jul 2017 13:26 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/920 |
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