Dental Caries Experience Amongst 3-15 Year Old Children with Heart Disease Attending Paediatric Cardiology Clinics in Nairobi Kenya by Daniel Kimei, Gladys N Opinya, and Arthur M Kemoli in Modern Approaches in Dentistry and Oral Health Care in Lupine Publishers
Abstract
Introduction: Children with a medical disability are those
whose medical condition puts their general health further at risk if
they suffer dental disease. Because of this risk to health, or even to
life, their dental care is of vital importance.
Objective: The objective of the study was to determine the oral health status of children suffering from different types of heat ailments.
Design: The study was a cross-sectional descriptive study, and
it was conducted in three paediatric cardiology clinics. The clinic at
the Kenyatta National Hospital, Gertrude’s Garden Children's Hospital
and Mater Hospital in Nairobi, Kenya. A total of 81 children were
examined, and their mean age of the children was 8.16±2.81 years; males
were 44(54.3%) while females were 37(45.7%). The prevalence of dental
caries in the deciduous teeth was 65.57%, and in permanent teeth, it was
40%. The mean dmft was 2.85±3.45. The oral hygiene status was poor with
mean plaque score of 1.72±0.59 (n=81) with the majority of the children
having fair oral hygiene 37(45.7%) and poor oral hygiene 36(44.4%).
Conclusion: The mean dmft of the children examined was 2.85
(±3.45 SD) which reflected unmet treatment needs among these children.
Also, these carious teeth acted as loci for the dislodgement of bacteria
into the bloodstream during mastication or tooth brushing, and this
increased the risk of the child developing sun acute bacterial
endocarditis. The children with poor oral hygiene were at risk of
bacteraemia and development of subacute bacterial endocarditis and
development of new carious lesions
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