Objective: Congenital heart disease (CHD) plays a key role in oral and dental health regarding its own impacts on teeth (i.e., enamel hypoplasia), infective endocarditis and choice of dental treatment. The purpose of this study’s comparing the oral and dental health status in children with or without CHD is to contribute to the literature by determining the effects of CHD on oral and dental health. Material and Methods: The present study was conducted using a descriptive and correlational design and consisted of 581 children aged between 6 months and 18 years who were healthy (n = 364) or experienced CHD (n = 217). CHD-impacted children were classified according to their shunt and stenosis and then their saturation values were noted. In the intraoral examination, caries data (dmft/DMFT, PUFA/pufa), oral hygiene (OHI-S) and enamel defect (DDE) indices were recorded. Statistical analyses were performed using SPSS 26.0 at a significance level of 0.05. Results: In our study, caries index scores of children with or without CHD in primary or permanent dentition were found to be similar. The mean OHI-S index (p < 0.001) and gingivitis findings (p = 0.047) of children with CHD had a higher prevalence than the healthy ones. The incidence of enamel defects was determined as 16.5% in CHD-affected children whereas an incidence rate of 4.7% was observed in healthy children. The mean saturation value of the participants with enamel defects (89 ± 8.9) was observed to be significantly lower (p = 0.03) than the patients with no enamel defects (95 ± 4.2). Conclusions: Whereas the caries index scores of CHD-affected children with a history of hypoxia in primary and permanent dentition were found to be similar to the healthy ones, children with CHD were observed to be more prone to enamel defects and periodontal diseases. Furthermore, considering the risk of infective endocarditis resulting from existing carious lesions and periodontal problems, it is highly important for pediatric cardiologists, pediatricians and pediatric dentists to collaborate in a multidisciplinary manner.

Çocuklarda orofasiyal travmaların sonucunda diş yaralanmaları görülmekte ve bu yaralanmalar sıklıkla karışık dişlenme döneminde ve kök gelişimi tamamlanmamış daimî dişlerde ortaya çıkmaktadır. Yapılan çalışmalarda 8-12 yaş arası çocukların, diş yaralanmalarına daha sık maruz kaldığı gösterilmiştir. 1 Diş yaralanmaları, basit bir mine kırığından, destek yapıların ve dişlerin yer değiştirmesini veya avulsiyonunu içeren kapsamlı maksillofasiyal hasara kadar çeşitlilik gösterir. 2 Küçük mine kırıkları veya

Congenital heart disease (CHD) has effects on growth and development. However, information on how the structure of the mandibular bone is affected is limited. In the present study, we aim to compare mandibular bone structures of children affected with CHD and healthy ones through the fractal analysis method and radiomorphometric indices based on panoramic radiographs. The study consisted of 80 children (20 with cyanotic CHD, 20 with acyanotic CHD, 40 control) who were diagnosed with CHD and were treated through interventional therapy or followed up through medical therapy. Fractal dimension (FD) was performed in three different areas (angulus, corpus, and interdental bone) on 80 panoramic radiographs. Additionally, we assessed various radiomorphometric indices: mandibular cortical width (MCW), panoramic mandibular index (PMI), mandibular cortical index (MCI), and simple visual estimation (SVE). p < 0.05 was accepted as statistically significant in the analysis. Values of mean MCW, PMI, MCI, SVE, and FD measurements in children affected with CHD were found to be similar to the control group, regardless of whether they were cyanotic or acyanotic (p > 0.05). In this study, fractal analysis and radiomorphometric indices revealed no trabecular structure and mineral density changes in mandibular bone of children and adolescents with CHD compared to healthy subjects.

Objective:The purpose of this study is first to evaluate the knowledge level of primary care practitioners who we think will play an active role in the prevention of early childhood caries, as they see babies, expectant moms and mothers more than dentists and second, to indirectly increase the awareness of primary care practitioners on this issue.Methods: This descriptive study consisted of 178 participants out of 830 primary care practitioners who attended AHEKON10 international congress from different cities in Turkey and gave consents to participate in the study. Participants were directed to a 38 question-survey that measured their level of knowledge about oral and dental health. 38 of the 178 survey forms were excluded from the study because they were incomplete.Result: Of the 140 primary care providers participated in the study, 54.3% were male and 45.7% were female. 82.1% of 140 primary care providers who participated in our survey had more than 10 years of professional experience. On the other hand, 13.6% of the participants said that their health centers had dental clinics, while 86.4% did not. 92.6% of respondents believed that primary care providers played a role in preventing tooth decay and in ensuring the oral health of infants. Only 97.4% of respondents believed that their level of knowledge about oral and dental health was insufficient, while 90.7% wanted to receive training in oral and dental health. Conclusion:Considering the data of our study, we found that primary care providers participated in the study did not have an adequate level of knowledge about ECC and were also willing to have information about ECC. As a result, primary care providers need to be more informed about this issue in order to play an active role in preventing their ECCs.