Dental disease in children with chronic illness

Foster, Helen; Fitzgerald, J.L.

doi:10.1136/adc.2004.058065

Cited by 72 publications

(60 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1,2 Preventive dental care has been recommended at yearly intervals by the American Academy of Pediatrics 3 and the American Academy of Pediatric Dentistry 4 for all CSHCN beginning at 6 months of age. Despite this recommendation, dental care was the most commonly reported unmet need by parents of CSHCN according to the 2001 National Survey of Children With Special Health Care Needs (NS-CSHCN) and the 1994 -1995 National Health Interview Survey.…”

mentioning

confidence: 99%

Oral Health Care in CSHCN: State Medicaid Policy Considerations

Kenney

2009

Pediatrics

View full text Add to dashboard Cite

Medicaid-enrolled CSHCN received less needed preventive dental care than non-Medicaid-enrolled CSHCN. An important link to receiving appropriate dental care may be the primary care provider. Raising the level of preventive dental care reimbursement along with other policy changes should increase the frequency of CSHCN receiving preventive dental services. State Medicaid agencies must develop models of medical-dental care management for CSHCN in their programs to ensure the most appropriate care.

show abstract

mentioning

confidence: 99%

Oral Health Care in CSHCN: State Medicaid Policy Considerations

Kenney

2009

Pediatrics

View full text Add to dashboard Cite

show abstract

“…Low socioeconomic status, poor oral hygiene and high dietary intake of sugary foods are important risk factors for dental caries (Foster and Fitzgerald, 2005). Chronic dental infection in the vicinity of the upper airway structures could increase the extent of local pharyngeal infection and potentially increase risk for CSOM (van der Veen et al, 2006).…”

mentioning

confidence: 99%

A case–control study of nutritional factors associated with chronic suppurative otitis media in Yemeni children

et al. 2011

View full text Add to dashboard Cite

Results: Cases had lower mean Z-scores for weight-for-age, weight-for-height, body mass index and mid-upper arm circumference (MUAC) (all Po0.05), and lower mean concentrations of serum Zn (P ¼ 0.032), Se (Po0.001) and calcium adjusted for albumin (P ¼ 0.026). Age-adjusted Hb and iron biomarkers did not differ between cases and controls. There was high prevalence of low serum Zn concentration (X90%) and vitamin D deficiency in both cases (80%) and controls (96%). Duration of ear discharge was negatively correlated with total 25(OH)D (P ¼ 0.028), calcium adjusted for albumin (Po0.001), PO 4 (P ¼ 0.002), transferrin receptor/ log ferritin ratio (Po0.001) and Cu (Po0.001), and positively correlated with child age and MUAC (both Po0.001). Conclusions: Children with CSOM were more undernourished than controls with lower mean serum Zn, Se and calcium concentrations. Vitamin D-deficient and iron-replete children had longer duration of infection, although this association was lost with age adjustment. Trials evaluating specific micronutrients are required in order to investigate specific nutrient-infection interactions in CSOM.

show abstract

“…Many pediatric medications contain fermentable sugars to help decrease patients' aversion and increase their compliance, which in turn causes a drop in oral pH due to the effect of acid-producing bacteria on sugars [11,12]. Lower levels of salivary flow rate in CHD children are presumably due to the side effects of medication.…”

Section: Discussionmentioning

confidence: 99%