Effect of inhaled medication on dental caries index in asthmatic children

Bahrololoomi, Zahra; Bemanian, Mohammad Hasan; Ghaffourifard, R.; Ahmadi, Bijan

doi:10.1016/j.aller.2017.09.019

Cited by 7 publications

(7 citation statements)

References 16 publications

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“…No significant differences were observed between both groups. 13 However, Arafa et al, found that the DMFT index in healthy children was 5.47 ± 2.16 and, in asthma children, 6.84 ± 1.81 (p = 0.04); 5 whereas Samec et al, observed that it was 1.69 ± 2.63 in healthy children and 7.01 ± 5.59 in asthma patients (p = 0.01). 11 Such differences may be because dental caries is a multifactorial infectious disease that depends on environmental, sociodemographic, behavioral, microbiological, and nutritional factors.…”

Section: Discussionmentioning

confidence: 96%

“…5,11 Conversely, some studies have mentioned that there is no direct causal relationship between inhaler use and a higher prevalence of dental caries in asthma patients, compared to healthy subjects. 12,13 Understanding the impact of bronchial asthma on oral health would help to provide comprehensive dental care and establish public health strategies aimed at prevention.…”

Section: Original Articlementioning

confidence: 99%

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Impact of inhaler use on dental caries in asthma pediatrics patients: A case-control study

et al. 2020

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Introduction. Asthma is a chronic inflammatory disease that is highly prevalent among pediatric patients. The results about the effect of asthma on the rate of dental caries are contradictory. The objective of this study was to determine the prevalence of dental caries in asthma pediatric patients using inhaled drugs. Population and methods. Case-control study in a sample made up of pediatric patients who attended Centro Médico Naval "Cirujano Mayor Santiago Távara" between December 2014 and March 2015. Patients were divided into two groups: group A (cases) included asthma patients using inhalers as part of their treatment; group B (controls), healthy subjects who attended the same facility. A medical examination was done to determine the type, time, and frequency of treatment and an oral exam, to establish the prevalence of dental caries and the decayed, missing, and filled teeth (DMFT) index. Results. The prevalence of dental caries was 34.2 % in the control group and 28.3 % in the case group (p = 0.094). In relation to the rate of dental caries, the DMFT index in the control group was 4.73 ± 0.32, and 3.98 ± 0.31 in the case group (p = 0.08). However, it was evidenced that a longer duration of inhaler use led to a significantly higher DMFT index (p = 0.04). Conclusions. Inhaled drugs do not increase the prevalence of dental caries in asthma pediatric patients. However, there is a direct relationship between treatment duration and the prevalence of dental caries.

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Section: Discussionmentioning

confidence: 96%

Section: Original Articlementioning

confidence: 99%

Impact of inhaler use on dental caries in asthma pediatrics patients: A case-control study

et al. 2020

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“…No encontraron diferencia significativa entre ambos grupos. 13 Sin embargo, Arafa y cols., encontraron que el índice de CPOD en los pacientes pediátricos sanos fue de 5,47 ± 2,16 y, en los asmáticos, de 6,84 ± 1,81 (p = 0,04); 5 mientras que Samec y cols., encontraron que, en los pacientes pediátricos sanos, fue de 1,69 ± 2,63 y, en los asmáticos, de 7,01 ± 5,59 (p = 0,01). 11 Estas diferencias podrían deberse a que la caries dental es una enfermedad infectocontagiosa multifactorial que depende de una variedad de factores ambientales, sociodemográficos, conductuales, microbiológicos y nutricionales.…”

Section: Resultsunclassified

“…5,11 En contraparte, algunos estudios mencionan que no existe una relación directa causal entre el uso de inhaladores y una mayor prevalencia de caries dental en los pacientes asmáticos, en comparación con los pacientes sanos. 12,13 Comprender el impacto del asma bronquial en la salud bucal ayudaría a proporcionar una atención odontológica integral y a establecer estrategias de salud pública para una conducta preventiva.…”

Section: Adrenérgicos Anticolinérgicos Y O T R O S D E a C C I ó N Sunclassified

Influencia del uso de inhaladores sobre la caries dental en pacientes pediátricos asmáticos: Estudio de casos y controles

et al. 2020

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“…There is no consensus among researchers about association of asthma and its characteristics, medications with salivary changes, and dental caries among adolescents. There is no association between asthma and dental caries in deciduous dentition among children aged from 5 to 11 years 11,12,15,16 . However, studies among adolescents aged from 13 to 19 years have found association in permanent dentition, highlighting the cumulative impact of asthma over a period of time 9,10 .…”

Section: Introductionmentioning

confidence: 99%

Impact of asthma and its medication on salivary characteristics and oral health in adolescents: A cross‐sectional comparative study

Bairappan

Puranik

Sowmya

2020

Special Care in Dentistry

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Objective: To assess and compare the salivary characteristics and oral health and to evaluate the impact of asthma and its medication on dental caries among adolescents with and without asthma. Methods:A cross-sectional comparative study was conducted among 50 asthmatic and 50 nonasthmatic adolescents aged 12-15 years in Bangalore City. Data were acquired using a structured questionnaire. Salivary samples were collected to determine the flow rate, pH, buffering capacity, and Streptococcus mutans and Lactobacilli counts. Oral health assessment was performed using WHO 2013 proforma. Inferential statistics such as chi-square, student's t-test, spearman's correlation, multinomial logistic. and stepwise linear regression were applied with P < .05 considered as significant.Results: Asthmatic participants had significantly higher mean number of teeth with dental caries, gingival bleeding, and dental erosion than nonasthmatics (P < .05). The prevalence of fluorosis, traumatic dental injuries, and oral mucosal lesions in asthmatics were 34.0%, 38.0%, and 28.0%, respectively. Most of the asthmatic participants required preventive or routine (18.0%) and prompt treatment (30.0%). Statistically significant difference was found in the flow rate, pH, buffering capacity, S. mutans and Lactobacilli counts, and Decayed, Missing, Filled Teeth (DMFT) index between asthmatic and nonasthmatic participants. Severity of asthma, medication use, and dental caries experience significantly correlated with low salivary flow rate, pH and buffering capacity, and higher levels of S. mutans and Lactobacilli (P < .001). Asthmatic participants had significantly higher odds of having very low unstimulated salivary flow rate (odds ratio [OR] = 3.2), buffering capacity (OR = 2.94), highly acidic pH (OR = 3.65), high risk of S. mutans (OR = 6.02), and DMFT ≥ 1 (OR = 2.06) than nonasthmatics (P < .05).

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Effect of inhaled medication on dental caries index in asthmatic children

Abstract: Suffering from asthma does not affect the risk of decay in primary teeth.

Cited by 7 publications

References 16 publications

Impact of inhaler use on dental caries in asthma pediatrics patients: A case-control study

Impact of inhaler use on dental caries in asthma pediatrics patients: A case-control study

Influencia del uso de inhaladores sobre la caries dental en pacientes pediátricos asmáticos: Estudio de casos y controles

Impact of asthma and its medication on salivary characteristics and oral health in adolescents: A cross‐sectional comparative study

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