Abstract:Objective: The influence of asthma, its severity levels and onset time on malocclusion occurrence were investigated. Methods: The sample was composed by 176 children/adolescents, of both genders, aged 3 to 15 years, that were divided in two groups. The asthma group (AG) enrolled 88 children/adolescents that were seen at the Breathe Londrina Program. The asthma-free group (AFG) enrolled 88 preschool and school children recruited in 2 public schools. Malocclusion diagnosis was made according to WHO criteria (OMS… Show more
“…In addition, asthmatics usually develop mouth breathing habit owing to the frequent airway obstruction, especially during the episode of rhinitis or an acute asthmatic attack, which in turn would result in dehydration of the alveolar mucosa. [ 46 ] Furthermore, enhanced calcium level in the saliva of asthmatic children, as found in the present study, would favor more calculus deposition. [ 2 ] This increase in calcium level may be in response to beta-adrenergic bronchodilator drug such as the isoprenaline used as antiasthmatic drugs or may be even due to the pathological condition itself.…”
Objectives:To assess the oral health status and salivary composition in a group of children suffering from bronchial asthma.Materials and Methods:The sample consisted of sixty asthmatic children, sixty healthy negative controls, and sixty healthy positive controls of both sexes with age ranging from 4 to 12 years old. The asthmatics were grouped according to disease severity into mild, moderate, or severe asthmatic. All the children were clinically examined to assess their dental caries experience (decayed, indicated for extraction, and filled primary tooth [def] and decayed-missing-filled permanent tooth [DMF]), dental erosion condition (tooth wear index), and gingival health condition (gingival index [GI]). Salivary samples were collected and assessed for salivary flow rate, salivary pH, and the level of calcium, sodium, and potassium.Results:The results of this study revealed that asthmatic children presented significantly higher def, DMF score, and GI mean values compared to the control groups. Severe asthmatics significantly presented the highest def and GI score. Salivary analysis revealed reduced stimulated salivary flow rate and altered salivary pH. In addition, significantly elevated mean salivary calcium level found to be associated with higher GI mean score.Conclusions:Children suffering from bronchial asthma should receive special dental preventive attention as presented with greater risk for oral and dental diseases as compared to the healthy controls.
“…In addition, asthmatics usually develop mouth breathing habit owing to the frequent airway obstruction, especially during the episode of rhinitis or an acute asthmatic attack, which in turn would result in dehydration of the alveolar mucosa. [ 46 ] Furthermore, enhanced calcium level in the saliva of asthmatic children, as found in the present study, would favor more calculus deposition. [ 2 ] This increase in calcium level may be in response to beta-adrenergic bronchodilator drug such as the isoprenaline used as antiasthmatic drugs or may be even due to the pathological condition itself.…”
Objectives:To assess the oral health status and salivary composition in a group of children suffering from bronchial asthma.Materials and Methods:The sample consisted of sixty asthmatic children, sixty healthy negative controls, and sixty healthy positive controls of both sexes with age ranging from 4 to 12 years old. The asthmatics were grouped according to disease severity into mild, moderate, or severe asthmatic. All the children were clinically examined to assess their dental caries experience (decayed, indicated for extraction, and filled primary tooth [def] and decayed-missing-filled permanent tooth [DMF]), dental erosion condition (tooth wear index), and gingival health condition (gingival index [GI]). Salivary samples were collected and assessed for salivary flow rate, salivary pH, and the level of calcium, sodium, and potassium.Results:The results of this study revealed that asthmatic children presented significantly higher def, DMF score, and GI mean values compared to the control groups. Severe asthmatics significantly presented the highest def and GI score. Salivary analysis revealed reduced stimulated salivary flow rate and altered salivary pH. In addition, significantly elevated mean salivary calcium level found to be associated with higher GI mean score.Conclusions:Children suffering from bronchial asthma should receive special dental preventive attention as presented with greater risk for oral and dental diseases as compared to the healthy controls.
“…A direct relationship between malocclusion and asthma could not be established, corroborating with study findings with 176 children and adolescents between 3 and 15 years of age [20] but disagreeing with other investigations [5,21] that found more cases of crossed bites in asthmatic children and a relationship between asthma and anterior open bite in children [6]. Such findings, obtained from cross-sectional studies, reveal that there is no agreement in the dental literature regarding the relationship between the presence of malocclusion and asthma, its time of manifestation and the severity degree in the paediatric population [20].…”
Objective: To assess the relationship between asthma, malocclusion and mouth breathing. Material and Methods: This investigation was a cross-sectional study of 228 children between 6 and 12 years of age, of whom 112 were asthmatic and 116 were not, performed in two Primary Health Units of Porto Alegre, Brazil. The assessment consisted of a mouth exam performed by two calibrated dentists, an interview with parents/caregivers and medical chart data. Mouth breathing was determined through oral-facial changes related to Mouth Breathing Syndrome. Occlusion was assessed according to Angle's Classification for permanent or mixed teeth and regarding primary teeth were based on the canine relationships. The data were assessed by the Chi-square test and Poisson regression, with robust variation, at a p<0.05 significant level. Results: Asthma [PR = 2.12 (95% CI: 1.46-3.08), p<0.001] and the use of pacifiers [PR = 1.98 (95% CI: 1.27-3.07), p<0.001] were associated with mouth breathing, in the final multivariate model. Age [PR = 1.02 (95% CI: 1.00-1.03), p=0.039] and thumb sucking [PR = 1.08 (95% CI: 1.03-1.13), p=0.001] were associated with malocclusion in the final multivariate model, while there was no relationship between asthma and malocclusion (PR = 1.00; 95% CI: 0.94-1.07). Conclusion: This study provides evidence of the relationship between asthma and mouth breathing in children, demonstrating that knowledge regarding the oral health of populations with chronic diseases is fundamental for developing health programmes suitable to their needs and risks.
“…Therefore, the prompt diagnostic of the illness, as well as the establishment of a proper therapy could improve the symptoms and chronic complications of asthma and also reduce its adverse impact on craniofacial development. 5 The relationship between persistent bronchial asthma and dental caries incidence has been studied widely but with controversy results. However, a recent meta-analysis investigation has reported that caries incidence found almost doubled in asthmatic subjects both for primary and permanent dentition compared to that of the healthy control.…”
Objectives: To assess the association between different factors in saliva and dental caries experience in children with bronchial asthma. Materials and methods: A total of 60 asthmatic children and 60 healthy controls of both genders with age ranging from 4-to 12-year-old. The asthmatics were grouped according to disease severity into mild, moderate, or severe asthma. All the children were clinically examined to assess their dental caries experience (deft/DMFT), and stimulated saliva samples were collected to measure the saliva pH, flow rate, ά-amylase, and secretory immunoglobulin A (sIgA)-level changes. The data were statistically analyzed using the SPSS program (v. 23) to test for significance at p ≤ 0.05. Results: Asthmatic children presented significantly higher deft mean value (6.77 ± 1.69), as well as significantly reduced stimulated saliva flow (0.82 ± 0.2) and sIgA (29.42 ± 6.31) when compared to healthy control. The sIgA of asthmatics showed statistically significant negative correlation with deft and DMFT. Severe asthmatics presented significantly the lowest sIgA mean level (23.61 ± 5.33) and the most reduced saliva flow rate (0.64 ± 0.20).
Conclusion:The reduction in saliva flow rate and secretory immunoglobulin A render asthmatic children more prone to increased dental caries progression mainly of primary dentition.
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