Prevalence of dental caries in pediatric patients with atopic dermatitis

T. Volosovets, I. Dikova, O. Mozyrska, N. Slyusar
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Abstract

Background. Children with atopic dermatitis may be at increased risk of developing dental caries. This problem is poorly understood and needs attention. The aim of this study was to investigate the oral health status of children and adolescents with atopic dermatitis. Materials and methods. One hundred children with atopic dermatitis aged 2 to 17 years, median of 6 [3.5; 10], and 103 children without atopic dermatitis, median age 7 [5; 12.5] years, were included in the study. Clinical parameters included age, sex, age of onset and severity of atopic dermatitis according to the SCORing AD index (SCORAD). Patients with at least one type of caries at any stage of progression (from white spots to carious lesions with pulpal damage) were included in the caries group. The risk of caries in the atopic dermatitis group and in healthy children, and the significance of the presence of asthma and allergic rhinitis for the development of caries were evaluated using the odds ratio (OR) with a 95% confidence interval (CI). Results were considered statistically significant at the p < 0.05 level. Results. Caries was detected in 46 % of children with atopic dermatitis and 22 % controls (OR = 2.9630, CI 1.6131–5.4424, p = 0.0005). In the group of allergic rhinitis, 24 patients were found to have caries, and among those without allergic rhinitis, 22 children had caries. It was found that patients with concomitant allergic rhinitis were significantly more likely to develop caries (OR = 3.4406, CI 1.4693–8.0563, p = 0.0044). No such significance was found depending on the presence of asthma (OR = 1.3986, CI 0.4913–3.9814, p = 0.5). Conclusions. Children with atopic dermatitis have a significantly higher risk of dental caries than healthy children. Based on the results of our study, clinicians should be aware of dental manifestations in patients with atopic dermatitis and recommend regular dental examinations for early caries detection.
儿童特应性皮炎患者龋齿的患病率
背景。患有特应性皮炎的儿童患龋齿的风险可能会增加。人们对这个问题知之甚少,需要引起注意。摘要本研究旨在探讨儿童及青少年特应性皮炎患者的口腔健康状况。材料和方法。2 ~ 17岁特应性皮炎患儿100例,中位数6例[3.5;[10],无特应性皮炎患儿103例,中位年龄7岁[5;12.5岁的女性被纳入研究。临床参数包括年龄、性别、发病年龄和特应性皮炎的严重程度,依据的是score AD指数(SCORAD)。在任何进展阶段至少有一种类型的龋齿(从白斑到牙髓损伤的龋齿病变)的患者被纳入龋齿组。使用比值比(OR)评估特应性皮炎组和健康儿童的龋齿风险,以及哮喘和变应性鼻炎的存在对龋齿发展的意义,其置信区间为95%。结果在p < 0.05水平上认为有统计学意义。结果。特应性皮炎患儿中有46%检出龋,对照组中有22%检出龋(OR = 2.9630, CI 1.6133 ~ 5.4424, p = 0.0005)。在变应性鼻炎组中,有24例患儿有龋齿,在非变应性鼻炎组中,有22例患儿有龋齿。结果发现,合并变应性鼻炎的患者发生龋齿的可能性显著增加(OR = 3.4406, CI 1.4693 ~ 8.0563, p = 0.0044)。没有发现哮喘存在的相关性(OR = 1.3986, CI 0.4913-3.9814, p = 0.5)。结论。患有特应性皮炎的儿童患龋齿的风险明显高于健康儿童。根据我们的研究结果,临床医生应该了解特应性皮炎患者的牙齿表现,并建议定期进行牙科检查,以早期发现龋病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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