器官移植前严重心、肝、肾功能衰竭儿科患者的口腔检查结果。

IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
I Landén, A E Olander, E Salmela, T Jahnukainen, H Ruokonen, H Alapulli, J Helenius-Hietala
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引用次数: 0

摘要

目的:对于患有严重心脏、肝脏和肾脏疾病的儿童来说,器官移植是一种有效的治疗方法。与健康对照组相比,这些患者群体可能患有更多的口腔和牙科疾病。在移植前消除口腔感染病灶并保持良好的口腔健康以避免移植后可能出现的并发症非常重要。本研究旨在描述和比较芬兰儿科心脏、肝脏和肾脏移植受者在器官移植前的口腔健康状况:本研究纳入了 2014-2018 年间在芬兰接受心脏(21 例)、肝脏(19 例)或肾脏(46 例)移植的 86 名儿童。纳入标准为移植前口腔检查。研究人员根据医疗和牙科记录对口腔卫生、牙釉质异常以及蛀牙、缺失牙和补牙数量(dmft/DMFT)进行了回顾性分析,并对三组患者进行了比较:结果:与患有肾病的儿童相比,患有肝病(p = 0.043)或心脏病(p = 0.047)的儿童原牙和恒牙的dmft/DMFT综合评分更高。较高的dmft/DMFT综合评分与口腔卫生不良有关(p = 0.005)。在口腔卫生方面,各患者组之间没有发现明显差异。此外,所有患者组的牙齿发育缺陷发生率都很高:结论:与患有肾病的儿童相比,患有肝病或心脏病的儿童的 dmft/DMFT 综合评分似乎更高,这表明龋齿患病率更高。建议这些患者群体在预防龋齿的同时,还应促进良好的口腔卫生习惯和定期检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oral findings in paediatric patients with severe heart, liver, and kidney failure prior to organ transplantation.

Purpose: Organ transplantation is an effective treatment for children with severe heart, liver, and kidney diseases. These patient groups may have more oral and dental diseases than healthy controls. It is important to eliminate oral infection foci before transplantation and to maintain good oral health to avoid potential post-transplant complications. The aim of this study was to describe and compare oral health in Finnish paediatric heart, liver, and kidney transplant recipients prior to organ transplantation.

Methods: Eighty-six children who received a heart (n = 21), liver (n = 19), or kidney (n = 46) transplant in Finland during the years 2014-2018 were included in this study. The inclusion criterion was a pre-transplantation oral examination. Oral hygiene, enamel anomalies, and the number of decayed, missing, and filled teeth (dmft/DMFT) were analyzed retrospectively from medical and dental records and compared between the three patient groups.

Results: Children with liver (p = 0.043) or heart (p = 0.047) disease had higher combined primary and permanent dentition dmft/DMFT scores compared to children with kidney disease. A higher combined dmft/DMFT score was associated with poor oral hygiene (p = 0.005). No significant differences in oral hygiene between the patient groups were found. Furthermore, all patient groups had a high prevalence of developmental dental defects.

Conclusion: Children with liver or heart disease seem to have a higher combined dmft/DMFT score, indicating a higher prevalence of caries compared to children with kidney disease. Prevention of dental caries, along with promoting a good oral hygiene routine and regular check-ups, is suggested in these patient groups.

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来源期刊
European Archives of Paediatric Dentistry
European Archives of Paediatric Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.40
自引率
9.10%
发文量
81
期刊介绍: The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.
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