scholarly journals Dental caries and attendance to dental care in Finnish children with operated congenital heart disease. A practice based follow-up study

2021 ◽  
Author(s):  
H. Karhumaa ◽  
E. Lämsä ◽  
H. Vähänikkilä ◽  
M. Blomqvist ◽  
T. Pätilä ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Oral Health ◽  
Dental Caries ◽  
Dental Care ◽  
Congenital Heart ◽  
Oral Health Promotion ◽  
Grade 8

Abstract Purpose Oral health of children with congenital heart disease (CHD) is of utmost importance. This study aimed to investigate the prevalence of dental caries and attendance to dental care in Finnish heart-operated CHD patients born in 1997–1999. Methods The cohort of children born in 1997–1999 was selected using a national register on all heart-operated children in Finland. Gender, general health problems, diagnosis, type of the heart defect (shunting, stenotic and complex defects), and number of operations were available and included in the analyses. Dental records from primary health care were collected from municipalities with their permission. The data comprised of the number of dental examinations and data on caries status (dt, DT, dmft, DMFT) at the age of 7 (grade 1), 11 (grade 5) and 15 (grade 8) years and at the most recent examination. The control group consisted of dental data on patients born in 1997–1999 provided by the City of Oulu, Finland (n = 3356). Results Oral patient records of 215/570 children were obtained. The difference between the defect types was statistically significant both for DT (p = 0.046) and DMFT (p = 0.009) at the age of 15 (grade 8). The prevalence of caries did not differ between the study population and the controls. High present and past caries experiences were not associated with higher number of visits to oral health care, especially to oral hygienist, or with oral health promotion. National obligations concerning dental visits were not implemented in all municipalities. Conclusion There seems to be a need for oral health promotion and preventive means implemented by oral hygienists among those with CHD.

Salivary Sialic Acid Levels and Dental Health In Children with Congenital Heart Disease

2012 ◽  
Vol 36 (3) ◽  
pp. 293-296
Author(s):  
AM Hegde ◽  
Rai Kavita ◽  
KS Sushma ◽  
Suchetha Shetty
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Health Status ◽  
Sialic Acid ◽  
Oral Health ◽  
Dental Caries ◽  
Flow Rate ◽  
Congenital Heart ◽  
Salivary Flow ◽  
Oral Health Status

Congenital cardiac disease is one of the most common developmental anomalies in children. Higher caries prevalence and gingivitis compared to healthy children have been shown in children with congenital heart disease which has a significant implication in the medical care of these patients associated with bacteraemia and endocarditis. Sialic acids being terminal sugar components and marker of chronic inflammatory response are found to be present at higher levels in children with poor oral health status. So the present study aimed to evaluate the oral health status and salivary sialic acid levels among the children with congenital heart disease and normal healthy siblings. A total of 71 children with heart diseases aged 6-10 years attending various heart institutes were examined for oral hygiene status, gingival status and dental caries status by using modified WHO oral assessment form. A case-matched control group of 50 children were also examined. Salivary flow rate, pH and sialic acid levels were measured after saliva collection. The results were subjected to Unpaired t test and Pearson’s Correlation Coefficient Test. The salivary pH, salivary flow rate, dental caries status, oral hygiene and the gingival status were significantly compromised with a positive correlation with the sialic acid levels in saliva, leading to increased treatment needs in the study group. Therefore the amount of sialic acid in the saliva can be a useful index of the severity of oral disease.

Dental Health and Management for Children with Congenital Heart Disease

2010 ◽  
Vol os17 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Kirsten FitzGerald ◽  
Pádraig Fleming ◽  
Orla Franklin
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Oral Health ◽  
Infective Endocarditis ◽  
Dental Care ◽  
Congenital Heart ◽  
Dental Health ◽  
Oral Disease ◽  
Systemic Effects ◽  
Increased Risk

Congenital heart disease (CHD) is one of the most common developmental anomalies. Children with CHD are at increased risk of developing oral disease, and are at increased risk from the systemic effects of oral disease. Recent changes in guidelines related to prophylaxis against infective endocarditis have highlighted the importance of establishing and maintaining oral health for this group of patients. The management of children with CHD can be complex and, unfortunately, many of these children do not receive the care they require. The challenges that these children pose are discussed, and suggestions are made for the appropriate management of these patients and the key role that all those working in primary dental care have to play.

scholarly journals A systematic review examining the clinical and health-care outcomes for congenital heart disease patients using home monitoring programmes

2021 ◽  
pp. 1357633X2098405
Author(s):  
Rachel Crawford ◽  
Ciara Hughes ◽  
Sonyia McFadden ◽  
Jacqui Crawford
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Case Series ◽  
Home Monitoring ◽  
Risk Of Bias ◽  
Health Care Outcomes ◽  
Care Outcomes

Objectives This review aimed to present the clinical and health-care outcomes for patients with congenital heart disease (CHD) who use home monitoring technologies. Methods Five databases were systematically searched from inception to November 2020 for quantitative studies in this area. Data were extracted using a pre-formatted data-collection table which included information on participants, interventions, outcome measures and results. Risk of bias was determined using the Cochrane Risk of Bias 2 tool for randomised controlled trials (RCTs), the Newcastle–Ottawa Quality Assessment Scale for cohort studies and the Institute of Health Economics quality appraisal checklist for case-series studies. Data synthesis: Twenty-two studies were included in this systematic review, which included four RCTs, 12 cohort studies and six case-series studies. Seventeen studies reported on mortality rates, with 59% reporting that home monitoring programmes were associated with either a significant reduction or trend for lower mortality and 12% reporting that mortality trended higher. Fourteen studies reported on unplanned readmissions/health-care resource use, with 29% of studies reporting that this outcome was significantly decreased or trended lower with home monitoring and 21% reported an increase. Impact on treatment was reported in 15 studies, with 67% of studies finding that either treatment was undertaken significantly earlier or significantly more interventions were undertaken in the home monitoring groups. Conclusion The use of home monitoring programmes may be beneficial in reducing mortality, enabling earlier and more timely detection and treatment of CHD complication. However, currently, this evidence is limited due to weakness in study designs.

An Oral Health Promotion Module for the Primary Health Care Nursing Course in Acornhoek, South Africa

1999 ◽  
Vol 16 (5) ◽  
pp. 351-358 ◽  
Author(s):  
Eyitope O. Ogunbodede ◽  
Michael J. Rudolph ◽  
Norma M. Tsotsi ◽  
Helen A. Lewis ◽  
Jonathan I. Iloya
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Oral Health ◽  
Oral Health Promotion ◽  
Primary Health ◽  
Nursing Course ◽  
Care Nursing

New Patient Centered Approach to Unlock the Individual`s Potential to Adopt Healthy Lifestyles: Health Coaching

2015 ◽  
Vol 5 (4) ◽  
pp. 182-191
Author(s):  
Ayse Basak Cinar
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Health Promotion ◽  
Oral Health ◽  
Access To Health Care ◽  
Diabetes Management ◽  
Well Being ◽  
Health Coaching ◽  
Healthy Lifestyles ◽  
Oral Health Promotion

Health Coaching (HC), a patient-empowerment focused approach, is guided and supported by the medical professional, to facilitate patient to explore, unlock and activate his/her self-potential to adopt healthy lifestyles. HC, a whole person and also a population-based approach, can be defined as a system-wide innovation aiming positive social change. A NHS review showed that there is promising evidence about HC, particularly for supporting behaviour change. HC in our international intervention project, to our knowledge, is used for the first time as a holistic health promotion approach for oral health and diabetes type 2 (T2DM) management; in line with IDF-FDI (2007) declaration stating that oral health promotion should be part of diabetes management. The aim of the present study is to assess the effectiveness of HC on oral health and T2DM management by use of clinical (HbA1c, periodontal health) and subjective measures (satisfaction with access to health care, frequency of physical activity, toothbrushing and dental visit) among T2DM patients. Our study`s preliminary results show that at post-intervention there was a significant reduction at HbA1c (Turkey:0.7%, Denmark:0.4%, p=0.001) in HC groups. The figures for HE groups were non-significant. Daily toothbrushing was correlated with change at HbA1c and regular physical activity in HC groups. Person-centered approach focusing on multidisciplinary collaboration is essential to improve the whole well-being of individual in daily life, and thereby the society, in line with WHO 2014 Geneva Declaration. HC, a promising new approach, can speak as one of the key implementations/approaches at health care-settings to meet this essentiality.  

scholarly journals Struggling and Overcoming Daily Life Barriers Among Children With Congenital Heart Disease and Their Parents in the West Bank, Palestine

2018 ◽  
Vol 24 (4) ◽  
pp. 585-611 ◽  
Author(s):  
Kawther Elissa ◽  
Carina Sparud-Lundin ◽  
Åsa B. Axelsson ◽  
Salam Khatib ◽  
Ewa-Lena Bratt
Keyword(s):  
Health Care ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Health Care Providers ◽  
Congenital Heart ◽  
Daily Life ◽  
West Bank ◽  
Well Being ◽  
Negative Consequences ◽  
Care Providers

Advances in early diagnosis, treatment, and postoperative care have resulted in increased survival rates among children with congenital heart disease (CHD). Research focus has shifted from survival to long-term follow-up, well-being, daily life experiences, and psychosocial consequences. This study explored the everyday experiences of children with CHD and of their parents living in the Palestinian West Bank. Interviews with nine children aged 8 to 18 years with CHD and nine parents were analyzed using content analysis. The overall theme that emerged was facing and managing challenges, consisting of four themes: sociocultural burden and finding comfort, physical and external limitations, self-perception and concerns about not standing out, and limitations in access to health care due to the political situation. To provide optimum care for children with CHD and their parents, health care providers and policy makers must understand the negative consequences associated with sociocultural conditions and beliefs about chronic illness.

scholarly journals Significance of oral health in adult patients with congenital heart disease

2019 ◽  
Vol 9 (S2) ◽  
pp. S377-S387 ◽  
Author(s):  
Matthias Folwaczny ◽  
Florian Bauer ◽  
Christina Grünberg
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Oral Health ◽  
Congenital Heart ◽  
Adult Patients
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