TY - JOUR ID - TI - Dental caries and treatment needs in relation to nutritional status among children with congenital heart disease AU - Marwa Jamal Al-Haidary AU - Nada J. Radhi PY - 2017 VL - 29 IS - 2 SP - 108 EP - 114 JO - Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد SN - 18171869 23115270 AB - Background: Congenital heart disease is one of the most common developmental anomalies in children. Thesepatients commonly have poor oral health that increase caries risk. Dental management of children with congenitalheart disease requires special attention, because of their heightened susceptibility to infectious endocarditis. Theaims of this study were to assess the severity of dental caries of primary and permanent teeth and treatment needs inrelation to nutritional indicator (Body Mass Index) among children with congenital heart disease.Materials and Methods: In this case-control study, case group consisted of 399 patients aged between 6-12 years oldwith congenital heart disease were examined for dental status in Ibn Al-Bitar specialized center for cardiac surgery inBaghdad/Iraq. A case-matched group (healthy control) of 485 children was also examined from primary schools inBaghdad city. Diagnosis and recording of dental caries and treatment needs were recorded according to thecriteria of WHO (1997). The assessment of nutritional status (BMI) was performed following Centers for Disease Controland Prevention growth chart (2000). All data were analyzed using IBMSPSS version 23.Results: Results recorded the highest mean rank value of (DMFS)and (dmfs) were among CHD cases than controlgroup with statistically high significant difference. Results revealed the mean rank values of (ds, ms, fs and dmfs) werehigher at age group 6-7 years among CHD cases, while the mean rank values of (DS, MS, FS and DMFS) were higherat age group 12 years with statistically high significant difference among age group. The mean rank values of alltypes of treatment needs were recorded to be higher among CHD cases than control group, except for children notreatment needs, these differences were statistically highly significant. Also this study found that the mean rankvalues of caries experience (ds, ms, fs and dmfs) were higher among wasted than well nourished CHD cases withstatistically highly significant for dmfs. Moreover, the mean rank values of all types of treatment need required werehigher among wasted CHD cases than well nourished; however, the differences were statistical highly significant.Conclusion: The study revealed that these children are “at risk” from dental disease and malnourished, the primaryfocus should be on oral hygiene instructions, the awareness of infective endocarditis and they required adevelopment of preventive programs.

ER -