Influence of childhood asthma on dental caries: A longitudinal study

Abstract Objectives The study investigated the influence of childhood asthma on dental caries development and caries risk factors among children with asthma in Slovenia. Material and methods The study population consisted of 2–17 years old children (n = 138), who had used anti‐asthmatic medicines fo...

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Autores principales:	Tomi Samec, Bennett Tochukwu Amaechi, Janja Jan
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	anti‐asthmatic medicines asthma dental caries longitudinal study Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/99276ad7d1304b479bcffda5350a836f
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spelling	oai:doaj.org-article:99276ad7d1304b479bcffda5350a836f2021-12-02T12:59:21ZInfluence of childhood asthma on dental caries: A longitudinal study2057-434710.1002/cre2.436https://doaj.org/article/99276ad7d1304b479bcffda5350a836f2021-12-01T00:00:00Zhttps://doi.org/10.1002/cre2.436https://doaj.org/toc/2057-4347Abstract Objectives The study investigated the influence of childhood asthma on dental caries development and caries risk factors among children with asthma in Slovenia. Material and methods The study population consisted of 2–17 years old children (n = 138), who had used anti‐asthmatic medicines for at least 1 year. Controls were their non‐asthmatic siblings (n = 140). International Caries Detection and Assessment System‐II was used to assess caries status. After 3 years, 106 baseline participants (53 asthmatic and 53 siblings) were reexamined. Questionnaires completed by parents and data from the patients' medical records provided information on demographics, child's medical history, medication usage, and oral health behaviors. Additional 308 asthmatic children were examined to assess caries risk factors among children with asthma. Results Asthmatic children had significantly higher mean d12fs and D12MFS (p ≤ 0.05), and fewer caries‐free individuals (p ≤ 0.01). In asthmatic children, 3 years mean increment in D12MFS was significantly higher (p ≤ 0.05). Furthermore, progression over 3 years from sound tooth surfaces to decayed cavitated and filled lesions in primary and permanent teeth were present in significantly higher (p ≤ 0.05) percentage, and likewise transition from decayed cavitated lesions to missing tooth surfaces because of caries in primary teeth, and from filled to filled non‐cavitated and cavitated lesions in permanent teeth. Lower caries experience in asthmatic children was associated with lower doses of inhaled glucocorticoid use, leucotriene antagonist use, and daily milk and cheese consumption. Conclusions Asthmatic children who had used anti‐asthmatic medicines had higher caries experience and higher caries progression over 3 years in both primary and permanent dentitions. Besides anti‐asthmatic medicines, other factors were associated with higher caries experience in asthmatic children.Tomi SamecBennett Tochukwu AmaechiJanja JanWileyarticleanti‐asthmatic medicinesasthmadental carieslongitudinal studyDentistryRK1-715ENClinical and Experimental Dental Research, Vol 7, Iss 6, Pp 957-967 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anti‐asthmatic medicines asthma dental caries longitudinal study Dentistry RK1-715
spellingShingle	anti‐asthmatic medicines asthma dental caries longitudinal study Dentistry RK1-715 Tomi Samec Bennett Tochukwu Amaechi Janja Jan Influence of childhood asthma on dental caries: A longitudinal study
description	Abstract Objectives The study investigated the influence of childhood asthma on dental caries development and caries risk factors among children with asthma in Slovenia. Material and methods The study population consisted of 2–17 years old children (n = 138), who had used anti‐asthmatic medicines for at least 1 year. Controls were their non‐asthmatic siblings (n = 140). International Caries Detection and Assessment System‐II was used to assess caries status. After 3 years, 106 baseline participants (53 asthmatic and 53 siblings) were reexamined. Questionnaires completed by parents and data from the patients' medical records provided information on demographics, child's medical history, medication usage, and oral health behaviors. Additional 308 asthmatic children were examined to assess caries risk factors among children with asthma. Results Asthmatic children had significantly higher mean d12fs and D12MFS (p ≤ 0.05), and fewer caries‐free individuals (p ≤ 0.01). In asthmatic children, 3 years mean increment in D12MFS was significantly higher (p ≤ 0.05). Furthermore, progression over 3 years from sound tooth surfaces to decayed cavitated and filled lesions in primary and permanent teeth were present in significantly higher (p ≤ 0.05) percentage, and likewise transition from decayed cavitated lesions to missing tooth surfaces because of caries in primary teeth, and from filled to filled non‐cavitated and cavitated lesions in permanent teeth. Lower caries experience in asthmatic children was associated with lower doses of inhaled glucocorticoid use, leucotriene antagonist use, and daily milk and cheese consumption. Conclusions Asthmatic children who had used anti‐asthmatic medicines had higher caries experience and higher caries progression over 3 years in both primary and permanent dentitions. Besides anti‐asthmatic medicines, other factors were associated with higher caries experience in asthmatic children.
format	article
author	Tomi Samec Bennett Tochukwu Amaechi Janja Jan
author_facet	Tomi Samec Bennett Tochukwu Amaechi Janja Jan
author_sort	Tomi Samec
title	Influence of childhood asthma on dental caries: A longitudinal study
title_short	Influence of childhood asthma on dental caries: A longitudinal study
title_full	Influence of childhood asthma on dental caries: A longitudinal study
title_fullStr	Influence of childhood asthma on dental caries: A longitudinal study
title_full_unstemmed	Influence of childhood asthma on dental caries: A longitudinal study
title_sort	influence of childhood asthma on dental caries: a longitudinal study
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/99276ad7d1304b479bcffda5350a836f
work_keys_str_mv	AT tomisamec influenceofchildhoodasthmaondentalcariesalongitudinalstudy AT bennetttochukwuamaechi influenceofchildhoodasthmaondentalcariesalongitudinalstudy AT janjajan influenceofchildhoodasthmaondentalcariesalongitudinalstudy
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Influence of childhood asthma on dental caries: A longitudinal study

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