بررسي شيوع بيماريهاي لثه و پريودنتال در بيماري مادرزادي قلبي (سيانوتيك ) در كودكان بالاي 6 سال و زير 6 سال خراسان

Evaluation of periodental Disease Prevalence In Congenital Heart Disease (Cyanotic Patients) Among Children under and over 6 years in Khorasan.

Background and Aim : The aim of this study was to evaluate the prevalence of gingival and periodental disease among congenital heart disease (cyanotic) children under 6 and over the age of six within Khorasan province of Iran. Materials and Methods : Twenty seven cyanotic congenital heart disease subjects took part in this study. Eight subjects were over 6 years and 19 subjects were under 6 years of age. 16 healthy children under 6 and 11 healthy children over 6 yrs, were also selected as control group. Before examination, prophylactic therapy was accomplished upon consolation with a pediatric cardiologist specialist. Periodental parameters included: Calculus Index, Debris Index, OHI-s. In addition for children older than 6, Periodental Index and for children younger than 6 yrs. Gingival Index were also measured. The same parameters were also measured for control subjects. Results : In children older than 6 cyanotic patient had greater values for debris index, calculus index, and OHI-S index these differences were not statistically significant. Among children under 6 yrsʹ. OHI-S index was significantly greater among cyanotic patient, although no statistical differences existed in term of calculus and debris indices. However, clinically there was greater amount of calculus and debris in this group. In terms of gingival index, greater levels of gingival inflammation were observed among cyanotic patients than control group although this was not statistically significant. Conclusion : Based on the findings of present study, it is concluded that gingival and periodental disease are more prevalent among cyanotic congenital heart disease. Children at both over and under 6 years of age than systemically healthy children This could be weaker oral hygiene habits among cyanotic patients, although the role of cyanotic congenital heart disease itself could not be ruled out. This issue should be further investigated in future research .