Melis YILMAZ, Ayşe Buse SERİN, Abdullah ÖZYURT, Derya KARPUZ, Olgu HALLIOĞLU KILINÇ

Doğuştan kalp hastalığı olan çocuklarda ağız-diş sağlığı durumu ve ebeveynlerinde infektif endokardit farkındalık düzeyleri

Amaç: Bu çalışmada, doğuştan kalp hastalığı olan çocukların ağız-diş sağlığı durumlarının sağlıklı kontrollerle karşılaştırılması ve hasta çocukların ebeveynlerinin infektif endokardit (İE) bilgi düzeyinin ve İE’den korunma yolları farkındalıklarının değerlendirilmesi amaçlanmıştır. Yöntem: Prospektif, kontrollü bir çalışma olarak planlanan bu kohorta doğuştan kalp hastalığı ile izlenen, yaşları 5-18 yaş arası 71 hasta ve 70 kontrol grubu olmak üzere 141 çocuk dahil edildi. Ebeveynlerin hastalık ve İE ile ilgili bilinç düzeyleri soru-cevap şeklinde anket formuna not edildi. Anket cevapları; biliyor, bilmiyor, eksik biliyor, yanlış biliyor şeklinde 4 farklı seçenekten oluşturuldu. Ağız içi muayene; Plak İndeksi (Pİ), Gingival İndeks (Gİ) ve DMFT-dmft İndekslerine göre değerlendirildi. Bulgular: Çalışma grubunda ebeveynlerin sadece 24'ü (%33,8) endokarditi bildiğini söyledi fakat bunların sadece 6'sı (%8.5) doğru olarak biliyordu. Ebeveynlerin 36’sı (%50.7) ise ağız-hijyeni ile endokardit ilişkisini biliyordu. Çalışma ve kontrol grupları arasında Pİ,Gİ, DMFT-dmft indeksi değerleri arasında istatistiksel olarak anlamlı bir fark saptanmadı. Sonuç: Bu çalışmada kalp hastalığı olan hastaların ebeveynlerinde İE’den korunmak için iyi bir ağız hijyeninin önemine ilişkin farkındalık düzeyinin yetersiz olduğu görülmüştür. Yanı sıra; Pİ, Gİ, DMFT indeksleri açısından gruplar arasında istatistiksel olarak herhangi bir anlamlı fark saptanmamıştır.

Anahtar Kelimeler:

Doğuştan kalp hastalığı, endokardit, ağız hijyeni, ebeveyn

Determination of oral-dental health status in children with heart disease and level of awareness of infective endocarditis in their parents

Aim: In this study, it was aimed to compare oral and dental health conditions of children with congenital heart disease with healthy controls and to evaluate the awareness of infective endocarditis. Method: This cohort, designed as a prospective, controlled, multicentre study, included 71 children (min-max:5-18 years) with a heart disease and 70 children in control groups. Parents filled in a questionnaire form and the survey responses were composed of 4 different options: knows, does not know, imperfect knowledge, wrong information. Intraoral examination was evaluated with Plaque Index (PI), Gingival Index (GI), and DMFT-dmft values. Results: In the patient group, only 24 (33.8%) of the parents said that they knew endocarditis, only 6 (8.5%) knew correctly and 36 (50.7%) knew the oral-hygiene and endocarditis relationship. No statistically significant differences were found between the patient and control groups in terms of plaque index (p:0.416), gingival index (p:0.098) and DMFT-dmft index (p:0.262). Conclusion: In this study, it is found out that the parents of the children with heart disease’s awarness about the association with good oral hygene and knowledge of IE’s protection is poor. Besides, no statistically significant difference was detected about PI, GI, DMFT index values between the groups.

Keywords:

endocarditis, oral hygiene, Congenital heart disease, parents,

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