Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
Average rejection rate (2022) – 79.69%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

Download original text (EN)

Dental and Medical Problems

2022, vol. 59, nr 4, October-December, p. 503–508

doi: 10.17219/dmp/143581

Publication type: original article

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Cite as:

Yavsan ZS, Tosun G, Sert A. Oral health-related quality of life of preschool-aged Turkish children with congenital heart disease. Dent Med Probl. 2022;59(4):503–508. doi:10.17219/dmp/143581

Oral health-related quality of life of preschool-aged Turkish children with congenital heart disease

Zeynep Seyda Yavsan1,A,B,C,D,E,F, Gul Tosun2,A,C,E,F, Ahmet Sert3,B,C,E

1 Department of Pediatric Dentistry, Faculty of Dentistry, Tekirdag Namik Kemal University, Turkey

2 Department of Pediatric Dentistry, Faculty of Dentistry, Selcuk University, Konya, Turkey

3 Department of Pediatric Cardiology, Faculty of Medicine, Selcuk University, Konya, Turkey


Background. Dental caries and poor oral hygiene can affect the quality of life (QoL) of patients with congenital heart disease (CHD). Information about the oral health-related quality of life (OHRQoL) of Turkish preschool children with CHD is scarce.
Objectives. The aim of the present study was to assess the OHRQoL, and the presence of caries, plaque and gingivitis in Turkish preschool children with CHD as compared to children without CHD (control group).
Material and methods. Children aged 3–6 years with CHD (n = 75) and a control group (n = 75) were included in the study. Examinations were conducted using the plaque index (PI), the gingival index (GI) and the World Health Organization (WHO) caries diagnostic criteria. The Early Childhood Oral Health Impact Scale (ECOHIS) questionnaire was completed by the children’s families.
Results. The amount of caries and plaque, as well as the number of missing teeth were higher in children with CHD. The OHRQoL was lower in children with CHD. However, the differences between the 2 groups were not statistically significant (p > 0.05). The number of filled teeth was significantly higher in the control group (p < 0.05).
Conclusions. According to the findings of the present study, the high amount of caries and plaque in both groups demonstrates that caries continues to be a major public health problem. Although there was no significant difference in terms of QoL scale scores between the 2 groups, the study showed that OHRQoL was lower in children with CHD.

Key words

dental caries, congenital heart disease, ECOHIS, oral health-related quality of life

References (23)

  1. Van der Bom T, Zomer AC, Zwinderman AH, Meijboom FJ, Bouma BJ, Mulder BJ. The changing epidemiology of congenital heart disease. Nat Rev Cardiol. 2011;8(1):50–60. doi:10.1038/nrcardio.2010.166
  2. FitzGerald K, Fleming P, Franklin O. Dental health and management for children with congenital heart disease. Prim Dent Care. 2010;17(1):21–25. doi:10.1308/135576110790307690
  3. Peker K, Uysal Ö, Bermek G. Cross-cultural adaptation and preliminary validation of the Turkish version of the early childhood oral health impact scale among 5–6-year-old children. Health Qual Life Outcomes. 2011;9:118. doi:10.1186/1477-7525-9-118
  4. BaniHani A, Deery C, Toumba J, Munyombwe T, Duggal M. The impact of dental caries and its treatment by conventional or biological approaches on the oral health-related quality of life of children and carers. Int J Paediatr Dent. 2018;28(2):266–276. doi:10.1111/ipd.12350
  5. Ali HM, Mustafa M, Hasabalrasol S, et al. Presence of plaque, gingivitis and caries in Sudanese children with congenital heart defects. Clin Oral Investig. 2017;21(4):1299–1307. doi:10.1007/s00784-016-1884-2
  6. Cantekin K, Yilmaz Y, Cantekin I, Torun Y. Comprehensive dental evaluation of children with congenital or acquired heart disease. Cardiol Young. 2013;23(5):705–710. doi:10.1017/S1047951112001953
  7. Hallett KB, Radford DJ, Seow WK. Oral health of children with congenital cardiac diseases: A controlled study. Pediatr Dent. 1992;14(4):224–230. PMID:1303520.
  8. Pollard MA, Curzon ME. Dental health and salivary Streptococcus mutans levels in a group of children with heart defects. Int J Paediatr Dent. 1992;2(2):81–85. doi:10.1111/j.1365-263x.1992.tb00014.x
  9. Franco E, Saunders CP, Roberts GJ, Suwanprasit A. Dental disease, caries related microflora and salivary IgA of children with severe congenital cardiac disease: An epidemiological and oral microbial survey. Pediatr Dent. 1996;18(3):228–235. PMID:8784915.
  10. Tasioula V, Balmer R, Parsons J. Dental health and treatment in a group of children with congenital heart disease. Pediatr Dent. 2008;30(4):323–328. PMID:18767512.
  11. Rai K, Supriya S, Hegde AM. Oral health status of children with congenital heart disease and the awareness, attitude and knowledge of their parents. J Clin Pediatr Dent. 2009;33(4):315–318. doi:10.17796/jcpd.33.4.2j108w0225241867
  12. Feitosa S, Colares V, Pinkham J. The psychosocial effects of severe caries in 4-year-old children in Recife, Pernambuco, Brazil. Cad Saude Publica. 2005;21(5):1550–1556. doi:10.1590/s0102-311x2005000500028
  13. Da Fonseca MA, Evans M, Teske D, Thikkurissy S, Amini H. The impact of oral health on the quality of life of young patients with congenital cardiac disease. Cardiol Young. 2009;19(3):252–256. doi:10.1017/S1047951109003977
  14. Ozer S, Tunc ES, Bayrak S, Egilmez T. Evaluation of certain risk factors for early childhood caries in Samsun, Turkey. Eur J Paediatr Dent. 2011;12(2):103–106. PMID:21668281.
  15. Gökalp SG, Doǧan BG, Tekçiçek MT, Berberoǧlu A, Ünlüer S. National survey of oral health status of children and adults in Turkey. Community Dent Health. 2010;27(1):12–17. doi:10.1922/CDH_2365Gökalp06
  16. Namal N, Yüceokur AA, Can G. Significant caries index values and related factors in 5–6-year-old children in Istanbul, Turkey. East Mediterr Heal J. 2009;15(1):178–184. doi:10.26719/2009.15.1.178
  17. Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol. 1967;38(6 Suppl):610–616. doi:10.1902/jop.1967.38.6_part2.610
  18. Amirabad F, Noor NM, Rahmanian R. The comparison of dental status and oral health related quality of life among children 3–6 years old suffering from congenital heart diseases and healthy children. Int J Med Res Health Sci. 2016;5(11):541–546. Accessed December 18, 2020.
  19. Balmer R, Bu’Lock FA. The experiences with oral health and dental prevention of children with congenital heart disease. Cardiol Young. 2003;13(5):439–443. doi:10.1017/s1047951103000921
  20. Cantekin K, Gumus H, Torun YA, Sahin H. The evaluation of developmental enamel defects and dental treatment conditions in a group of Turkish children with congenital heart disease. Cardiol Young. 2015;25(2):312–316. doi:10.1017/S1047951113002308
  21. Talebi M, Mood MK, Mahmoudi M, Alidad S. A study on oral health of children with cardiac diseases in Mashhad, Iran in 2004. J Dent Res Dent Clin Dent Prospects. 2007;1(3):114–118. doi:10.5681/joddd.2007.020
  22. Matsson L. Factors influencing the susceptibility to gingivitis during childhood – a review. Int J Paediatr Dent. 1993;3(3):119–127. doi:10.1111/j.1365-263x.1993.tb00067.x
  23. Da Silva DB, Souza IP, Cunha MC. Knowledge, attitudes and status of oral health in children at risk for infective endocarditis. Int J Paediatr Dent. 2002;12(2):124–131. doi:10.1046/j.1365-263x.2002.00335.x