Oral and Dental Status in Children with Congenital Heart Diseasein Ibn Rochd University Hospital of Casablanca Morocco

Abstract

Objective: A case-control survey was conducted to assess the oral status of children with congenital heart disease in the cardiothoracic department at the CHU Ibn Rochd in Casablanca.

Methods and Materials: The study involved 60 sick children and 60 healthy control children taken from the orthopedic and pediatric traumatology department at CHU Ibn Rochd in Casablanca. The statistical tests used were the Chi2 test for comparison of percentages and the Student test for comparison of means. Socioeconomic level, LOE and SILNESS gingival index, parents’ assistance in their children’s oral brushing, LOE and SILNESS plaque index, amelar hypoplasia, and cad/ CAO index were evaluated.

Results: The gingival index of the target group was higher compared to controls (0.579± 0.537 vs. 0.232±0.459) with a statistically significant association
(p < 10-3).

The mean cao index of the target group was 4.633±4.687 vs 3.902±3.838 in the control group. The mean cao index was also higher in the case group compared with the control group (1.950 with a standard deviation of 3.456 vs 1.455 with a standard deviation of 1.856). The difference was statistically significant between the two groups for cao and CAO, respectively (p=0.04, p < 10 -4). Ameloid hypoplasia showed a statically insignificant difference (p=0.54) between the two study groups. All these data show the need to develop a closer collaboration between all health professionals, including cardiologists, for an early oral management and for an optimal awareness of oral hygiene.