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Behaviour management problems in Finnish children with operated congenital heart disease : a practice-based study |
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| Author: | Karhumaa, H.1,2; Vähänikkilä, H.3; Blomqvist, M.4; |
| Organizations: |
1Research Unit of Oral Health Sciences, University of Oulu, POB 5281, 90014, Oulu, Finland 2Medical Research Centre, Oulu University Hospital and University of Oulu, Oulu, Finland 3Infrastructure of Cohort Studies, University of Oulu, Oulu, Finland
4Children’s Hospital, Helsinki University Central Hospital, Helsinki, Finland
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| Format: | article |
| Version: | published version |
| Access: | open |
| Online Access: | PDF Full Text (PDF, 0.5 MB) |
| Persistent link: | http://urn.fi/urn:nbn:fi-fe2022083156904 |
| Language: | English |
| Published: |
Springer Nature,
2022
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| Publish Date: | 2022-08-31 |
| Description: |
AbstractPurpose: This retrospective, practice-based study investigates behaviour management problems (BMPs) in dental care among Finnish children with operated congenital heart disease (CHD). Methods: All the heart-operated children born between the years 1997 and 1999 were identified in the national ProCardio database (n = 570). Primary dental care records were requested from this population and were eventually received from 211 patients. Information on gender, diagnosis, number of heart operations and perioperative care were collected from the ProCardio database, and the CHDs were categorised as shunting/stenotic/complex/other defects. Data on BMP/dental fear, oral conscious sedation, dental general anaesthesia (DGA) and past and present caries indices at 6, 12 and 15 years (d/D, dmft/DMFT) were assessed. Results: Notes on behaviour management problems or dental fear were found in 19% of the study population. BMPs in dental care were more frequent among boys. Children with re-operations, longer post-operative intensive care stay and hospitalisation, and complications had not more BMP than others. Those children diagnosed with syndromes had more BMP often than the rest. Past and present caries experience were significantly associated with BMP, need of oral conscious sedation and DGA. Oral conscious sedation, nitrogen oxide sedation and dental general anaesthesia were used in 17/211, 2/221 and 24/211 CHD patients, respectively. Conclusions: Dental caries remains a main factor associated with BMP in the CHD population. Need for oral conscious sedation and DGA were rather common. To maintain a good oral health and to avoid development of BMP, CHD children benefit from focus in health promotion and preventive care. see all
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| Series: |
European archives of paediatric dentistry |
| ISSN: | 1818-6300 |
| ISSN-E: | 1996-9805 |
| ISSN-L: | 1818-6300 |
| Volume: | 23 |
| Issue: | 3 |
| Pages: | 409 - 416 |
| DOI: | 10.1007/s40368-022-00696-9 |
| OADOI: | https://oadoi.org/10.1007/s40368-022-00696-9 |
| Type of Publication: |
A1 Journal article – refereed |
| Field of Science: |
313 Dentistry 3142 Public health care science, environmental and occupational health |
| Subjects: | |
| Funding: |
Open Access funding provided by University of Oulu including Oulu University Hospital. |
| Copyright information: |
© The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
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https://creativecommons.org/licenses/by/4.0/ |