University of Oulu

Karhumaa, H., Vähänikkilä, H., Blomqvist, M. et al. Behaviour management problems in Finnish children with operated congenital heart disease: a practice-based study. Eur Arch Paediatr Dent 23, 409–416 (2022).

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
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.5 MB)
Persistent link:
Language: English
Published: Springer Nature, 2022
Publish Date: 2022-08-31


Purpose: 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.

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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
Type of Publication: A1 Journal article – refereed
Field of Science: 313 Dentistry
3142 Public health care science, environmental and occupational health
Funding: Open Access funding provided by University of Oulu including Oulu University Hospital.
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