Behaviour management problems in Finnish children with operated congenital heart disease : a practice-based study

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http://hdl.handle.net/10138/346058

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Karhumaa , H , Vähänikkilä , H , Blomqvist , M , Pätilä , T & Anttonen , E 2022 , ' Behaviour management problems in Finnish children with operated congenital heart disease : a practice-based study ' , European Archives of Paediatric Dentistry , vol. 23 , no. 3 , pp. 409-416 . https://doi.org/10.1007/s40368-022-00696-9

Title: Behaviour management problems in Finnish children with operated congenital heart disease : a practice-based study
Author: Karhumaa, H.; Vähänikkilä, H.; Blomqvist, M.; Pätilä, T.; Anttonen, Esa
Contributor organization: HUS Children and Adolescents
Children's Hospital
Date: 2022-06
Language: eng
Number of pages: 8
Belongs to series: European Archives of Paediatric Dentistry
ISSN: 1818-6300
DOI: https://doi.org/10.1007/s40368-022-00696-9
URI: http://hdl.handle.net/10138/346058
Abstract: 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. Conclusion 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.
Subject: Behaviour management problem
BMP
Dental fear
Congenital heart disease
CHD
Child
Caries
DENTAL FEAR
PREVALENCE
HEALTH
SURVIVAL
OUTCOMES
313 Dentistry
3123 Gynaecology and paediatrics
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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