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Archives of Disease in Childhood 1997;76:539-540; doi:10.1136/adc.76.6.539
Copyright © 1997 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 1997;76:539-540 ( June )

Dental attitudes, knowledge, and health practices of parents of children with congenital heart disease

C P Saunders,a G J Robertsb

a Community Dental Service, Oxfordshire Community Health NHS Trust, b Institute of Child Health with the Great Ormond Street Hospital for Children and the Eastman Dental Institute

Correspondence to: Professor Graham J Roberts, Maxillo-Facial and Dental Department, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London WC1N 3JH.

Accepted 28 March 1997

A total of 60 children with severe congenital cardiac disease from the Great Ormond Street Hospital for Children and Guy's Hospital children's department were matched for age, gender, social class, and ethnic origin with 60 healthy children from the trauma clinic of the Department of Orthodontics and Paediatric Dentistry at Guy's Dental Hospital, London. The parents' attitude, knowledge, and dental health practices were assessed by questionnaire.
  The cardiac group had significantly poorer dental health practices than the healthy group. Of the cardiac children 18% had never visited the dentist compared with only 3% for the healthy group. It is difficult to assess the importance of this in terms of a serious health hazard. Current practice of cardiac physicians is to recommend that children with heart disease seek out and attend a dentist, the advice usually being accompanied by the presentation of a `heart card' detailing antibiotic prophylaxis regimens if extractions are required. The data presented here shows that this strategy has failed.

Keywords: dental health; gingivitis; cardiac disease


© 1997 by Archives of Disease in Childhood

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This article has been cited by other articles:

  • Moons, P, De Volder, E, Budts, W, De Geest, S, Elen, J, Waeytens, K, Gewillig, M (2001). What do adult patients with congenital heart disease know about their disease, treatment, and prevention of complications? A call for structured patient education. Heart 86: 74-80 [Abstract] [Full Text]  

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