Children with Cystic Fibrosis have special dental care needs and are at increased risk of oral diseases; such as enamel defects and formation of dental calculi.(1)(2) There is mixed evidence in the literature about whether dental caries are more common(3)(4)
Aim The aims of this audit were to:-
To assess access to dental care in Stoke on Trent
To document the frequency of dental complications
To investigate oral hygiene practises
Methods A ten point questionnaire was developed which was given to children who attended the Cystic Fibrosis clinic, at our unit, over a three month period
Results 20 female and 18 male patients completed the questionnaire.
Ages ranged from 10months- 16 years
94% of male patients and 85% of female patients have a dentist
Of the patients who have a dentist, 100% of male patients and 95% of female patients are seen within the recommended NICE guideline time of 12 months.
67% of male patients and 85% of female patients reported dental complications. Of these the most common complication in males (50%) and females (53%) was dental staining, followed by cavities in 17% of males and 23% females
90% of female patients and 94% of male patients brush teeth regularly.
Only 10% of female patients and 11% of male patients use dental floss.
Only one (5%) female patient used mouth wash
Conclusions Children with Cystic Fibrosis in Stoke on Trent have good access to dental care and the majority attend regularly. The majority also brush their teeth regularly. The main complications raised are with staining and with fillings. These could be combated by encouraging children to use dental floss, using fluoride based mouth washes and toothpastes, and encouraging parents to ask dentists about application of sealants. Continuing to ensure sugar free antibiotics are prescribed is also important. Dental care review should be part of the multidisciplinary management these children receive
Narang A et al Oral health and related factors in cystic fibrosis and other chronic respiratory disorders. Arch Dis Child. 2003 August; 88(8): 702–707.
Wotman S et al 1973 The occurance of calculus in normal children with cystic fibrosis and children with asthma. J Peridontol 1973, 44:278–80
Martens LC et al Is oral health at risk in people with cystic fibrosis? Eur J Paediatr Dent 2001; 2:21–7
Dawbrowski E et al Assessment of dental health and hygiene in the study population of CF patients in the Podlasie province