International Journal of Preventive Medicine (Int J Prev Med)2008-7802962018062019241924ENChild Growth and Development Research Center, Research Institute for Primordial Prevention of Noncommunicable Disease, Isfahan University of Medical Sciences, IsfahanDepartment of Pediatric Dentistry, Shahrekord University of Medical Sciences, ShahrekordChild Growth and Development Research Center, Research Institute for Primordial Prevention of Noncommunicable Disease, Isfahan University of Medical Sciences, IsfahanDepartment of Pediatric Dentistry, Torabinejad Dental Research Center, School of Dentistry, Isfahan University of Medical Sciences, IsfahanChild Growth and Development Research Center, Research Institute for Primordial Prevention of Noncommunicable Disease, Isfahan University of Medical Sciences, Isfahan20180620<p><span class="fontstyle0"><strong>Background</strong>: </span><span class="fontstyle2">Dental health is one of the most important health burdens of children health. The association between dental health and endocarditis has been already demonstrated, but there is controversy about different frequency of dental caries, periodontitis, and saliva microorganism in<br />comparison to healthy population and children with congenital heart diseases (CHDs). In this study, we evaluated these differences. </span></p><p><strong></strong><span class="fontstyle0"><strong>Methods</strong>: </span><span class="fontstyle2">Seventy‑six healthy children and 68 CHD patients were enrolled in the present case&ndash;control study. Dental decay, periodontitis, oral microorganisms, serum calcium, phosphorus, and frequency of carbohydrate and protein consumption of all participants were evaluated by standards method. </span></p><p><span class="fontstyle0"><strong>Results</strong>: </span><span class="fontstyle2">CHD patients experienced more periodontitis, but the difference was not signifcant (0.12 vs. 0.09, </span><span class="fontstyle3">P </span><span class="fontstyle2">= 0.2). In healthy children, the mean saliva colony counts of </span><span class="fontstyle3">Streptococcus mutans </span><span class="fontstyle2">were more signifcant (50639 &plusmn; 3324 vs. 35285 &plusmn; 27226, </span><span class="fontstyle3">P </span><span class="fontstyle2">= 0.03), which was diminished by adjusting the carbohydrate consumption. The mean colony count of Lactobacilli in children with CHD was nonsignifcant higher than healthy children (</span><span class="fontstyle3">P </span><span class="fontstyle2">= 0.3).<br /></span></p><p><span class="fontstyle0"><strong>Conclusions</strong>: </span><span class="fontstyle2">Pediatric patients with CHD experience insignifcantly higher dental decay, periodontitis, and saliva Lactobacilli colony counts. The frequency of decayed tooth and gingival diseases in healthy children is high, and hence, more dental care attention in our health system is<br />needed for healthy children.<br /></span></p><p><span class="fontstyle0" style="color: #00652e;"><strong>Keywords</strong>: </span><span class="fontstyle3">Congenital heart disease, dental caries, periodontal disease</span> <br style="font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;" /></p>http://ijpm.mui.ac.ir/index.php/ijpm/article/view/1924http://ijpm.mui.ac.ir/index.php/ijpm/article/download/1924/717717749