[Asthma-associated oral and dental health repercussions in children aged 6 to 12 years]

Rev Alerg Mex. Jul-Sep 2017;64(3):270-276. doi: 10.29262/ram.v64i3.247.
[Article in Spanish]

Abstract

Background: Asthma, which is characterized by mouth breathing and by the use of drugs for its treatment, affects between 1 and 30% of children and adolescents. There are only few studies reporting its impact on the oral cavity.

Objective: To find out the most common asthma-associated repercussions in 6 to 12-year-old children.

Methods: Cross-sectional, comparative, analytical study carried out in 2 primary schools from Coclique, Veracruz, Mexico, in 6 to 12-year-old children. The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire for parents was used.

Results: In a population of 409 children, a prevalence of asthma of 6.84% (n = 28) was found, which was higher in males (15, 54%); boys aged 6, 7 and 11 years and girls aged 8, 9 and 10 years were most affected. Risk factors for oral manifestations were acidic pH (OR = 170), caries (OR = 4.29), anterior open bite (OR = 66.78), gingivitis (OR = 9.75), atypical swallowing (OR = 15.70) and high-arched palate (OR = 45.60).

Conclusion: Children with chronic conditions such as asthma require an oral and dental preventive program as part of their interdisciplinary care.

Antecedentes: El asma, caracterizada por respiración bucal y el uso de fármacos para su tratamiento, afecta entre 1 y 30 % de los niños y adolescentes. Son pocos los estudios que reportan las repercusiones en la cavidad bucal. Objetivos: Conocer las repercusiones en la salud bucodental más asociadas con el asma en niños de 6 a 12 años de edad. Métodos: Estudio transversal, analítico y comparativo en 2 escuelas primarias de Cosoleacaque, Veracruz, México, en niños de 6 a 12 años. Se utilizó el cuestionario “Estudio internacional de alergia y asma en niños” (ISAAC) para padres. Resultados: En una población de 409 niños se encontró una prevalencia de asma de 6.84 % (n = 28), mayor en los hombres (54-15 %); los varones de 6, 7 y 11 años fueron los más afectados y las niñas de 8, 9 y 10 años. Las manifestaciones orales con factor de riesgo fueron pH ácido (OR = 170), caries (OR = 4.29), mordida abierta anterior (OR = 66.78), gingivitis (OR = 9.75), deglución atípica (OR =15.70) y paladar ojival (OR = 45.60). Conclusión: Los niños con enfermedades crónicas como el asma requieren un plan de prevención bucodental como por parte de su atención interdisciplinar.

Keywords: Bite anterior open; Childhood asthma; Decay; Oral health; Oral pH.

Publication types

  • Multicenter Study

MeSH terms

  • Asthma / epidemiology*
  • Child
  • Comorbidity
  • Cross-Sectional Studies
  • Deglutition Disorders / epidemiology
  • Dental Caries / epidemiology
  • Female
  • Gingivitis / epidemiology
  • Humans
  • Hydrogen-Ion Concentration
  • Male
  • Mouth Diseases / epidemiology*
  • Open Bite / epidemiology
  • Palate, Hard / abnormalities
  • Prevalence
  • Risk Factors