Prevalence of dental caries in pediatric patients with atopic dermatitis

Background. Children with atopic dermatitis may be at increased risk of developing dental caries. This problem is poorly understood and needs attention. The aim of this study was to investigate the oral health status of children and adolescents with atopic dermatitis. Materials and methods. One hund...

Full description

Bibliographic Details
Main Authors: T.M. Volosovets, I.G. Dikova, O.V. Mozyrska, N.A. Slyusar
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2023-05-01
Series:Zdorovʹe Rebenka
Subjects:
Online Access:https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1583
_version_ 1797338024466448384
author T.M. Volosovets
I.G. Dikova
O.V. Mozyrska
N.A. Slyusar
author_facet T.M. Volosovets
I.G. Dikova
O.V. Mozyrska
N.A. Slyusar
author_sort T.M. Volosovets
collection DOAJ
description Background. Children with atopic dermatitis may be at increased risk of developing dental caries. This problem is poorly understood and needs attention. The aim of this study was to investigate the oral health status of children and adolescents with atopic dermatitis. Materials and methods. One hundred children with atopic dermatitis aged 2 to 17 years, median of 6 [3.5; 10], and 103 children without atopic dermatitis, median age 7 [5; 12.5] years, were included in the study. Clinical parameters included age, sex, age of onset and severity of atopic dermatitis according to the SCORing AD index (SCORAD). Patients with at least one type of caries at any stage of progression (from white spots to carious lesions with pulpal damage) were included in the caries group. The risk of caries in the atopic dermatitis group and in healthy children, and the significance of the presence of asthma and allergic rhinitis for the development of caries were evaluated using the odds ratio (OR) with a 95% confidence interval (CI). Results were considered statistically significant at the p < 0.05 level. Results. Caries was detected in 46 % of children with atopic dermatitis and 22 % controls (OR = 2.9630, CI 1.6131–5.4424, p = 0.0005). In the group of allergic rhinitis, 24 patients were found to have caries, and among those without allergic rhinitis, 22 children had caries. It was found that patients with concomitant allergic rhinitis were significantly more likely to develop caries (OR = 3.4406, CI 1.4693–8.0563, p = 0.0044). No such significance was found depending on the presence of asthma (OR = 1.3986, CI 0.4913–3.9814, p = 0.5). Conclusions. Children with atopic dermatitis have a significantly higher risk of dental caries than healthy children. Based on the results of our study, clinicians should be aware of dental manifestations in patients with atopic dermatitis and recommend regular dental examinations for early caries detection.
first_indexed 2024-03-08T09:24:04Z
format Article
id doaj.art-796c985d13f54fe5accc3daa748deac1
institution Directory Open Access Journal
issn 2224-0551
2307-1168
language English
last_indexed 2024-03-08T09:24:04Z
publishDate 2023-05-01
publisher Zaslavsky O.Yu.
record_format Article
series Zdorovʹe Rebenka
spelling doaj.art-796c985d13f54fe5accc3daa748deac12024-01-31T10:28:15ZengZaslavsky O.Yu.Zdorovʹe Rebenka2224-05512307-11682023-05-0118318518810.22141/2224-0551.18.3.2023.15831583Prevalence of dental caries in pediatric patients with atopic dermatitisT.M. Volosovets0https://orcid.org/0000-0001-9950-3748I.G. Dikova1https://orcid.org/0000-0001-8319-2068O.V. Mozyrska2https://orcid.org/0000-0001-9936-8304N.A. Slyusar3https://orcid.org/0000-0002-7712-4461Shupyk National Healthcare University of Ukraine, Kyiv, UkraineBogomolets National Medical University, Kyiv, UkraineBogomolets National Medical University, Kyiv, UkraineBogomolets National Medical University, Kyiv, UkraineBackground. Children with atopic dermatitis may be at increased risk of developing dental caries. This problem is poorly understood and needs attention. The aim of this study was to investigate the oral health status of children and adolescents with atopic dermatitis. Materials and methods. One hundred children with atopic dermatitis aged 2 to 17 years, median of 6 [3.5; 10], and 103 children without atopic dermatitis, median age 7 [5; 12.5] years, were included in the study. Clinical parameters included age, sex, age of onset and severity of atopic dermatitis according to the SCORing AD index (SCORAD). Patients with at least one type of caries at any stage of progression (from white spots to carious lesions with pulpal damage) were included in the caries group. The risk of caries in the atopic dermatitis group and in healthy children, and the significance of the presence of asthma and allergic rhinitis for the development of caries were evaluated using the odds ratio (OR) with a 95% confidence interval (CI). Results were considered statistically significant at the p < 0.05 level. Results. Caries was detected in 46 % of children with atopic dermatitis and 22 % controls (OR = 2.9630, CI 1.6131–5.4424, p = 0.0005). In the group of allergic rhinitis, 24 patients were found to have caries, and among those without allergic rhinitis, 22 children had caries. It was found that patients with concomitant allergic rhinitis were significantly more likely to develop caries (OR = 3.4406, CI 1.4693–8.0563, p = 0.0044). No such significance was found depending on the presence of asthma (OR = 1.3986, CI 0.4913–3.9814, p = 0.5). Conclusions. Children with atopic dermatitis have a significantly higher risk of dental caries than healthy children. Based on the results of our study, clinicians should be aware of dental manifestations in patients with atopic dermatitis and recommend regular dental examinations for early caries detection.https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1583atopic dermatitiscarieschildren
spellingShingle T.M. Volosovets
I.G. Dikova
O.V. Mozyrska
N.A. Slyusar
Prevalence of dental caries in pediatric patients with atopic dermatitis
Zdorovʹe Rebenka
atopic dermatitis
caries
children
title Prevalence of dental caries in pediatric patients with atopic dermatitis
title_full Prevalence of dental caries in pediatric patients with atopic dermatitis
title_fullStr Prevalence of dental caries in pediatric patients with atopic dermatitis
title_full_unstemmed Prevalence of dental caries in pediatric patients with atopic dermatitis
title_short Prevalence of dental caries in pediatric patients with atopic dermatitis
title_sort prevalence of dental caries in pediatric patients with atopic dermatitis
topic atopic dermatitis
caries
children
url https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1583
work_keys_str_mv AT tmvolosovets prevalenceofdentalcariesinpediatricpatientswithatopicdermatitis
AT igdikova prevalenceofdentalcariesinpediatricpatientswithatopicdermatitis
AT ovmozyrska prevalenceofdentalcariesinpediatricpatientswithatopicdermatitis
AT naslyusar prevalenceofdentalcariesinpediatricpatientswithatopicdermatitis