pulmicort and Dental-Caries

Asthma is related to caries but the risk factors are not completely determined. Therefore, the objective of the study was to determine the risk of dental caries in pediatric asthmatic patients in inhalation treatment with salbutamol and budesonide who went to the National Hospital Arzobispo Loayza.. Case-control study that consisted of 184 pediatric patients, between 5 and 12 years old, who attended the pneumology and pediatric dentistry service of the National Hospital Arzobispo Loayza during the years 2016-2017. The group of cases (n = 92) was composed of patients with moderate asthma medicated with inhaled salbutamol and budesonide, while the control group (n = 92) was composed of healthy patients. The risk of dental caries was evaluated with the dietary record, oral hygiene index and number of carious lesions.. The risk according to the type of cariogenic diet was moderate in both groups (p = 0.768). The oral hygiene index in the control group was regular in 63% (n = 58) and in the case group, bad in 60.9% (n = 56); p=0.001. The number of carious lesions in the control group was moderate in 50% (n = 46) and in the case group, high in 47.8% (n = 44); p = 0.001. Therefore, the risk of dental caries in the case group was high in 50% (n = 46) and in the control group it was moderate in 72.8% (n = 67); p = 0.001.. The risk of dental caries in asthmatic patients on inhaled therapy with salbutamol and budesonide is significantly higher than that of healthy patients.. El asma está relacionada con la caries pero los factores de riesgo no están determinados completamente. Por ello, el objetivo del estudio fue determinar el riesgo de caries dental en pacientes pediátricos asmáticos en tratamiento inhalatorio con salbutamol y budesonida que acudieron al Hospital Nacional Arzobispo Loayza.. Estudio de casos y controles que estuvo conformado por 184 pacientes pediátricos, entre 5 a 12 años, que asistían al servicio de neumología y odontopediatría del Hospital Nacional Arzobispo Loayza durante los años 2016-2017. El grupo de casos (n=92) estuvo integrado por pacientes con asma moderado medicados con salbutamol y budesonida inhalatorios, mientras el grupo control (n=92) estuvo integrado por pacientes sanos. El riesgo de caries dental se evaluó con la ficha dietética, índice de higiene oral y número de lesiones cariosas.. El riesgo según el tipo de dieta cariogénica fue moderado en ambos grupos (p=0,768). El índice de higiene oral en el grupo control fue regular en 63% (n=58) y en el grupo de casos, malo en 60,9% (n=56); p=0,001. El número de lesiones cariosas en el grupo control fue moderado en 50% (n=46) y en el grupo de casos, alto en 47,8% (n=44); p=0,001. Por lo tanto, el riesgo de caries dental en el grupo de casos fue alto en 50% (n=46) y en el grupo control fue moderado en 72,8% (n=67); p=0,001.. El riesgo de caries dental en los pacientes asmáticos en tratamiento inhalatorio con salbutamol y budesonida es significativamente superior al de los pacientes sanos.

Topics: Administration, Inhalation; Albuterol; Anti-Asthmatic Agents; Asthma; Budesonide; Case-Control Studies; Child; Child, Preschool; Dental Caries; Female; Humans; Incidence; Male; Oral Hygiene; Peru; Pilot Projects; Risk Factors

The aim of this study was to analyze the timing of first fillings posteruptively in a cohort comprising 51 asthmatic children receiving inhaled corticosteroids and living in three communities in Ostrobothnia, Finland. They had all been born in the 1980s and had had asthma check-ups in the local asthma policlinic. A group of 102 healthy age- and sex-matched children served as controls. A longitudinal survival analysis of the timing of the first filling in the primary teeth and first permanent molars was conducted retrospectively using data from the annual dental health records. The timing of the first fillings in permanent first molars showed no statistically significant differences between asthmatic and healthy children, but the filling increments in the primary molars were consistently higher in the asthmatic group; the difference for the upper first primary molars was, for instance, statistically significant (risk ratio = 2.565; 95% confidence interval = 1.333-4.935). More extractions because of caries were also performed on primary molars in the asthmatic children. The findings support the hypothesis that factors related to the asthmatic condition might increase the risk of caries. A longer surveillance time would be needed to evaluate the effect of asthma on the permanent dentition.

Topics: Administration, Inhalation; Administration, Topical; Anti-Inflammatory Agents; Asthma; Bronchodilator Agents; Budesonide; Case-Control Studies; Child; Cohort Studies; Confidence Intervals; Dental Caries; Dental Restoration, Permanent; Evaluation Studies as Topic; Female; Glucocorticoids; Humans; Longitudinal Studies; Male; Molar; Odds Ratio; Pilot Projects; Population Surveillance; Proportional Hazards Models; Retrospective Studies; Sex Factors; Survival Analysis; Time Factors; Tooth Extraction; Tooth, Deciduous