Introduction: Modern dental medicine steadily aims at preserving the oral health status of the population. This is done not only by operative techniques and removal of affected hard tooth tissues but also by using preventive, non-operative and minimally invasive techniques. Measures are implemented to promote oral health in children and adolescents.
Aim: The aim of the present review is to clarify the role of oral health promotion in children suffering from systemic diseases.
Materials and Methods: A literature review has been done on the basis of 30 referenced scientific publications from scientific databases.When doing the following literature review, we intended to discuss the already suggested methods of promoting oral health and hygienic status in children and adolescents suffering from certain systemic diseases and conditions and if no methods are already implemented - to suggest possible ones.
Results: Our scientific interest marks the specifics of the oral status among children with anemia, epilepsy, diabetes mellitus (type 1), and problems with maintaining a balanced diet. In order to reduce the risks to the general health and well-being of the child by neglecting their oral health, lack of knowledge of the parents and late visits to dental specialists must be minimized.
Conclusion: Raising awareness through informational campaigns, visiting hospitalized children, making educational presentations and brochures and demonstrating the correct brushing techniques on phantom jaw models, regular dental check-ups, professional dental and self-care are key factors in oral health promotion. Medical doctors treating the given systemic disease, doctors of dental medicine, general practitioners and parents should work together to keep the balance between general and oral health.
Sprod AJ, Anderson R, Treasure ET. Effective oral health promotion: literature review. Cardiff: Dental Public Health Unit, Health Promotion Wales. Technical report; 20. 1996.
An Oral Health Promotion Strategy for children and young people in Surrey. Available at: https://www.healthysurrey.org.uk/__data/assets/pdf_file/0018/137610/surrey-oral-health-promotion-HS.pdf
Ministry of Health of New Zealand. Available at: https://www.health.govt.nz/
World Health Organization. Diet, nutrition and the prevention of chronic diseases.World Health Organ Tech Rep Ser. 2003;916:i-viii, 1-149.
World Health Organization. Health promotion evaluation: Recommendations to policy makers. Copenhagen: World Health Organization Regional Office for Europe. 1998.
Tsvetkova T, editor. Clinical laboratory results. Plovdiv: Vasil Petrov; 1998. (in Bulgarian).
Tang RS, Huang MC, Huang ST. Relationship between dental caries status and anemia in children with severe early childhood caries. Kaohsiung J Med Sci. 2013;29(6):330-6. doi: 10.1016/j.kjms.2012.10.003.
Shotekov P, editor. Neurology. 2nd edition. ARSO;2010. (in Bulgarian).
Gurbuz T, Tan H. Oral health status in epileptic children. Pediatr Int. 2010 ;52(2):279-83. doi: 10.1111/j.1442-200X.2009.02965.x.
Aragon CE, Burneo JG. Understanding the patient with epilepsy and seizures in the dental practice. J Can Dent Assoc. 2007;73(1):71-6.
Archarya S, Bussel JB. Hematologic toxicity of sodium valproate. Pediatr Hemat Oncol. 2000; 22(1):62–5. doi: 10.1097/00043426-200001000-00012.
Angelopoulos AP. Diphenylhydantoin gingival hyperplasia. A clinicopathological review. 1. Incidence, clinical features and histopathology. Dent J. 1975; 41(2):103–6.
Angelopoulos AP. A clinicopathological review. Diphenylhydantoin gingival hyperplasia: 2. Aetiology, pathogenesis, differential diagnosis and treatment. Dent J 1975; 41(5):275–7, 283.
Ogunbodede EO, Adamolekun B, Akintomide AO. Oral health and dental treatment needs in Nigerian patients with epilepsy. Epilepsia. 1998; 9(6):590–4.
Naidoo S. Oral health and nutrition for children under five years of age: a paediatric food-based dietary guideline. South Afr J Clin Nutr. 2013; 26(S), S150-5.
Novotna M, Podzimek S, Broukal Z, Lencova E, Duskova J. Periodontal diseases and dental caries in children with type 1 diabetes mellitus. Mediators Inflamm. 2015;2015:379626. doi: 10.1155/2015/379626.
Grossi SG, Genco RJ. Periodontal disease and diabetes mellitus: a two-way relationship. Ann Periodontol. 1998;3(1):51–61. doi: 10.1902/annals.1998.3.1.51.
Iacopino AM. Periodontitis and diabetes interrelationships: role of inflammation. Ann Periodontol. 2001;6(1):125–37. doi: 10.1902/annals.2001.6.1.125.
Nishimura F, Takahashi K, Kurihara M, Takashiba S, Murayama Y. Periodontal disease as a complication of diabetes mellitus. Ann Periodontol. 1998;3(1):20–9. doi: 10.1902/annals.1998.3.1.20.
Syrjälä AM, Kneckt MC, Knuuttila ML. Dental self-efficacy as a determinant to oral health behaviour, oral hygiene and HbA1c level among diabetic patients. J Clin Periodontol. 1999;26(9):616–21. doi: 10.1034/j.1600-051x.1999.260909.
Bahammam MA. Periodontal health and diabetes awareness among Saudi diabetes patients. Patient Prefer Adherence. 2015;9:225-33. doi: 10.2147/PPA.S79543.
Drewnowski A, Popkin BM. The nutrition transition: new trends in the global diet. Nutr Rev. 1997;55(2):31-43. doi: 10.1111/j.1753-4887.1997.tb01593.x.
Drewnowski A. Nutrition transition and global dietary trends. Nutrition. 2000;16(7-8):486-7. doi: 10.1016/s0899-9007(00)00295-1.
Petersen PE. Continuous improvement of oral health in the 21st century: the approach of the World Health Organization Oral Health Programme. Zhonghua Kou Qiang Yi Xue Za Zhi. 2004;39(6):441-4.
Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661-9. doi: /S0042-96862005000900011.
Putnam JJ, Allshouse JE. Food consumption, prices, and expenditures, 1970-1997. Washington, DC: US Department of Agriculture; 1999.
Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr. 2004;7(1A):201-26. doi: 10.1079/phn2003589.
Hausen H. Caries prediction: state of the art. Community Dent Oral Epidemiol. 1998;25(1):87-96. doi: 10.1111/j.1600-0528.1997.tb00904.x.
Clarkson JJ, McLoughlin J. Role of fluoride in oral health promotion. Int Dent J. 2000;50(3):119-28. doi: 10.1111/j.1875-595x.2000.tb00552.x.
Marinho VC, Worthington HV, Walsh T, Clarkson JE. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2013;(7):CD002279. doi: 10.1002/14651858.CD002279.pub2.
Marinho VC, Higgins JP, Sheiham A, Logan S. Combinations of topical fluoride (toothpastes, mouthrinses, gels, varnishes) versus single topical fluoride for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2004;(1):CD002781. doi: 10.1002/14651858.CD002781.pub2.
Walsh T, Worthington HV, Glenny AM, Marinho VC, Jeroncic A. Comparison between different fluoride toothpastes of different concentrations for preventing dental decay in children and adolescents. Cochrane Database Syst Rev. 2019;3:CD007868. doi: 10.1002/14651858.CD007868.pub3.
Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2010;(1):CD007868. doi: 10.1002/14651858.CD007868.pub2.
Adair SM. The oral/systemic connection: Where’s ECC? What’s our role? Pediatr Dent. 2006;28(5):397.
Rautemaa R, Lauhio A, Cullinan MP, Seymour GJ. Oral infections and systemic disease—an emerging problem in medicine. Clin Microbiol Infect. 2007;13(11):1041-7. doi: 10.1111/j.1469-0691.2007.01802.x.
Pimentel EL, Azevedo VM, Castro Rde A, Reis LC, De Lorenzo A. Caries experience in young children with congenital heart disease in a developing country. Braz Oral Res. 2013;27(2):103-8. doi: 10.1590/s1806-83242013000100016.
Fonseca MA, Evans M, Teske D, Thikkurissy S, Amini H. The impact of oral health on the quality of life of young patients with congenital cardiac disease. Cardiol Young. 2009;19(3):252-6. doi: 10.1017/S1047951109003977.