RESUMEN
BACKGROUND: Children with congenital heart disease (CHD) are at high risk of contracting oral diseases. The aim of this study is to investigate dental procedures to prevent the risk of infective endocarditis in children with CHD. MATERIAL AND METHODS: 146 patients aged 2-14 years, in need of prophylaxis before cardiovascular surgery and who had filled out anamnesis records, were considered. Dental caries in all the children with CHD was reported as the number of decayed, missing and filled teeth (DMFT). RESULTS: There was a significant strong positive relationship between the pre-oral rehabilitation DMF-T/dmf-t scores and the number of caries patients (r=0.95, p=0.01). There was no significant correlation between the pre-oral rehabilitation DMF-T/dmf-t scores and both tooth loss (r=0.14, p=0.09) and the number of restorations (r=0.11, p=0.17). In addition, there was no significant correlation between the post-oral rehabilitation DMF-T/dmf-t scores and the prevalence of dental caries. A positive and moderately strong correlation was found between the post-oral rehabilitation DMF-T/dmf-t scores and the number of missing teeth (r=0.56, p=0.01), while there was a positive and strong relationship between the post-treatment DMF-T/dmf-t scores and the number of fillings (r=0.62, p=0.01). CONCLUSIONS: Extraction should be considered when providing oral rehabilitation, rather than endodontic and deep restorative treatments.
Asunto(s)
Anestesia General , Cardiopatías Congénitas , Humanos , Niño , Cardiopatías Congénitas/cirugía , Adolescente , Preescolar , Masculino , Femenino , Caries Dental/prevención & control , Rehabilitación BucalRESUMEN
AIM: To assess the importance of the first aid and medical care administered on the battlefield and at a field surgical unit for the outcome of craniocerebral war injuries. METHODS: State of consciousness of 38 persons with craniocerebral injuries was assessed by the Glasgow Coma Scale (GCS), and follow-up of the vital signs and neurological deficit were determined by GCS outcome scale. RESULTS: Total mortality was 36.8%. The mortality highly correlated with the extent of injury. In general, all patients with Glasgow Coma Scale score of 7 and less died, and those with a higher score survived. CONCLUSION: A strict application of the basic principles of the first aid and medical care is a prerequisite for the improvement of the outcome of craniocerebral injuries.