Dental visit in uruguayan children with congenital heart disease: pilot study

Abstract

Introduction: Congenital heart diseases affect 450 children per year in Uruguay. The diversity of native microorganisms native in the oral cavity and respiratory tract is a risk factor for the development of infective endocarditis. Prevention of this condition includes maintaining oral health. Integrating a Pediatric Dentist into the healthcare team would enhance a transdisciplinary approach to the comprehensive management of patients with congenital heart diseases. Objective: To determine the access to dental visit in children with congenital heart disease and the level of knowledge among their caregivers regarding oral health. Method: Cross-sectional pilot study in 20 children with congenital heart disease. A structured questionnaire was used to collect data on sociodemographic background, hygiene habits, oral health care, and medical/dental attention. Percentages and averages will be reported. Results: The average age was 11.5±2.12 years, 55% were male, and 50% belonged to the public healthcare system. 25% were referred to a Pediatric Dentist, and 35% received information about the importance of oral health in patients with congenital heart disease. Half of the sample had their first dental consultation after 12 months of age (25% after 24 months), with 3 patients being referred by their cardiologist. 75% lacked information on the oral health/heart disease relationship, 50% introduced sugar into the diet before one year of age, maintaining a high frequency of consumption. Conclusions: Uruguayan children with congenital heart disease have delayed access to dental care.