Comparative Evaluation of the Effects of Adenotonsillar Hypertrophy on Oral Health in Children.

We aimed to investigate the oral health of children in terms of the presence of dental caries, periodontal health, halitosis, and dentofacial changes in patients who had adenotonsillar hypertrophy related to mouth breathing and compared these findings with nasal breathing healthy and adenotonsillect...

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Publicado en:BioMed Research International pp. 1 - 14
Autores principales: İnönü-Sakallı, Nilsu, Sakallı, Cemal, Tosun, Özgür, Akşit-Bıçak, Damla
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 4/5/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/5/2021
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2021/5550267
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        atl: Comparative Evaluation of the Effects of Adenotonsillar Hypertrophy on Oral Health in Children.
      aug:
        au:
          İnönü-Sakallı, Nilsu
          Sakallı, Cemal
          Tosun, Özgür
          Akşit-Bıçak, Damla
        affil: Department of Pediatric Dentistry, Near East University Faculty of Dentistry, Nicosia/ TRNC, 99138 Mersin 10, Turkey
      sug:
        subj:
          Adenoids Pathology
          Tonsil Pathology
          Hypertrophy Complications
          Mouth Breathing Etiology
          Mouth Breathing Complications
          Dental Caries Risk Factors
          Halitosis Risk Factors
          Periodontal Diseases Risk Factors
          Risk Assessment
          Oral Health Evaluation
          Human
          Descriptive Statistics
          Comparative Studies
          Tonsillectomy
          Adenoidectomy
          Child
          Questionnaires
          Malocclusion
          Child: 6-12 years
      ab: We aimed to investigate the oral health of children in terms of the presence of dental caries, periodontal health, halitosis, and dentofacial changes in patients who had adenotonsillar hypertrophy related to mouth breathing and compared these findings with nasal breathing healthy and adenotonsillectomy-operated children. The patient group comprised 40 mouth-breathing children who were diagnosed with adenotonsillar hypertrophy, while the control group consisted of 40 nasal breathing children who had no adenotonsillar hypertrophy. Forty children who had undergone an adenotonsillectomy operation at least 1 year prior to the study were included in the treatment group. Oral examinations of all children were conducted, and the parents were asked about medical and dental anamnesis, demographic parameters, toothbrushing and nutrition habits, oral health-related quality of life (OHRQoL), and symptoms of their children. Demographic parameters, toothbrushing and nutrition habits, and the presence of bad oral habits did not differ between groups (p > 0.05). Adenotonsillectomy is associated with a remarkable improvement in symptoms; however, some symptoms persist in a small number of children. The salivary flow rate, dmft/s, DMFT/S index, plaque, and gingival index scores did not differ between groups (p > 0.05). The patient group showed higher rates of halitosis when compared with the treatment and control groups (p < 0.001). Mouth breathing due to adenotonsillar hypertrophy caused various dentofacial changes and an increase in Class II division 1 malocclusion (p < 0.001). It was shown that adenotonsillar hypertrophy does not negatively affect OHRQoL, it could be a risk factor for dental caries, periodontal diseases, and halitosis, but by ensuring adequate oral health care, it is possible to maintain oral health in children with adenotonsillar hypertrophy. Also, it is recommended that orthodontic treatment should start as soon as possible if it is required. In this context, otorhinolaryngologists, pedodontists, and orthodontists should work as a team in the treatment of children with adenotonsillar hypertrophy.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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