Abstract
BackgroundCongenital Heart Diseases (CHD) involves a wide range of pathological conditions, such as Pulmonary Atresia with Ventricle Septal Defect (PA/VSD). This disorder leads to the systemic circulation of oxygen-poor blood (cyanosis), with associated features and consequences in the oral cavity.Material and MethodsUsing scoping review methodology for screening and article selection, the primary objectives of this paper were as follows: first, to pose a research question; second, to identify relevant studies in order to answer the research question; third, to select and retrieve the studies; fourth, to chart the critical data, and finally, to collate, summarize, and report the results from the most important articles on the dental management of children affected with PA/VSD. Relevant articles (Randomized Controlled Trials [RCT], reviews, observational studies, and clinical case reports) published over a 10-year period were identified and retrieved from four Internet databases: PubMed; Embase/Ovid; Cochrane Library, and Google Scholar.ResultsBy title and abstract screening and after removing duplicates, 24 articles were finally included in the present scoping review. According to the extracted data, the following are the most important clinical issues to be considered when treating children with PA/VSD in the dental setting: prevalence of dental caries; prevention of dental disease (oral hygiene and diet); bacteremia and infective endocarditis risk, and child behavior control and treatment under general anesthesia.ConclusionsPediatric Dentists should bear in mind that early diagnosis and treatment, together a long-term follow-up of children with PA/VSD, continue to be the best approaches for achieving enhanced patient psychological well-being and, in consequence, their good quality of life. Key words:Pulmonary atresia, congenital heart diseases, ventricle septal defect, scoping review, dental management.
Highlights
Tetralogy of Fallot (TF) is the most common form of Congenital Heart Disease (CHD), which is characterized by the association of four cardiac abnormalities (1,2): (i) maligned ventricular septal defect; (ii) subpulmonary stenosis; (iii) overriding aorta, and (iv) right ventricular hypertrophy
Similar to other congenital heart defects, PSD/VSD impacts upon dental health with respect to three different issues: dentition development; risk of infective endocarditis from bacteremia induced by invasive dental procedures, and special implications with treatment delivered when required (1,3,11)
The present article aims to present the main results of a scoping review on the dental management of patients with PSD/VSD performed over a period of the last 10 years
Summary
Tetralogy of Fallot (TF) is the most common form of Congenital Heart Disease (CHD), which is characterized by the association of four cardiac abnormalities (1,2): (i) maligned ventricular septal defect; (ii) subpulmonary stenosis; (iii) overriding aorta, and (iv) right ventricular hypertrophy. Pulmonary Stenosis with Ventricular Septal Defect (PS/ VSD) in pediatric patients represents the most severe form of this disease spectrum (1) In these cases, no direct communication exists between the heart right ventricle and the lungs; there is a partial or complete obstruction of the blood flow from right ventricle to the pulmonary circulation. CHD are still a cause of high mortality in pre-school children, accounting for one half of deaths in this age group (8) In this context, the present article aims to present the main results of a scoping review on the dental management of patients with PSD/VSD performed over a period of the last 10 years. Congenital Heart Diseases (CHD) involves a wide range of pathological conditions, such as Pulmonary Atresia with Ventricle Septal Defect (PA/VSD) This disorder leads to the systemic circulation of oxygenpoor blood (cyanosis), with associated features and consequences in the oral cavity. According to the extracted data, the following are the most important clinical issues to be considered when treating children with PA/VSD in the dental setting: prevalence of dental caries; prevention e458
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