Posted by: Indonesian Children | May 11, 2010

Dental caries, Allergy Diseases and Asthma

Dental caries, Allergy Diseases and Asthma

Widodo Judarwanto

Children Allergy Clinic – Bunda Jakarta Hospital, Indonesia



Over the last decade, the possible role of oral health as a risk factor for systemic disease has been highlighted in multiple instances. On one hand, it is suggested that every individual should visit her/his dentist at least once a year. However, poor and minority individuals, who experience greater levels of both dental and systemic disease, frequently face cost and other system-level barriers to obtain care in the private practice dental delivery system. For these individuals, non-traditional sources of dental care, such as physician offices, other medical settings, and the hospital emergency room, have been alternative options.  On the other hand, according to a cross-sectional, random digit telephone survey which was sponsored by the CDC and all U.S. states and territories in 2003, although periodic medical examinations of healthy individuals aiming to foster patients’ good health is proposed,  only 2.6% of 97,001 healthy adults reported have received primary prevention.
Whereas issues related to access to care need to be addressed, dentistry has an important role in promoting the overall health. While physicians are missing opportunities to provide primary prevention, the promotion of oral health has been suggested as a way to promote systemic health, since there is a possible role of oral infections as a risk factor for systemic disease. Caries remains the most prevalent non-transmissible infectious disease in the U.S. and in the rest of the world. Research on the relationship between caries and systemic diseases has provided evidence that caries may be associated with cardiovascular diseases, esophageal refluks, and asthma.
A better understanding of the possible relationships between caries experience and systemic diseases may provide new insight on the influences of oral health on systemic health.

Dental caries is an infectious disease and is highly prevalent among children. In the etiology of allergic diseases, the hygiene hypothesis contends that infections might confer protection against the development of allergic diseases. Many study report the association between dental caries and the prevalence of allergic disorders. The prevalence of wheeze, asthma, atopic eczema, and allergic rhinoconjunctivitis was increase. In an overall relationship between dental caries and the prevalence of wheeze, asthma, atopic eczema, or allergic rhinoconjunctivitis. However, dental caries was significantly inversely associated with the prevalence of allergic rhinoconjunctivitis only among children with a positive parental allergic history: The present findings do not support the hypothesis that dental caries was protective against allergic diseases. However, a parental allergic history may affect the association between dental caries and allergic rhinoconjunctivitis

Asthma is a serious global health problem. People of all ages in countries throughout the world are affected by this chronic airway disorder, which can be severe and sometimes fatal. The prevalence of asthma is increasing everywhere, especially among children. Several oral health conditions are documented among asthmatic patients, such as an increased rate of caries development and reduced salivary flow; an increased prevalence of oral mucosal changes, like oropharyngeal candidiasis and gingivitis; and orofacial abnormalities. The study presented here was conducted to find a relationship between increased levels of plaque and gingivitis and bronchial asthma. Around 80 asthmatic patients were examined for their plaque and gingival status. Their scores were compared with a control group matched for age, sex and socioeconomic status. Results showed a significant increase in plaque and gingival scores among asthmatics as compared to the control group. Hence, there is a need to educate this group of patients about their increased risk of gingival disease and the importance of proper plaque control. There is a need to create awareness among dental practitioners regarding the increased caries risk of asthmatic patients

Dental caries is the most common in Allergy and chronic childhood disease

  •  5x more common than asthma
  •  7x more common than hay fever
  • 51 million school hours lost to dental illness
  • Poor children 2x the amount of caries
  • Can lead to problems in eating, speaking, and learning


 References :


Provided by
children’s ALLERGY Center online


PHONE : (021) 70081995 – 5703646



Clinical and Editor in Chief :

dr Widodo Judarwanto

email : 


Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider. 

Copyright © 2010, Children Allergy Center Information Education Network. All rights reserved.



  1. A Truly useful article, i am allergic since i was a kid and never thought of this connection.

  2. truly great article for my family ,i never thought of that about connection

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