{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:44:06Z","timestamp":1760060646189,"version":"build-2065373602"},"reference-count":41,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: Adenoid hypertrophy (AH), one of the most common pathologies in children, is a major cause of mouth breathing. Mouth breathing causes dry mouth, which removes the beneficial effects of saliva necessary for oral health. Therefore, an oral microflora favorable to caries is promoted. The primary objective of this study is to evaluate the oral health of children diagnosed with AH between the ages of 3 and 14 and to determine the early childhood oral health impact scale. Methods: This descriptive study was conducted between November 2019 and November 2020, involving 16 boys and 14 girls diagnosed with AH at the Department of Otorhinolaryngology, Faculty of Medicine, Atat\u00fcrk University. These children, diagnosed with adenoid hypertrophy, were referred to the Department of Pedodontics, Faculty of Dentistry, Ataturk University, for the evaluation of their oral health prior to surgery. Oral examinations were performed on the pediatric participants under dental unit light by the same pedodontist, and their demographic data and DMFT\/dmft scores were recorded. Data for the Early Childhood Oral Health Impact Scale (ECOHIS-T) were obtained from volunteers with communication skills and their parents. SPSS 21.0 software was used in the statistical evaluation of the data. A Chi-square test was used to assess differences between groups. Results: The mean age of the children was 5.9 \u00b1 2.6 years. There was no statistically significant difference between AH grades 2, 3, and 4 in terms of dentition periods, gender, and occlusion (p = 0.177, p = 0.495). The scores of the first nine and last four questions of the ECOHIS-T were found to be higher in children with grade 4 AH (p = 0.011, p = 0.043). The DMFT index was also higher in children with grade 4 AH (p = 0.010). Conclusions: Tooth decay is more prevalent in children with severe adenoid hypertrophy. This condition was also observed to negatively affect their quality of life. Regular check-ups and preventive care are needed to improve the quality of life of these children.<\/jats:p>","DOI":"10.3390\/children12091206","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T08:43:54Z","timestamp":1757493834000},"page":"1206","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Oral Health and Oral Health-Related Quality of Life in Children with Adenoid Hypertrophy"],"prefix":"10.3390","volume":"12","author":[{"given":"M\u00fcnevver \u00c7oruh","family":"K\u0131l\u0131\u00e7","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry, Faculty of Dentistry, Biruni University, Istanbul 34015, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenan","family":"Cantekin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Faculty of Dentistry, Sakarya University, Sakarya 54100, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7330-9525","authenticated-orcid":false,"given":"Emre","family":"Haylaz","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Sakarya University, Sakarya 54100, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7084-4995","authenticated-orcid":false,"given":"Fahrettin","family":"Kalabal\u0131k","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Sakarya University, Sakarya 54100, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Korhan","family":"K\u0131l\u0131\u00e7","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Faculty of Medicine, Atat\u00fcrk University, Erzurum 25240, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan Basri","family":"Bircan","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Atat\u00fcrk University, Erzurum 25240, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8072-4728","authenticated-orcid":false,"given":"Mihriban","family":"G\u00fcner","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Faculty of Dentistry, Sakarya University, Sakarya 54100, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,10]]},"reference":[{"key":"ref_1","unstructured":"Mnatsakanian, A., Heil, J.R., and Sharma, S. (2023). Anatomy, head and neck: Adenoids. StatPearls [Internet], StatPearls Publishing."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e001710","DOI":"10.1136\/bmjpo-2022-001710","article-title":"Adenoid hypertrophy in children: A narrative review of pathogenesis and clinical relevance","volume":"7","author":"Niedzielski","year":"2023","journal-title":"BMJ Paediatr. Open"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1080\/00016489.2021.1970803","article-title":"Impact of tonsillectomy on COVID\u201319 pandemic: An observational study of the incidence and prognosis","volume":"141","author":"Kara","year":"2021","journal-title":"Acta Oto-Laryngol."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Regauer, S. (2006). Nasopharynx and Waldeyer\u2019s ring. Pathology of the Head and Neck, Springer.","DOI":"10.1007\/3-540-30629-3_6"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2171","DOI":"10.1002\/mp.14063","article-title":"A deep-learning-based approach for adenoid hypertrophy diagnosis","volume":"47","author":"Shen","year":"2020","journal-title":"Med. Phys."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.pio.2010.09.001","article-title":"Craniofacial features of subjects with adenoid, tonsillar, or adenotonsillar hypertrophy","volume":"12","author":"Baroni","year":"2011","journal-title":"Prog. Orthod."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"\u0130n\u00f6n\u00fc-Sakall\u0131, N., Sakall\u0131, C., Tosun, \u00d6., and Ak\u015fit-B\u0131\u00e7ak, D. (2021). Comparative evaluation of the effects of adenotonsillar hypertrophy on oral health in children. BioMed Res. Int., 2021.","DOI":"10.1155\/2021\/5550267"},{"key":"ref_8","first-page":"47","article-title":"Pharyngeal lymphatic ring: Anatomical review","volume":"27","author":"Akamatsu","year":"2017","journal-title":"J. Morphol. Sci."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.smrv.2017.06.001","article-title":"Prevalence of adenoid hypertrophy: A systematic review and meta-analysis","volume":"38","author":"Pereira","year":"2018","journal-title":"Sleep Med. Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2563","DOI":"10.21037\/tp-21-437","article-title":"Effect of adenoid hypertrophy on the upper airway and craniomaxillofacial region","volume":"10","author":"Wang","year":"2021","journal-title":"Transl. Pediatr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1016\/j.ijporl.2015.02.017","article-title":"Adenoid hypertrophy in children with allergic disease and influential factors","volume":"79","author":"Evcimik","year":"2015","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.anl.2010.07.005","article-title":"Sleep quality and effects of position on sleep apnea in East Asian children","volume":"38","author":"Kim","year":"2011","journal-title":"Auris Nasus Larynx"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1542\/peds.109.3.449","article-title":"Inattention, hyperactivity, and symptoms of sleep-disordered breathing","volume":"109","author":"Chervin","year":"2002","journal-title":"Pediatrics"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1177\/0091217419829988","article-title":"Effect of adenotonsillectomy on sleep problems, attention deficit hyperactivity disorder symptoms, and quality of life of children with adenotonsillar hypertrophy and sleep-disordered breathing","volume":"54","author":"Sapmaz","year":"2019","journal-title":"Int. J. Psychiatry Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1007\/s004050100367","article-title":"Evaluation of clinical parameters in patients with obstructive sleep apnea and possible correlation with the severity of the disease","volume":"258","author":"Erdamar","year":"2001","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_16","first-page":"103","article-title":"Obstr\u00fcktif Uyku Apne Sendromu Olan Hastalarda Klinik ve Demografik Verilerinin De\u011ferlendirilmesi","volume":"11","year":"2021","journal-title":"Sak. T\u0131p Derg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1001\/archotol.128.5.489","article-title":"Impact of adenotonsillectomy on quality of life in children with obstructive sleep disorders","volume":"128","author":"Derkay","year":"2002","journal-title":"Arch. Otolaryngol.\u2013Head Neck Surg."},{"key":"ref_18","first-page":"270","article-title":"Adenotonsillectomy effect on the life quality of children with adenotonsillar hyperplasia","volume":"13","author":"Carneiro","year":"2009","journal-title":"Intl. Arch. Otorhinolaryngol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"3311","DOI":"10.1007\/s00405-014-3407-6","article-title":"Adenotonsillar hypertrophy as a risk factor of dentofacial abnormality in Korean children","volume":"272","author":"Kim","year":"2015","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_20","first-page":"8","article-title":"Impact of adenoid hypertrophy on the open bite in childrena","volume":"73","year":"2019","journal-title":"Pol. J. Otolaryngol."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Lin, L., Zhao, T., Qin, D., Hua, F., and He, H. (2022). The impact of mouth breathing on dentofacial development: A concise review. Front. Public Health, 10.","DOI":"10.3389\/fpubh.2022.929165"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1111\/ocr.12242","article-title":"Prevalence of malocclusion in children with obstructive sleep apnoea","volume":"21","author":"Galeotti","year":"2018","journal-title":"Orthod. Craniofacial Res."},{"key":"ref_23","first-page":"491","article-title":"Nasal breathing and the vertical dimension: A cephalometric study","volume":"14","author":"Daoui","year":"2016","journal-title":"Int. Orthod."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1016\/j.ijporl.2014.04.008","article-title":"Facial soft tissues of mouth-breathing children: Do expectations meet reality?","volume":"78","author":"Souki","year":"2014","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/s12199-021-00933-5","article-title":"Prevalence of an incompetent lip seal during growth periods throughout Japan: A large-scale, survey-based, cross-sectional study","volume":"26","author":"Nogami","year":"2021","journal-title":"Environ. Health Prev. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.ijporl.2018.07.018","article-title":"Oral health status of children with mouth breathing due to adenotonsillar hypertrophy","volume":"113","author":"Ballikaya","year":"2018","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_27","first-page":"64","article-title":"Oral hygienic state and pH value in children with adenoid hypertrophy","volume":"2","author":"Kaskova","year":"2016","journal-title":"Ukr. Dent. Alm."},{"key":"ref_28","first-page":"12E","article-title":"Assessing change in quality of life and dental anxiety in young children following dental rehabilitation under general anesthesia","volume":"36","author":"Cantekin","year":"2014","journal-title":"Pediatr. Dent."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1477-7525-5-6","article-title":"Parental perceptions of children\u2019s oral health: The Early Childhood Oral Health Impact Scale (ECOHIS)","volume":"5","author":"Pahel","year":"2007","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1007\/s10528-016-9733-1","article-title":"Carbonic anhydrase VI gene polymorphism rs2274327 relationship between salivary parameters and dental-oral health status in children","volume":"54","author":"Sengul","year":"2016","journal-title":"Biochem. Genet."},{"key":"ref_31","first-page":"1590","article-title":"Treatment of adenotonsillar hypertrophy: A prospective randomized trial comparing azithromycin vs. fluticasone","volume":"16","author":"Jazi","year":"2011","journal-title":"J. Res. Med. Sci. Off. J. Isfahan Univ. Med. Sci."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1590\/S0021-75572008000700010","article-title":"Etiology, clinical manifestations and concurrent findings in mouth-breathing children","volume":"84","author":"Abreu","year":"2008","journal-title":"J. Pediatr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1177\/154405910608500410","article-title":"Dental plaque pH and micro-organisms during hyposalivation","volume":"85","author":"Eliasson","year":"2006","journal-title":"J. Dent. Res."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1590\/S1807-59322011000600003","article-title":"Association between halitosis and mouth breathing in children","volume":"66","author":"Motta","year":"2011","journal-title":"Clinics"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"19","DOI":"10.15586\/aei.v51i5.868","article-title":"Allergic rhinitis and dental caries","volume":"51","year":"2023","journal-title":"Allergol. Immunopathol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"84","DOI":"10.23736\/S0026-4970.18.04127-4","article-title":"Oral mucosal complications in orthodontic treatment","volume":"68","author":"Manuelli","year":"2019","journal-title":"Minerva Stomatol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"6","DOI":"10.34172\/johoe.2112.1437","article-title":"Assessment of the relationship between oral health and adenoid hypertrophy in children aged 8 to 15 years","volume":"13","author":"Farahzadi","year":"2024","journal-title":"J. Oral Health Oral Epidemiol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1","DOI":"10.22514\/jocpd.2024.001","article-title":"The effects of adenoid hypertrophy and oral breathing on maxillofacial development: A review of the literature","volume":"48","author":"Ma","year":"2024","journal-title":"J. Clin. Pediatr. Dent."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Zwierz, A., Domagalski, K., Masna, K., and Burduk, P. (2022). Effectiveness of evaluation of adenoid hypertrophy in children by flexible nasopharyngoscopy examination (FNE), proposed schema of frequency of examination: Cohort study. Diagnostics, 12.","DOI":"10.3390\/diagnostics12071734"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"315","DOI":"10.3342\/kjorl-hns.2022.00227","article-title":"Correlation of Clinical Score, Radiological Examination, and Nasopharyngeal Endoscopy in Adenoid Hypertrophy Patients as a Consideration of Adenoidectomy","volume":"66","author":"Nugroho","year":"2023","journal-title":"Korean J. Otorhinolaryngol.-Head Neck Surg."},{"key":"ref_41","first-page":"50","article-title":"Adenoid facies and its management: An orthodontic perspective","volume":"2","author":"Agarwal","year":"2016","journal-title":"Ind\u0131an J. Orthod. Dentofac. Res."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/9\/1206\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:43:01Z","timestamp":1760035381000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/9\/1206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,10]]},"references-count":41,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9]]}},"alternative-id":["children12091206"],"URL":"https:\/\/doi.org\/10.3390\/children12091206","relation":{},"ISSN":["2227-9067"],"issn-type":[{"type":"electronic","value":"2227-9067"}],"subject":[],"published":{"date-parts":[[2025,9,10]]}}}