Poster Board 112: Oral Health Status in Indian Children with Cerebral Palsy: A Pilot Study (original) (raw)
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Oral conditions in children with cerebral palsy
Journal of dentistry for children (Chicago, Ill.)
Cerebral palsy (CP) is a major severe childhood disability and its prevalence is increasing, particularly among premature low-weight newborns. The oral conditions observed demonstrate the need for home and professional care for these individuals. This study aimed to investigate dental caries, plaque index, time of eruption, malocclusion, bruxism and motor oral skills in a group of 62 CP children (study group). The results were compared to those obtained for a control group with 67 normal children. Nonparametric statistical tests including the Mann-Whitney test, Fisher's Exact test (P), Chi-square test (chi2), and Cochran's Q test were used according to the nature of the variables studied, with the level of significance set at P<.05. The results showed a significantly higher DMFS index for CP children with permanent dentition of both sexes when compared to normal children. A significantly higher plaque index was also observed in the study group. A high tendency to delayed ...
Oral Health Status Of Children Affected With Cerebral Palsy
SciDoc Publishers, 2021
Cerebral palsy is a developmental disorder that causes limitation of movements and postural activities. This causes crippling conditions in children and is one of the chief neurological disorders The aim of this study is to find out the oral hygiene status of children who suffer from cerebral palsy. Case records of patients who visited the department of pediatric and preventive dentistry at Saveetha Dental College from June 2019 to March 2020 were reviewed. 12 children who were diagnosed with cerebral palsy were included in the study. Age, gender, DMFT, dmft, total number of caries teeth,OHI were evaluated. The data was analysed through chi-square test. It was observed that there is no significant difference in oral health of children suffering from cerebral palsy p value > 0.05. Within the limitations of our study it was found that children in the age groups 7 to 9 years with cerebral palsy had poor oral health. Providing adequate oral care requires adaptation of special dental skills to help families manage the ongoing health issues that may arise. As oral health is increasingly recognized as a foundation for general wellbeing, caregivers for CP patients should be considered an important component of the oral health team and must become knowledgeable and competent in home oral health practices.
Risk factors for dental caries among children with cerebral palsy in a low-resource setting
Developmental medicine and child neurology, 2016
To describe the oral health status and investigate factors affecting dental caries experience among children with cerebral palsy (CP) in rural Bangladesh. A cross-sectional study was conducted among children with CP who are part of the Bangladesh Cerebral Palsy Register (BCPR) study. Caries experience was measured by identifying decayed, missing, and filled teeth for deciduous and permanent teeth (dmft/DMFT). Clinical periodontal index, body mass index, oral hygiene behaviour, masticatory ability, and dietary habits were recorded. CP motor types and severity of functional mobility (Gross Motor Function Classification System [GMFCS]) were assessed. Of 90 children with CP (mean age 9y 7mo, range 2-17y, 37.8% female and 62.2% male), 35% of 2 to 6 year olds, and 70% of 7 to 11 year olds (p=0.014) experienced caries (dmft+DMFT>0). The mean values (standard deviation [SD]) of dmft and DMFT were 2.46 (3.75) and 0.72 (1.79) respectively. After adjusting for age and sex, binary logistic r...
Dental Caries Experience in Children with Cerebral Palsy
International Journal of Biology, Pharmacy and Allied Sciences, 2021
Cerebral palsy is a neurodevelopmental condition which consists of a group of disorders of movement and posture attributed to non progressive disturbances of developing brain. Providing adequate oral care requires adaptation of special dental skills to help families manage the ongoing health issues that may arise. The aim of the study was to evaluate the dental caries experience in children with cerebral palsy and in control patients. An institutional record based study was done to assess the caries experience in cerebral palsy and in control patients who reported to a Private Hospital in Chennai. The study was carried out in a one-year period (June 2019 to April 2020) on a total of 12 patients (6 cases and 6 controls). Data was collected retrospectively from patients who had visited the department of Pedodontics and Preventive dentistry. The data was analysed through SPSS software. The results from the study showed that male patients in both controls and cases have higher caries experience compared to females and also showed to be highest in 6-10 years of age. The study showed caries experience was highest among patients with cerebral palsy compared to normal patients but was statistically not significant (p value >0.05).
Assessment of Oral and Dental Health Status in Children with Cerebral Palsy: An Exploratory Study
Journal of Contemporary Dentistry, 2017
ABSTRACTObjectivesEvaluating oral and dental health status in Egyptian children with cerebral palsy (CP) in relation to gross motor skills and types of CP.Materials and methodsCross-sectional study was conducted at el-Shatby Hospital for Children, Alexandria, Egypt. Oral examination for 62 children with CP between the age range 3 and 12 years was performed, and decayed, missing, and filled permanent teeth (DMFT)/decayed and filled primary teeth (dft), simplified oral hygiene index (OHI-S), and modified gingival index (MGI) were charted. Maxillofacial defects, dental problems, and drooling of saliva were assessed. Children's CP type, motor milestone, and gross motor skills were determined. All statistical analyses were carried out at p<0.05 and 0.01.ResultsAbout 84.0% of children had spastic quadriplegia, 41.9% were sit-supported, 32.3% had level IV Gross Motor Function Classification System (GMFCS), 29.0% had level V no maxillofacial defects, 14.5% had dentin exposure greater...
International Journal of Paediatric Dentistry the British Paedodontic Society and the International Association of Dentistry For Children, 2010
Objectives. To assess and compare the oral health status of preschool children with and without cerebral palsy (CP). Methods. Preschool children with CP (72) were recruited from 23 Special Child Care Centers in Hong Kong. An age (±3 months) and gender matched sample of preschool children from mainstream preschools were recruited as the control group. Dental caries status, gingival health status, tooth wear, developmental defect of enamel, malocclusion, dental trauma and oral mucosal health were assessed and compared between the two groups. Results. Significant differences in gingival health status were found between children with and without CP (mean plaque index scores, P = 0.001 and mean gingival index scores, P < 0.05). Tooth wear involving dentine was more prevalent among CP children (P < 0.001), as were evidence of anterior open-bite (P < 0.001) and oral mucosal lesions (P < 0.05). Children with and without CP had similar caries experiences (P > 0.05), prevalence of enamel defects (P > 0.05) and dental trauma (P > 0.05). Conclusions. Differences of oral health status exist among preschool children with and without CP. Preschool children fare worse in terms of gingival health, tooth wear, oral mucosal health and malocclusion.
JOMENAS Press, 2021
Aim: To assess and compare the dental caries status and selected salivary constituents in cerebral palsy children and healthy children. Methods: A total of 100 children aged between 3 to 13 years were included in the study. The study group consisted of 50 children with cerebral palsy registered under the Indira Gandhi Institute of Child Health, Bangalore, and the control group consisted of 50 healthy children who visited the Department of Pediatric and Preventive Dentistry, V S Dental College and Hospital, Bangalore for a routine dental checkup. Salivary constituents like calcium, phosphorous, sodium, potassium, magnesium, and chloride were assessed using salivary kits. Dental caries was recorded according to WHO criteria. Results: Salivary calcium, potassium, chloride, and phosphorous levels were increased and salivary sodium and magnesium concentrations were decreased in cerebral palsy children when compared to healthy children. Statistically significant results were obtained only in salivary potassium and phosphorous levels and the DMFT/dmft scores were higher in cerebral palsy children when compared to healthy children. Conclusion: Children with cerebral palsy are more prone to dental caries when compared to healthy children due to various factors like motor and coordination difficulties, food pouching due to difficulty in swallowing, and poor oral care and hygiene. The variations seen in the salivary electrolyte concentrations in cerebral palsy children could also be a causative factor for the increased risk of developing dental caries and negatively affecting the quality of life in these children.
Caries experience and oral hygiene status of cerebral palsy children in Riyadh
Odonto-stomatologie tropicale = Tropical dental journal, 2010
The purpose of this study was to determine the caries experience and oral hygiene (OH) status of cerebral palsy (CP) children in Riyadh area. One hundred and forty CP children [82 (58.6%) males & 58 (41.4%) females] were examined for dental caries and OH status in dental clinic of the Disabled Children's Association Center, Riyadh. The children were divided into three age groups; first group 3-6 years old (41 children), second group 7-9 years old (52 children) and third group 10-12 years old (47 children). The mean DMFS (decayed, missing and filled surfaces) score for the first group was 18.8 (+/- 16.3), with the DS component of 10.9 (+/- 7.5), MS component of 3.7 (+/- 10.4) and FS component of 4.1 (+/- 8.9). For the second group the mean DMFS was 23.4 (+/- 17.7) with DS component of 15.4 (+/-12.1), MS component of 4.1 (+/-9.0) and FS component of 3.8 (+/- 8.5). The corresponding values for the third group were 20.5 (+/- 14.0), 12.4 (+/- 9.7), 5.1 (+/- 12.4) and 2.9 (+/- 5.5) re...
Factors associated with dental caries in the primary dentition of children with cerebral palsy
Brazilian Oral Research, 2012
The aim of this study was to investigate factors associated with caries experience in the primary dentition of one-to five-year-old children with cerebral palsy. A total of 266 dental records were examined, and caries experience was measured by dmft. The following variables were also analyzed: gender, oral hygiene, history of gastroesophageal reflux, use of medications for gastroesophageal reflux, gingival status, sugar intake and reports of polyuria, excessive thirst and xerostomia. For analysis purposes, the individuals were categorized as those with and without caries experience and subcategorized into the following age groups: one year; two to three years; and four to five years. After bivariate analysis, variables with a p-value < 0.25 were selected for incorporation into the Poisson regression models. Considering the limitations of the protocol, the level of oral hygiene perceived on the first appointment was the only factor associated with caries experience among two-to-fiveyear-old children with cerebral palsy.
Risk factors for dental caries in children with cerebral palsy
Special Care in Dentistry, 2002
This study was conducted to examine the oral condition and the salivary and microbiological parameters associated with dental caries in 62 children with cerebral palsy, who came from households of low socioeconomic status (Study Group). This group had mixed (6 to 11 years old) and permanent (11 to 16 years old) dentition. Dental examinations were performed to measure dental caries, plaque index, salivary levels of mutans streptococci and lactobacilli, salivary flow rate, pH of stimulated saliva, and buffer capacity of saliva. A group of 67 non-handicapped children from similar socioeconomic backgrounds also were examined using these parameters (Control Group). Data were analyzed statistically by non-parametric tests and by correlation. The results showed that children with cerebral palsy who had permanent dentitions had a higher mean decayed, missing and filled surfaces index, as well as a higher plaque index for both sexes. Microbiological examination revealed higher levels of mutans streptococci among Study Group subjects with mixed dentition than in the Control Group. Also, lactobacillus counts were higher in the Study Group, regardless of sex or dentition. With respect to salivary flow rate, pH and buffering capacity, lower mean values were obtained for the Study Group.