Dental Caries Experience in Children with Cerebral Palsy (original) (raw)
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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...
International Journal of Environmental Research and Public Health
Cerebral palsy is a developmental motor disorder which has far-reaching impacts on oral health. This scoping review examined the extent of research undertaken regarding the risk factors affecting dental caries experience in children and adolescents with cerebral palsy. Data were obtained from the electronic databases Web of Science and PubMed, using 10 search strings, for studies published between 1983 and 2018. Eligible studies were required to have investigated caries in children under 18 with cerebral palsy, as well as be written in English. 30 papers published were identified for inclusion in the review. These included 23 cross-sectional, 6 case–control, and 1 longitudinal study. Studies were categorized into six domains of risk factors: socioeconomic status (SE); cerebral palsy subtype (CPS); demographics (D); condition of oral cavity (OC); dental habits (DH); nutrition and diet (ND). This review was conducted and reported in accordance with Preferred Reporting Items for System...
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.
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...
Untreated dental caries in children with cerebral palsy in the Brazilian context
International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children, 2008
Objectives. To assess the prevalence of untreated dental caries in children with cerebral palsy and to assess socio-demographic, behavioural, and clinical covariates.Design. Cross-sectional assessment of 200 children and adolescents with cerebral palsy (2–17 years old) enrolled in a specialized healthcare unit in São Paulo, Brazil. The dental examination followed the World Health Organization's guidelines for oral health surveys; familial caretakers informed on socio-economic status and behaviour; the patient's medical record informed their clinical status.Results. The proportion of children that presented at least one tooth affected by untreated caries was 49.5%. Poor socio-economic standings and a higher frequency of sugar consumption associated with a worse profile of dental health; different types of cerebral palsy (spastic, tetraparesis) did not. The prevalence of untreated caries was higher than reference values assessed for the overall population of the same age range.Conclusions. The high burden of untreated dental caries on cerebral palsy patients reinforces the importance of the dentist in the interdisciplinary healthcare team attending these children. Factors associated with this outcome are the same for the general population; these findings underscore the necessity of implementing effective caries prevention in this population of cerebral palsy children.
Poster Board 112: Oral Health Status in Indian Children with Cerebral Palsy: A Pilot Study
American Journal of Physical Medicine & Rehabilitation, 2005
Cerebral palsy is a major severe childhood disability and its prevalence is increasing, particularly among premature low birth weight newborns. Less attention is paid to dental health in these children. This study aimed to investigate various dental problems such as dental caries, plaque index, malocclusion and drooling in a group of 53 Indian cerebral palsy children. The results were compared with a control group of 53 age and sex matched normal children. Non-parametric statistical tests were used, with the level of significance set at p<0.05. The results showed a significant difference between cases and controls for caries. No significant difference was noted for malocclusion. One of the significant finding was that the children affected with drooling were not affected with caries teeth. Conclusion-Good oral hygiene, accompanied by early and regular dental examination and treatment will enhance good dental health in cerebral palsy children.
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.
Factors associated with dental caries experience of Thai preschool children with cerebral palsy
Special Care in Dentistry, 2022
Objective: To investigate the potential social and behavioural risk factors influencing the oral health of teenagers aged 14 and 15 years living in New South Wales Australia. Methods: Quantitative and qualitative methodologies were used in this research project. Data were obtained from both the clinical and questionnaire components of the NSW Teen Dental Survey 2010 and were analysed in SAS 9.2. The analyses allowed for various demographic and behavioural risk factors to be assessed using caries experience, severe caries and DMFT (decayed, missing or filled teeth) counts as the key outcome variables. Results: Of the 1,256 14-and 15-year-olds who had a dental examination, 1,199 (95.5%) provided questionnaire data. The clinical examinations found that 44.4% of teenagers overall had caries experience in at least one tooth, while 10.6% of the sample had experienced severe caries. Severe dental caries was found to be significantly related to a variety of factors, including family income, fluoridation status, tooth brushing behaviour and sugary drink consumption. Conclusions: The oral health of 14-and 15-year-olds in NSW is influenced by social and dietary factors as well as access to fluoridated water supplies. There was also a strong relationship between self-rated oral health status with DMFT and with caries experience. Implications: The findings of this study will assist policy makers by highlighting the current caries risk factors that should be part of future health promotion programs.
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.
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.