A scoping review of oral health outcomes for people with cerebral palsy

Abstract

Introduction Good oral health is important for good overall health. Studies have reported poorer oral health outcomes for people with cerebral palsy, but there has been no synthesis of the evidence surrounding this and, there are no clear oral health recommendations for people with cerebral palsy globally. This review synthesizes the existing knowledge base on oral health in people with cerebral palsy and provides recommendations for future research. Methods A scoping review was conducted to assess the current literature. Databases were searched using relevant search terms. Study outcomes were synthesized according to their reported outcomes. Results One hundred seventy three studies were included in this review. Children with cerebral palsy have an increased risk for dental caries and untreated caries. Higher saliva osmolality is a major contributor to increased dental caries. People with cerebral palsy are more likely to experience tooth wear and bruxism. Children and their care‐givers have poor oral health related quality of life. There is a large unmet need for oral healthcare in this group. There is no suggested plan for the prevention of poor oral health for this group. A high number of studies included related to research is conducted in low‐ and middle‐income countries, care should be taken in applying results outside this context. There is a lack of research conducted in people with cerebral palsy, 18 years and over. Conclusion There is a higher risk for poor oral health in people with cerebral palsy and there is a large unmet need to dental care in this group. This study highlights the need for further research to focus on adults with cerebral palsy and an of understanding the oral health care outcomes in the context of settings. The authors recommend the inclusion of classification systems and the integration of disability inclusive language in future studies.

Worldwide panorama of bruxism and patients with disabilities: a bibliometric analysis in PubMed (1965-2021)

“…After applied proposed search strategy a total of 185 articles were found ranging from 1965 (Adelson, 1965) to 2021 (Lansdown et al, 2022-Epub 2021. Thus, there was no year restriction regarding inclusion in this study.…”

Oral health of individuals with cerebral palsy in Saudi Arabia: A systematic review

“…Studies have established that people with CP have poor oral health, including an increased prevalence of dental trauma, periodontal disease and a high prevalence of dental caries. 11 Similarly, studies conducted in Saudi Arabia have also suggested that people with CP have a higher prevalence of oral disease. 12,13 However, no systematic review has been published to date, to provide an overview of the research conducted on this topic, including no guidelines or a summary of the current state of oral health of individuals with CP in KSA.…”

Effects of non-immersive virtual reality intervention on children with spastic cerebral palsy: a meta-analysis and systematic review

“…In recent decades, the neonatal mortality rate and incidence of stillbirth have decreased significantly because of the development of medicine. However, the incidence of CP has not decreased, and the proportion of patients with severe CP has increased 5–7 . Approximately half of children with CP have disrupted upper extremity (UE) function, such as difficulty in reaching, grasping, or manipulating objects 8 .…”

“…However, the incidence of CP has not decreased, and the proportion of patients with severe CP has increased. [5][6][7] Approximately half of children with CP have disrupted upper extremity (UE) function, such as difficulty in reaching, grasping, or manipulating objects. 8 More than 50% of children with CP have lower extremity (LE) movement disorders, which manifest as LE muscle contractures, ankle stiffness deformities, flexion of the hips and knees when standing and walking, etc.…”