Dental Caries and Periodontal Disease in Brazilian Children and Adolescents with Cerebral Palsy

Abstract

The aim of the present study was determine the prevalence and factors associated with dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy (CP). This is a cross-sectional study conducted with 80 patients ranging in age from 2 to 18 years old. Oral exams were conducted by an examiner with records of DMFT, dmft, Gingival Bleeding Index (GBI) and Community Periodontal Index (CPI). The statistical analysis used Poisson Regression with robust variance estimation (α = 0.05). The prevalence of dental caries was 59.3%, with DMFT and mean dmft of 1.71 ± 2.42 and 2.22 ± 3.23, respectively. The mean GBI was 22.44%, and in the CPI, the prevalence of gingival bleeding, calculus, shallow and deep pockets were 94.73%, 79.62%, 12.90% and 3.22%, respectively. The caregiver’s educational level of less than eight years were associated with the dental caries experience (PR = 1.439; 95%CI = 1.09–1.89). The periodontal alterations were associated with female sex (PR = 0.82; 95%CI = 0.69–0.97), caregiver’s educational level of less than eight years (PR = 1.15; 95%CI = 1.03–1.29), poor oral perception (PR = 0.89; 95%CI = 0.80–0.98), serious communication problem (PR = 0.87; 95%CI = 0.76–0.99) and athetoid type of CP (PR = 0.85; 95%CI = 0.75–0.97). The patients with CP presented high dental caries experience and periodontal alterations, which were associated with their demographic, socioeconomic, oral health perception and systemic information.

Oral Health Status among Girls with Developmental Disabilities: A Cluster Analysis

“…Actually, the relationship between caries and gingivitis was demonstrated in this study, fact that had already been shown in the literature [1,12]. It has been extensively demonstrated in the literature that these two factors are strongly related to poor oral hygiene and intake of sucrose [4,13,14].…”

“…In addition, the drugs used in the treatment of epilepsy and seizures may have a negative impact in the oral health [3]. These negative results are not common to all groups of patients with cerebral palsy and vary according to the region and the country in which the individual lives [1,4].…”

“…Individuals with cerebral palsy present higher prevalence of dental caries and periodontal alterations than the general population [1]. In addition, the drugs used in the treatment of epilepsy and seizures may have a negative impact in the oral health [3].…”

“…It is a conjunct of motor dysfunctions that frequently involve alterations in sensation, cognition, communication, behavior and epilepsy [1]. Therefore, in many cases, these patients are dependent on caregivers to perform their activities of daily living, including feeding and performing oral hygiene [2].…”

Prevalence of Dental Caries and Oral Hygiene Status among Juvenile Prisoners in the Kingdom of Saudi Arabia

“…2,28,29 The OHI-S scores for the prisoners in the present study were very high compared with the reported OHI scores for physically and mentally handicapped children in the previous studies. 20,30,31 As the age increased, the OHI-S scores also increased, which could be explained by the fact that the cumulative effect of plaque and calculus increases with the age. 2 The increased OHI-S with age conforms with the previous studies.…”