Does intellectual disability affect the development of dental caries in patients with cerebral palsy?

Moreira, Rafaela Nogueira; Alcântara, Carlos Eduardo Pinto; Mota-Veloso, Isabella; Marinho, Sandra Aparecida; Ramos-Jorge, Maria Letícia; Oliveira-Ferreira, Fernanda

doi:10.1016/j.ridd.2012.03.026

Cited by 45 publications

(58 citation statements)

References 20 publications

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“…The initial search from online electronic databases yielded 2393 records, and 1629 remained after removal of duplications. The screening of titles and abstracts resulted in 76 potentially eligible studies, among which 39 eligible studies (reported from 41 articles) were identified and formed the basis of qualitative analysis (24 studies assessed dental plaque, 21 studies assessed gingival or periodontal status, and 32 studies assessed caries status). Twenty‐six studies were suitable for meta‐analysis (12 studies on dental plaque, 8 on periodontal status, and 23 on caries).…”

Section: Resultsmentioning

confidence: 99%

Oral health status of children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Zhou

Wong

Wen

et al. 2017

Develop Med Child Neuro

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There is increasing worldwide interest in oral health status of children with intellectual disabilities. Differences in dental plaque deposition, gingival inflammation, and the number of decayed and filled permanent teeth were investigated between children and adolescents with and without intellectual disabilities. Evidence remains elusive about the pattern of caries experience among those children.

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Section: Resultsmentioning

confidence: 99%

Oral health status of children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Zhou

Wong

Wen

et al. 2017

Develop Med Child Neuro

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“…Also relevant to this discussion is the fact that the maintenance of satisfactory oral hygiene is a hard task for the caregivers. Motor and intellectual disabilities, the presence pathological oral reflexes of biting and vomiting, position of the child when performing oral hygiene, and alterations in intraoral sensitivity, are some factors that influence both toothbrushing and biofilm control. In addition to these difficulties, increased salivary osmolality acts as a deleterious modifying factor on periodontal disease.…”

Section: Discussionmentioning

confidence: 99%

Gingivitis and salivary osmolality in children with cerebral palsy

Santos

Ferreira

Guaré

et al. 2016

Int J Paed Dentistry

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“…A doença 'cárie' , em indivíduos com PC, é impactante e ocorre tanto na dentição decídua como na permanente [3][4][5]25,26 . Em relação ao risco à cárie, observa-se a polarização da doença nessa população 4,5,8,27,28 .…”

Section: Discussionunclassified

Avaliação da microdureza do esmalte de dentes decíduos de crianças com paralisia cerebral

Campos

Andrade

Rojas

et al. 2015

Rev. odontol. UNESP

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ResumoIntrodução: Em indivíduos com paralisia cerebral, ocorre redução do fluxo salivar, o que pode predispor à hipomineralização do esmalte e à cárie dentária. Objetivo: Comparar a microdureza do esmalte de dentes decíduos anteriores e posteriores de crianças com paralisia cerebral (PC) e crianças normorreativas (NR). Material e método: Foram utilizados 58 dentes decíduos esfoliados/extraídos, que foram distribuídos em quatro grupos: (A) anteriores de PC (n=14); (B) anteriores de NR (n=16); (C) posteriores de PC (n=14), e (D) posteriores de NR (n=14). Os dentes foram seccionados, incluídos em resina acrílica, lixados e polidos. A análise da microdureza longitudinal foi realizada em microdurômetro com endentador do tipo Knoop, com carga estática de 25 g/f e tempo de 5 segundos. Foram realizadas três fileiras de 12 endentações, distanciadas entre si em 100 mm, com profundidade entre 10 e 180 mm. Foram obtidas as médias de cada profundidade para cada dente e, posteriormente, as médias de cada profundidade para cada grupo avaliado. O teste estatístico empregado foi o de Mann-Whitney (α=5%). Resultado: As médias de microdureza foram 253,5 ± 55,3 (A), 247,6 ± 45,7 (B), 284,4 ± 68,7 (C) e 252,2 ± 53,8 (D). Não houve diferença estatisticamente significante entre os grupos A e B e os grupos C e D, para cada profundidade e para a média global (p>0,05). Conclusão: Pôde-se concluir que a microdureza de esmalte de dentes decíduos anteriores e posteriores de crianças com PC foi semelhante à microdureza de esmalte de dentes decíduos de crianças normorreativas.Descritores: Esmalte dentário; dente decíduo; testes de dureza; paralisia cerebral. AbstractIntroduction: Cerebral palsy subjects present reduced salivary flow, which may predispose to enamel hypomineralization and dental caries. Aim: To compare the enamel microhardness of anterior and posterior primary teeth of normorreactive children (NR) and children with cerebral palsy (CP). Material and method: The sample was consisted of 58 exfoliated/extracted primary teeth distributed into 4 groups: (A) anterior teeth of CP (n= 14), (B) anterior teeth of NR (n=16),(C) posterior teeth of CP (n=14) and (D) posterior teeth of NR (n=14). The teeth were hemisectioned, embedded in acrylic resin, grounded and polished. The longitudinal microhardness analysis was carried out in a microdurometer with a Knoop indenter with a 25-gram load for 5 seconds. Three rows of 12 indentations were made from the outer surface from 10 to 180 mm. The rows were spaced 100 mm from each other. The values of the three measurements at each distance were averaged for each tooth and, afterwards, for each group. The non-parametric statistical test used was the Mann-Whitney U (α=5%). Result: The microhardness means data were 253.5 ± 55.3 (A), 247.6 ± 45.7 (B), 284.4 ± 68.7 (C) and 252.2 ± 53.8 (D).There was no significant difference between the groups A and B, as well as groups C and D for each distance and global average (p>0.05). Conclusion: It can be concluded that the enamel microhardness of anterior and pos...

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Does intellectual disability affect the development of dental caries in patients with cerebral palsy?

Cited by 45 publications

References 20 publications

Oral health status of children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Oral health status of children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Gingivitis and salivary osmolality in children with cerebral palsy

Avaliação da microdureza do esmalte de dentes decíduos de crianças com paralisia cerebral

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