Does the neuromotor abnormality type affect the salivary parameters in individuals with cerebral palsy?

Santos, Maria Teresa Botti Rodrigues; Guaré, Renata de Oliveira; Leite, Mariana Ferreira; Ferreira, Maria Cristina Duarte; Nicolau, José Carlos

doi:10.1111/j.1600-0714.2010.00919.x

Cited by 33 publications

(41 citation statements)

References 20 publications

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“…This reduction in salivary flow may be a side effect of medications, or it may indicate a possible autonomic disorder, hypohydration and/or salivary gland deficiency in individuals with spastic CP. 22 Despite these considerations, in this study, a history of xerostomia was not associated with caries. The reason for this observation could be that we did not conduct specific tests to evaluate salivary flow, as the applicability of these tests in patients with CP is limited.…”

mentioning

confidence: 64%

Factors associated with dental caries in the primary dentition of children with cerebral palsy

Roberto¹,

Machado²,

Resende³

et al. 2012

Braz. oral res.

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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.

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mentioning

confidence: 64%

Factors associated with dental caries in the primary dentition of children with cerebral palsy

Roberto¹,

Machado²,

Resende³

et al. 2012

Braz. oral res.

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“…The impairment of salivary functions in CP individuals has been clearly confirmed in the literature ; however, there is a lack of information concerning soluble immune‐related biomarkers in CP. Although one report has shown that individuals with brain damage may not respond appropriately when immune activation is required , for the first time, this study shows the absolute and relative increase in the SIgA in CP.…”

Section: Discussionmentioning

confidence: 93%

Increased salivary immunoglobulin A and reduced α‐amylase activity in whole saliva from spastic cerebral palsy individuals

Leite

Aznar

Ferreira

et al. 2013

J Oral Pathology Medicine

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“…6 Tais condições os tornam mais dependentes no momento da alimentação, determinam modificação no padrão de dieta alimentar e limitam o controle do biofilme 13 . Além disso, os pacientes com paralisia cerebral apresentam baixo fluxo e baixa capacidade tampão salivares 6,14,15 , fatores que estão relacionados com o aumento do risco à cárie.…”

Section: Discussionunclassified

Caracterização dos pacientes e procedimentos executados no serviço de atendimento a pacientes com necessidades especiais da Faculdade de Odontologia de Araraquara – UNESP

Domingues

Ayres

Mariusso

et al. 2015

Rev. odontol. UNESP

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ResumoObjetivo: Caracterizar os pacientes atendidos e os procedimentos realizados no Serviço de Atendimento a Pacientes com Necessidades Especiais da Faculdade de Odontologia de Araraquara (FOAr) -UNESP. Metodologia: A partir dos prontuários odontológicos dos pacientes atendidos em nível ambulatorial entre 2007 e 2013, foram obtidas informações em relação a idade no início do tratamento, tipo de deficiência, medicamentos usados, número de sessões de atendimento e número e tipo de procedimentos odontológicos realizados. Resultado: Dos 232 prontuários analisados, observou-se que mais da metade dos pacientes (56,0%) apresentava deficiência mental, paralisia cerebral ou anomalias congênitas determinadas por agentes infecciosos, com deficiência mental associada. Entre as anomalias congênitas, a mais prevalente foi a Síndrome de Down (9,9%). Apenas 20% dos pacientes iniciaram o tratamento antes dos dez anos de idade e 62,0% faziam uso de anticonvulsivantes, antipsicóticos, ansiolíticos, antiepilépticos e antidepressivos. Foram realizados 4.506 procedimentos odontológicos, sendo 37,6% preventivos e 62,4% curativos (Restauradores, 28,0%; Periodontais, 13,9%; Endodônticos, 9,7%; Cirúrgicos, 9,1%; Protéticos, 1,7%). Observou-se também que, para a maior parte dos pacientes (63%), foram necessárias até dez sessões para a realização do tratamento. Conclusão: Os pacientes que procuraram tratamento odontológico no Serviço de Atendimento a Pacientes com Necessidades Especiais da FOAr apresentavam, na sua maioria, deficiências com envolvimento neurológico. Apesar de esse serviço priorizar os procedimentos preventivos, a maior parte dos procedimentos executados foi curativa, o que está diretamente relacionado com a procura tardia pelo tratamento odontológico.Descritores: Pessoas com deficiência; assistência odontológica para pessoas com deficiências; uso de medicamentos. AbstractObjective: To characterize the patients and dental procedures performed in Service to Patients with Special Needs of Araraquara School of Dentistry (FOAr) -UNESP. Methodology: From the dental records of patients treated at outpatient basis between 2007 and 2013, information regarding age at the beginning of treatment, type of disability, controlled medications used, number of dental sessions, and number and type of dental procedures performed was obtained. Result: Of the 232 records analyzed, more than half of the patients (56.0%) had mental retardation, cerebral palsy or congenital abnormalities caused by infectious agents associated with mental retardation. Among the congenital abnormalities, the most prevalent was the Down syndrome (9.9%). Only 20% of patients started treatment before the age of ten and 62.0% used anticonvulsants, antipsychotics, anxiolytics, antidepressants and antiepileptics. A total of 4,506 dental procedures were performed, 37.6% were preventive procedures and 62.4% curative procedures (restorative, 28.0%; periodontal, 13.9%; endodontic, 9.7%; surgical, 9.1%, and prosthetic 1.7%). Also was observed that for most patients (63%) up t...

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Does the neuromotor abnormality type affect the salivary parameters in individuals with cerebral palsy?

Abstract: These findings show that individuals with spastic cerebral palsy present lower salivary flow rate, pH and buffer capacity that can increase the risk of oral disease in this population.

Cited by 33 publications

References 20 publications

Factors associated with dental caries in the primary dentition of children with cerebral palsy

Factors associated with dental caries in the primary dentition of children with cerebral palsy

Increased salivary immunoglobulin A and reduced α‐amylase activity in whole saliva from spastic cerebral palsy individuals

Caracterização dos pacientes e procedimentos executados no serviço de atendimento a pacientes com necessidades especiais da Faculdade de Odontologia de Araraquara – UNESP

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