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

Roberto, Luana Leal; Machado, Mariana Gomes; Resende, Vera Lúcia Silva; Castilho, Lia Silva de; Abreu, Mauro Henrique Nogueira Guimarães de

doi:10.1590/s1806-83242012005000018

Cited by 33 publications

(43 citation statements)

References 24 publications

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“…Contrary to our findings, Nelsen in case control study in Denmark showed that the caries rate of the CP-group was significantly lower than that of control group [35] a study in Brazil, the author mentioned that the children evaluated were not representative to all children with CP, but only of those who look for treatment in a reference center and they may possess better oral health due to enhanced parental attention and/or fewer difficulties in controlling oral conditions [36].…”

Section: Caries Prevalence In Children With Cpcontrasting

confidence: 99%

Parental Oral Health Knowledge, Attitude, Practice and Caries Status of Sudanese Cerebral Palsy Children

Hamid¹,

Abuaffan²

2017

Ped Health Res

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Background: Cerebral palsy (CP) is a set of nonprogressive neuromuscular disorders due to defects in the developing fetal brain, this group of children at risk of dental caries and gingival diseases owing to dietary factors, poor oral hygiene, lack of parental knowledge concerning oral hygiene and problems related to dental management. The study aimed to assess the parental knowledge, attitude and practices of the oral health and caries status of the Sudanese Cerebral Palsy children.

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Section: Caries Prevalence In Children With Cpcontrasting

confidence: 99%

Parental Oral Health Knowledge, Attitude, Practice and Caries Status of Sudanese Cerebral Palsy Children

Hamid¹,

Abuaffan²

2017

Ped Health Res

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“…The results showed that gingivitis is associated with poor oral hygiene, as demonstrated in previous studies [9,10], and that there is a biological gradient for the oral hygiene variable in individuals with developmental disabilities similar to that for dental caries [17]. Another study did not show this association [7].…”

Section: Discussionsupporting

confidence: 52%

Factors Associated with Gingivitis in Children with Developmental Disabilities

Castilho

Abreu

Souza

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To investigate factors associated with gingivitis in children aged one to 13 years with developmental disabilities. Material and Methods: A total of 408 dental records were used to recover the data. Gingivitis was measured based on the Modified Gingival Index. Other variables were also analysed: gender, age, International Classification of Diseases (ICD) code, mouth breathing, history of gastroesophageal reflux, use of psychotropic drugs, reports of dry mouth, history of asthma, use of medications to treat asthma, oral hygiene, dental caries, and filled or missing teeth in deciduous or permanent dentition. For the purposes of this analysis, the individuals were categorized as with and without gingivitis. Variables with a p-value < 0.25 in the bivariate analysis were incorporated into the logistic regression models (ICD, reflux, oral hygiene, primary tooth decay or filling, mouth breathing, dry mouth and use of psychotropic drugs). Results: We found a 14.67% prevalence of gingivitis. Individuals with mouth breathing had a 2.574-fold (95% CI: (1.113-5.950) greater chance of exhibiting gingivitis. Individuals with moderate oral hygiene had a 2.763-fold (95% CI: 1.066 to 7.160) greater chance of exhibiting gingivitis, and individuals with poor oral hygiene had a 15.029-fold (95% CI: 3.705-60.965) greater chance of exhibiting gingivitis than those with good oral hygiene. Conclusion: Moderate or poor oral hygiene and mouth breathing are factors associated with gingivitis in a group of patients with developmental disabilities at a dental service in Belo Horizonte.

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“…11 Performing effective oral hygiene is the main method for preventing this disease via the disorganization of the dental biofilm, which when colonized by cariogenic bacteria, acidify the environment through the decomposition of the substrate, causing the demineralization of the enamel and consequent progression of the process to the dentin and pulp. 12 Some factors are described in the literature as responsible for unsatisfactory oral hygiene in patients with CP. Highlighted among them are the level of motor skill necessary to perform oral hygiene effectively;…”

Section: Resultsmentioning

confidence: 99%

Oral hygiene orientation and caries experience for cerebral palsy patients using oral medication

Silva¹,

Lopes²,

Ikeda³

et al. 2014

Acta Fisiátrica

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The presence of damage associated with cerebral palsy (CP) often requires the long-term continuous use of prescription drugs. Among the adverse side effects of these drugs are decreased salivary flow and increased risk for caries. Objective: To determine whether those responsible for CP patients received orientation regarding the necessity of oral hygiene after the administration of drugs of continuous oral use and the caries experience in patients with CP. Method: Participating in this study were 205 children with medical diagnosis of CP, of both genders, aged 0-12 years (6.6 ± 2.9) attending a preventive program in dentistry in a reference institution of rehabilitation in São Paulo-SP. The data regarding gender, movement disorder and clinical types of CP were collected from medical records. In an interview format, the caregivers reported whether there was use of any continuous medicine. They were asked what form it took, whether the caregivers had received prior guidance on the importance of oral hygiene after the use of medicines, who performed the oral child's hygiene, and how often it was done. Their caries experience was recorded based on whether a given tooth was decayed (D, d) missing (M, m) or filled (F, f) (DMFT). The sample was divided into two groups according to whether they used continuous drugs (group 1: G1) or did not (group 2: G2). The Chi-square test and Student's t test were used, with the level of significance set up at 5%. Results: G1 (n = 110) and G2 (n = 95) were similar in terms of gender (p = 0.343) and age (p = 0.514). However, they differed significantly in relation to the clinical pattern, with G1 presenting significantly higher percentages of patients with tetraparesis (p < 0.001). Considering only the G1, it was observed that the subgroup that used medicine in oral solution form (solution, n = 65) differed significantly from that using tablets (tablets, n = 45) in relation to their previous orientation for hygiene oral (p = 0.013), in that the solution subgroup had been better oriented. With regard to oral hygiene, the solution subgroup had significantly higher percentages (p = 0.044) of children requiring supervision and completion of the oral hygiene when compared to the tablet group. The comparison of caries experience between G1 and G2 showed that the G1 had significantly higher values for their DMF index (p = 0.048), and fewer caries-free patients (p = 0.016) when compared to G2. Conclusion: Although those responsible for the patients receiving medication in the form of oral solution were better oriented, these patients presented higher values of caries experience.

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

Cited by 33 publications

References 24 publications

Parental Oral Health Knowledge, Attitude, Practice and Caries Status of Sudanese Cerebral Palsy Children

Parental Oral Health Knowledge, Attitude, Practice and Caries Status of Sudanese Cerebral Palsy Children

Factors Associated with Gingivitis in Children with Developmental Disabilities

Oral hygiene orientation and caries experience for cerebral palsy patients using oral medication

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