Oral health in children with physical (Cerebral Palsy) and intellectual (Down Syndrome) disabilities: Systematic review I

Abstract

IntroductionTraditionally, patients with physical and/or intellectual disabilities presented greater oral pathology, owing to their condition and to other external factors. Improved social and health conditions make it necessary to update knowledge on their oral and dental health.Material and MethodsFor this purpose, a bibliographic review was done regarding the state of oral health of children with these two types of disability, in comparison with a control group. Some of the guidelines of the PRISMA statement were taken into account. The ranking of the articles found is based on the modified Newcastle-Ottawa Quality Assessment Scale. The final number of articles evaluated was 14. Parameters such as dental caries, oral hygiene, gingival health, dental traumas, malocclusion and habits were considered.ResultsThere is no consensus among authors regarding dental caries, oral hygiene and gingival health. The different results obtained are due in part to the fact that the methodologies used were not the same. However, it has been noted that, when studying other parameters and regardless of the methodology employed, the results obtained are similar.ConclusionsChildren with physical and intellectual disabilities constitute a group that needs early and regular dental care in order to prevent and limit the severity of the pathologies observed. Key words:Oral health, dental caries, malocclusion, oral habits, dental trauma, oral hygiene, disabled child, cerebral palsy and Down syndrome.

Malocclusion in children and adolescents with Down syndrome: A systematic review and meta‐analysis

“…This systematic review aimed to evaluate whether DS children/adolescents are more affected by malocclusion than non‐DS individuals. The literature has already recognized that the prevalence of periodontal outcomes among DS children/adolescents is higher than among individuals without DS . On the other hand, the prevalence of dental caries is lower among DS young individuals in comparison with non‐DS individuals .…”

“…Oral conditions, such as dental caries and periodontal disease among individuals with DS, have been largely discussed in the scientific literature by means of systematic reviews and meta‐analysis. No systematic attempt, however, has been carried out to summarize the evidence regarding the susceptibility to malocclusion among individuals with DS thus far .…”

Dentist knowledge about dental health management for disabled child at Primary Health Service in Bandung

“…The research done by Dieguez-Perez 10 showed that physically disabled children are prone to have poor oral hygiene which further leads to dental caries. Mentally disabled children have higher tendency to have gingival inflammation and deep gingival pocket.…”

“…Mentally disabled children have higher tendency to have gingival inflammation and deep gingival pocket. 10 Mochizuki 11 research that was executed in year of 2007 suggested a routine plaque control for children with disability. Preventive and curative efforts are necessary regarding the fact that disabled children have higher level of poor oral hygiene than the normal children.…”

Gender difference of tooth brushing motion and force on self-brushing and caregivers' brushing in dental professionals

“…Caregivers play a vital role also in infants [12], children with disabilities [13,14], and elderly people [15,16]. Although nursing staffs are generally interested in improving the oral care of their caretakers, it has been recognized that their knowledge in this area is often inadequate.…”