ARTICLE: Caries prevalence in patients with cerebral palsy and the burden of caring for them

Santos, Maria Teresa Botti Rodrigues; Biancardi, Marianna; Guaré, Renata de Oliveira; Jardim, José Roberto

doi:10.1111/j.1754-4505.2010.00151.x

Cited by 58 publications

(94 citation statements)

References 14 publications

(41 reference statements)

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“…In this way, the involvement of caregivers in the performance of oral hygiene is fundamental, for these children require their support and participation for periods beyond the child development stage. 10 The multifactor etiology of dental caries is well established and results from the interaction of biological, economic, cultural, environmental, and social factors. 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.…”

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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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

Self Cite

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“…Based on this, it can be inferred that the difficulty in performing oral hygiene increases as the children grow older, demanding the support, participation, and involvement of their caregivers for periods beyond the childhood development, creating an overload and negative impact on the caregivers' health. [10][11] This is also a condition that escapes the domain of Odontology professionals. Training programs for caregivers on how to perform oral hygiene, and on why and how to use dental floss (85% of the children in this study do not use it) and on how to remove biofilm correctly are of great value, 10 since, when these children age, they would have these habits incorporated, facilitating oral hygiene, and sparing their caregivers the daily and repetitive struggle.…”

Section: Discussionmentioning

confidence: 99%

“…[10][11] This is also a condition that escapes the domain of Odontology professionals. Training programs for caregivers on how to perform oral hygiene, and on why and how to use dental floss (85% of the children in this study do not use it) and on how to remove biofilm correctly are of great value, 10 since, when these children age, they would have these habits incorporated, facilitating oral hygiene, and sparing their caregivers the daily and repetitive struggle.…”

Section: Discussionmentioning

confidence: 99%

“…The task of caring for a child with multiple disabilities at home can be difficult for the caregivers and, many times, this is reflected in the child's oral health. [10][11] Factors related to the oral health of individuals with CP have been discussed in the literature, 4-11 however, very little is known of the effect the intellectual and manual dexterity deficits of these individuals have on their oral health. The question raised is whether the presence of gingivitis in individuals with CP would be associated either with the clinical status resulting from neurological damage, with the severity of the intellectual deficit, or with the functional upper limb disability of these individuals.…”

mentioning

confidence: 99%

“…Nevertheless, other factors may also contribute to increase the occurrence of gingival problems in children with CP. [8][9][10] Maintaining the oral health of people with CP requires hygiene practices that demand supervision and even that caregivers perform them. During development, the child needs family participation, involvement, and support that, when well structured, contributes to a better quality of life for the child.…”

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Factors that can influence the gingival health of children with cerebral palsy

et al. 2014

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Studies have shown that the greater the severity of neurological damage in children with cerebral palsy (CP), the greater risk of oral disease. Objective: To evaluate the influence of some factors as intellectual disability, oral sensitivity, manual ability and clinical patterns of cerebral palsy (CP) onto gingival health of CP children. Method: One hundred and six children (10.7 ± 3.6) with CP participated of the study. Descriptive data and continuous use of drugs were collected from their medical records. Clinical assessments included the Simplified Oral Hygiene Index (SOHI), the Gingival Index (GI) and the biting reflex. Were also evaluate oral sensitivity, intellectual assessment by Raven test, and manual dexterity by Manual Ability Classification System Manual (MACS). It was used the chi-square, t Student, and logistic regression tests whit a significance level of 5%. Results: Group 1 (G1) consisted of 47 children without and group 2 (G2) by 59 children with gingivitis. Groups were similar regarding gender (p = 0566), but G2 were significantly older (p = 0.001), with quadriplegia (p = 0.016), who used drugs (p < 0.001) and biting reflex (p = 0.025). G2 children presented significantly higher values for SOHI (p < 0.001) and IG (p < 0.001). Significantly higher percentages of children in G2 presented percentiles below 10 (p = 0.036) for Raven test, with manual skill levels IV and V (p = 0.002) of MACS. The chance of a child present gingivitis grows 23.5% for each year of age, and up to 5 times for every 1 unit increase in SOHI. The use of medication increases the chance of children present gingivitis by about 4.5 times. Conclusion: Increasing age, accumulation of biofilm, and use of drugs increase the risk of gingivitis in children with CP.

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Dental Hygiene for Children with Cerebral Palsy

Ganeshkumar¹

2019

Cerebral Palsy

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ARTICLE: Caries prevalence in patients with cerebral palsy and the burden of caring for them

Cited by 58 publications

References 14 publications

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

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

Factors that can influence the gingival health of children with cerebral palsy

Dental Hygiene for Children with Cerebral Palsy

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