Assessment of traumatic dental injuries in patients with cerebral palsy

Dubey, Alok; Ghafoor, P A; Rafeeq, Majed

doi:10.4103/0970-4388.148969

Cited by 9 publications

(30 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…37,38 Traumatic dental injuries in CP individuals can result from mental retardation, poor motor coordination, inability to control abrupt body movements, presence of involuntary physical movements, oral pathological reflexes such as the biting reflex during feeding, spasticity in masticatory muscles, or a slower response to surrounding obstacles. 39 The prevalence of dental injuries among CP in the present study was significantly higher when compared to those without CP which is in line with the previous studies. 10,37,[40][41][42] Oral ulceration and abscess were the major oral mucosal lesions present among the children with CP which might be attributed to poor muscular coordination resulting in cheek bite and also bruxism.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Oral health status and parental perception of child oral health‐related quality of life among children with cerebral palsy in Bangalore city: A cross‐sectional study

Sruthi

Yashoda

Puranik

2021

Special Care in Dentistry

View full text Add to dashboard Cite

Aim: To assess and compare the oral health status and parental perception of child oral health-related quality of life (OHRQoL) among children with and without cerebral palsy (CP). Methods and results: A cross-sectional comparative study was conducted among 300 children aged 5-15 years with and without CP in Bangalore city.Oral health status was assessed using WHO 2013 criteria, and malocclusion was assessed using Angle's classification of malocclusion. Parental perception of child OHRQoL was assessed using parental caregivers perceptions questionnaire. Chi-square test, Student's t-tests and logistic regression were applied.Majority of the study participants were males with a mean age of 10 years. Caries experience, gingivitis, dental trauma, and dental erosion were significantly higher among children with CP than the comparison group. Mean parental perception of child OHRQoL score among CP was significantly higher than that of comparison group (P < .001). Odds of having caries experience, gingivitis, dental trauma, and Angle's Class II/III malocclusion were significantly higher among CP children with poor OHRQoL compared to those without these conditions. Conclusion:Oral health status among children with CP was poor than the children without CP. Parents perceived poor OHRQoL among children with CP when compared to those without CP. Hence CP has an impact on oral health necessitating preventive care. K E Y W O R D Scerebral palsy, oral health, quality of life How to cite this article: Sruthi KS, Yashoda R, Puranik MP. Oral health status and parental perception of child oral health-related quality of life among children with cerebral palsy in Bangalore city: A cross-sectional study.

show abstract

Section: Discussionsupporting

confidence: 92%

“…Similar conclusions were drawn in other studies. 4,28,37,39,40,44 Mean domain scores of P-CPQ in the present study was higher among the children with CP compared to those without CP suggestive of their poorer OHRQoL. The mean score in the present study was higher than that in a study by Abanto et al (17.28).…”

Section: Discussioncontrasting

confidence: 59%

Oral health status and parental perception of child oral health‐related quality of life among children with cerebral palsy in Bangalore city: A cross‐sectional study

Sruthi

Yashoda

Puranik

2021

Special Care in Dentistry

View full text Add to dashboard Cite

show abstract

“…5 (95% CI-1.12-16.17) for those with an overjet >4 mm. 27 The majority of patients with cerebral palsy who had TDI were also reported 16,17,25,26 Similar findings were noted in children with ADHD and ASD, with a greater number of enamel fractures in individuals with multiple disorders (Table 7). Enamel and dentine fractures were reported as the most common injury in patients with visual impairments by Bhat et al 30 and Aggarwal et al 19 while enamel fracture was the most common reported injury by Munot et al 20 and Rathore et al 21 The cause of dental injuries could only be derived from a limited number of studies in each category of SHCN (Table 8).…”

Section: Re Sultssupporting

confidence: 56%

Risk factors associated with traumatic dental injuries in individuals with special healthcare needs—A systematic review and meta‐analysis

Devi K.,

Tewari,

O'Connell

et al. 2023

Dental Traumatology

View full text Add to dashboard Cite

Background/AimIndividuals with special healthcare needs (SHCN) are more likely to sustain traumatic dental injuries (TDIs) due to distinct risk factors. The aim of this review was to assess various risk factors associated with TDIs in individuals with SHCN.Materials and MethodsThe protocol was designed according to the recommendations of the Cochrane‐handbook, Joanna Briggs Institute, and the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines and registered in PROSPERO (CRD42022357422). A comprehensive search was performed in PubMed, LILACS, Web of Science, EMBASE and Scopus using a pre‐defined strategy without any limitation of language and year of publication. It was last updated on 25 April 2023. Studies addressing the TDIs in individuals with SHCN were included. Data extraction and analyses were performed, risk of bias (ROB) assessment was done using the Joanna Briggs Institute's critical appraisal tool, and a meta‐analysis was performed using random‐effects model.ResultsA total of 21 studies were included in the review. They were categorized according to the target disease/condition: cerebral palsy (n = 5), ADHD and autism spectrum disorders (n = 5), visually impaired (n = 4), and multiple disorders (n = 7). The studies showed variability in the design and methods; however, 17 out of 21 studies showed moderate to low ROB. Increased overjet and lip incompetence were the main risk factors reported in the studies. The commonest injuries were observed to be enamel and enamel and dentine fractures.ConclusionThe overall pooled prevalence of TDI in individuals with special healthcare needs was 23.16% with 20.98% in males and 27.06% in females. Overjet >3 mm and inadequate lip coverage were found to be associated with a higher risk of TDI in all the categories of individuals with special healthcare needs except ADHD and ASD. Falls at home in cerebral palsy, falls while walking and self‐harm in ADHD and ASD, falls at home and collision in visual impairment, and unspecified falls in multiple disorders could be identified as the most common cause of TDI.

show abstract

“…Though not statistically significant, poorer oral hygiene and more frequent dental erosion and dental trauma in CP children were evident, possibly making their teeth more prone to dental caries in the primary dentition stage of growth. 9,10 Poor muscular coordination accompanied with varying degrees of mental retardation is also a possible causative factor for the increased caries occurrence in CP children.…”

Section: Discussionmentioning

confidence: 99%

Salivary Biomarker Levels and Oral Health Status of Children with Cerebral Palsy and Their Healthy Siblings: A Comparative Study

Anjugam¹,

Mathian²,

Gawthaman³

et al. 2021

Rambam Maimonides Med J

View full text Add to dashboard Cite

Background: The dental needs of cerebral palsy children are an area of study much in need of attention. The neglect of this aspect should be rectified, and simpler diagnostic methodologies should be established and used to serve this purpose. Aim: This study aimed to determine oral health status and salivary biomarkers (salivary flow rate, pH, buffering capacity) among children with cerebral palsy (CP), to compare their data with that of their healthy siblings, and to evaluate the relationship between salivary biomarkers and dental caries. Methods: A total of 30 CP children (study group) and 30 normal healthy siblings (controls) were selected between the ages of 5 and 12 years. Salivary biomarkers were assessed, and oral health status was examined. Statistical Analysis: Chi-square test was used for comparison of oral health status. “Unpaired t test was used to compare caries indexes (decay/filled teeth–primary dentition [dft] and decay/missing/filled teeth–permanent dentition [DMFT]) and salivary biomarkers between the groups. Pearson correlation was used to find the correlation between salivary biomarkers and caries. Results: The dft scores were significantly higher in the study group (P<0.05). The pH values and salivary flow rates were significantly lower in the study group (P<0.05 and P<0.001, respectively). There was a significant correlation between DMFT scores and salivary flow rate in the study group (P<0.05). Conclusion: Low pH and low salivary flow rate might be risk factors for dental caries in CP populations; moreover, the significant correlation between DMFT score and salivary flow rate suggests that salivary flow rate could be used as a screening tool for assessing at-risk subjects in such populations.

show abstract

Assessment of traumatic dental injuries in patients with cerebral palsy

Abstract: Dentists should be well aware of the possible dental injuries in such patients. Preventive measure measures should be taken by health care provider to reduce traumatic exposure.

Cited by 9 publications

References 0 publications

Oral health status and parental perception of child oral health‐related quality of life among children with cerebral palsy in Bangalore city: A cross‐sectional study

Oral health status and parental perception of child oral health‐related quality of life among children with cerebral palsy in Bangalore city: A cross‐sectional study

Risk factors associated with traumatic dental injuries in individuals with special healthcare needs—A systematic review and meta‐analysis

Salivary Biomarker Levels and Oral Health Status of Children with Cerebral Palsy and Their Healthy Siblings: A Comparative Study

Contact Info

Product

Resources

About