Salivary bacteria and oral health status in children with disabilities fed through gastrostomy

Hidas, Ariela; Cohen, Joel; Beeri, Maurit; Shapira, Joseph; Steinberg, Doron; Moskovitz, Moti

doi:10.1111/j.1365-263x.2010.01039.x

Cited by 17 publications

(25 citation statements)

References 21 publications

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“…It seems that NDD children attending special centers tend to have similar or better caries status than their healthy counterparts and this was also found in our study. This is probably attributed to the fact that parents are more motivated and the provided care includes the oral cavity.…”

Section: Discussionsupporting

confidence: 87%

“…Therefore, special caution should be given when comparing results from different studies. Very few comparative studies have shown better or no different dmft index between children with neurological impairment when compared to healthy children …”

Section: Discussionmentioning

confidence: 99%

“…In the literature there is an agreement on the poor oral hygiene in the NDD children, however, there are conflicting reports concerning their dental caries experience. Some authors reported increased prevalence of dental caries, while others found the same or lower prevalence compared to the healthy population of children . The few studies that have been conducted in Greece for NDD children, showed moderate to poor oral hygiene, and unmet extensive dental needs in both primary and permanent dentitions.…”

Section: Introductionmentioning

confidence: 99%

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A comparative study on oral health status in Greek preschool children with neurodevelopmental disorders with movement limitations

Tzouanaki

Agouropoulos

Kavvadia

et al. 2019

Special Care in Dentistry

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Aim To assess the oral health status of preschool children with neurodevelopmental disorders (NDD) in Greece and compare it to that, of healthy children of the same age. Methods and results The sample consisted of 146 preschool children with NDD and movement limitations attending the rehabilitation centers of ELEPAP and 165 healthy children matched for age and maternal origin. Caries prevalence, dmft index, precavitated carious lesions (WSL) prevalence Visual Plaque Index (VPI), Restorative Index (RI), Mutans Streptococci (MS) levels, saliva buffer capacity, gingival hyperplasia, tooth wear and developmental dental defects were assessed. Data were analyzed using parametric and nonparametric tests (P ≤.05). The NDD group, compared to the healthy controls, had significantly lower caries prevalence (P <.001), dmft index (P <.001), VPI (P <.001) and MS levels (P = .027), significantly higher WSL prevalence (P <.001), and visited the dentist at an older age (P <.001). Significant determinants of WSL in the NDD group was the VPI (P = .009) and the presence of MS (P <.028). Conclusion Preschool children with NDD had lower prevalence of manifested caries but higher prevalence of WSL. However, most oral health parameters need improvement for both groups indicating the need for proper early interventions especially in the NDD group.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A comparative study on oral health status in Greek preschool children with neurodevelopmental disorders with movement limitations

Tzouanaki

Agouropoulos

Kavvadia

et al. 2019

Special Care in Dentistry

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“…4,8,9 The increased calculus formation that is seen in children who are primarily fed via a gastrostomy tube may result from the lack of normal clearance of the oral cavity that takes place when food is chewed and swallowed. Children with quadriplegic cerebral palsy often have increased periodontal disease as a result of poor oral hygiene, in part because of dependence on caregivers.…”

Section: Oral Health Conditions Associated With Developmental Disabilmentioning

confidence: 99%

Oral Health Care for Children With Developmental Disabilities

Liptak¹,

Murphy²,

Adams³

et al. 2013

Pediatrics

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Children with developmental disabilities often have unmet complex health care needs as well as significant physical and cognitive limitations. Children with more severe conditions and from low-income families are particularly at risk with high dental needs and poor access to care. In addition, children with developmental disabilities are living longer, requiring continued oral health care. This clinical report describes the effect that poor oral health has on children with developmental disabilities as well as the importance of partnerships between the pediatric medical and dental homes. Basic knowledge of the oral health risk factors affecting children with developmental disabilities is provided. Pediatricians may use the report to guide their incorporation of oral health assessments and education into their well-child examinations for children with developmental disabilities. This report has medical, legal, educational, and operational implications for practicing pediatricians.

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“…Indeed, our observations confirm that the greatest deterioration of oral health is seen in severely disabled patients with a long course of the disease. Dysphagia that often develops in LSDs requires administration of puréed foodstuffs that easily adhere to dental surfaces and accelerate caries development [17,18]. Such products are usually rich in carbohydrates and poor in coarse elements, which exacerbates their adverse impact on oral health [19,20].…”

Section: Discussionmentioning

confidence: 99%

Oral Health Status of Patients with Lysosomal Storage Diseases in Poland

Drążewski

Grzymisławska

Korybalska

et al. 2017

IJERPH

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Patients with lysosomal storage diseases (LSDs) suffer from physical and mental disabilities, which together with poor access to professional care may lead to impaired oral health. This cross-sectional case-control study characterized the status of oral health in patients with LSDs in Poland. Thirty-six children and young adults with various forms of LSDs were examined. The data were compared with those from age- and sex-matched healthy controls. Exemplary cases were presented to highlight typical problems in oral care associated with LSDs. When possible, saliva was collected and analyzed for total protein, inflammatory mediators, and antioxidant status. Generally, patients with LSDs had significantly higher prevalence of caries, inferior gingival status, and inadequate oral hygiene. The severity of oral health impairment in mucopolysaccaridoses, the most common LSD in Poland, was similar to that seen in patients with mannosidoses or Pompe disease. Saliva could be collected only from few less handicapped patients. In MPS, it did not appear to differ significantly from the controls, but in patients with Pompe disease it contained lower concentrations of vascular endothelial growth factor (VEGF) and monocyte chemoattractant protein-1 (MCP-1), but higher levels of tumor necrosis factor receptors 1 and 2 (TNF-R1, TNF-R2) and myeloperoxidase (MPO). In conclusion, Polish patients with LSDs have an inadequate level of oral hygiene and substantially deteriorated oral health.

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Salivary bacteria and oral health status in children with disabilities fed through gastrostomy

Abstract: Tube-fed children demonstrated significantly higher calculus levels and less caries, MS, and LB levels then healthy children or children with disabilities eating PO.

Cited by 17 publications

References 21 publications

A comparative study on oral health status in Greek preschool children with neurodevelopmental disorders with movement limitations

A comparative study on oral health status in Greek preschool children with neurodevelopmental disorders with movement limitations

Oral Health Care for Children With Developmental Disabilities

Oral Health Status of Patients with Lysosomal Storage Diseases in Poland

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