The incidence of dental caries in children and adolescents who have cerebral palsy and are participating in a dental program in Brazil

Camargo, Marcela Aparecida; Frias, Antônio Carlos; Antunes, José Leopoldo Ferreira

doi:10.1111/j.1754-4505.2011.00213.x

Cited by 21 publications

(21 citation statements)

References 19 publications

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“…It is also relevant to this discussion to emphasize that, in this study, the severely oromotor compromised cerebral palsy individuals presented higher values of the caries experience index for both dentitions [22][23][24] , with higher prevalence of untreated caries 25 , which is in agreement with the literature [26][27] . In addition, the presence of pathological oral reflex of tonic bite 4 makes tooth brushing, biofilm control and dental floss use more difficult, which directly impacts on oral hygiene 27 .…”

Section: Discussionsupporting

confidence: 89%

Oral hydration in children with cerebral palsy

Santos¹,

Ferreira²,

Guaré³

et al. 2014

Braz. J. Oral Sci.

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Salivary osmolality reflects the hydration status of individuals with cerebral palsy necessary for adequate unstimulated salivary flow rate. Aim: To investigate whether oral motor performance is determinant for the hydration status and the effect of a supplemental oral fluid supply on salivary osmolality. Methods: The sample consisted of 99 children with cerebral palsy aged 6 to 13 years old. In this study, children participated in 2-day evaluations: 1 st day -baseline: saliva collection, caries experience and oral motor performance evaluations; and 2 nd day: saliva collection after supplemental fluid supply. Prior to each evaluation, the participants were trained for saliva collection. Unstimulated whole saliva was collected using cotton roll at baseline, with the amount of fluid usually offered by caregivers, and 48 h after baseline, with as much as twice the normal daily fluid intake previously offered. Salivary osmolality was measured using a freezing point depression osmometer. Caries experience index for decayed, missed and filled teeth (DMFT) was evaluated. According to the Oral Motor Assessment Scale, the children were classified into subfunctional or functional groups. Chi-square, Student's t test and Pearson's correlation coefficient were used. Results: The subfunctional group presented a higher percentage of quadriplegic children (p<0.001), with significantly higher values for caries experience (p<0.001) and salivary osmolality (p<0.001), which did not diminish when supplemental fluid supply was offered, compared with the functional group (p=0.001). Conclusions: The effectiveness of oral motor performance plays an important role in the hydration status of children with cerebral palsy and those with worse oral motor performance may be at higher risk of oral diseases.

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Section: Discussionsupporting

confidence: 89%

Oral hydration in children with cerebral palsy

Santos¹,

Ferreira²,

Guaré³

et al. 2014

Braz. J. Oral Sci.

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“…Classification of the levels of oral motor dysfunction in CP children is essential to determine peculiarities in the stomatognathic structures that could be correlated with caries experience. Individuals with CP that exhibited severely compromised oromotor function presented higher values for the DMF‐T index for both dentitions, with a higher prevalence of untreated caries. The oral hygiene of CP patients may be influenced by the pathological oral reflex of tonic bite and difficulties in tooth brushing, biofilm control, and flossing.…”

Section: Discussionmentioning

confidence: 99%

“…Dental caries is an oral health burden in both the primary and permanent dentition of CP individuals, as these patients exhibit higher percentages of decayed and lost teeth than non‐CP individuals. Children with CP can display low unstimulated salivary flow rates, pH and buffer capacity, variation in enzyme activities, and sialic acid concentrations.…”

Section: Introductionmentioning

confidence: 99%

Assessing salivary osmolality as a caries risk indicator in cerebral palsy children

Santos

Ferreira

Mendes

et al. 2013

Int J Paed Dentistry

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“…A doença 'cárie' , em indivíduos com PC, é impactante e ocorre tanto na dentição decídua como na permanente [3][4][5]25,26 . Em relação ao risco à cárie, observa-se a polarização da doença nessa população 4,5,8,27,28 .…”

Section: Discussionunclassified

Avaliação da microdureza do esmalte de dentes decíduos de crianças com paralisia cerebral

Campos

Andrade

Rojas

et al. 2015

Rev. odontol. UNESP

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ResumoIntrodução: Em indivíduos com paralisia cerebral, ocorre redução do fluxo salivar, o que pode predispor à hipomineralização do esmalte e à cárie dentária. Objetivo: Comparar a microdureza do esmalte de dentes decíduos anteriores e posteriores de crianças com paralisia cerebral (PC) e crianças normorreativas (NR). Material e método: Foram utilizados 58 dentes decíduos esfoliados/extraídos, que foram distribuídos em quatro grupos: (A) anteriores de PC (n=14); (B) anteriores de NR (n=16); (C) posteriores de PC (n=14), e (D) posteriores de NR (n=14). Os dentes foram seccionados, incluídos em resina acrílica, lixados e polidos. A análise da microdureza longitudinal foi realizada em microdurômetro com endentador do tipo Knoop, com carga estática de 25 g/f e tempo de 5 segundos. Foram realizadas três fileiras de 12 endentações, distanciadas entre si em 100 mm, com profundidade entre 10 e 180 mm. Foram obtidas as médias de cada profundidade para cada dente e, posteriormente, as médias de cada profundidade para cada grupo avaliado. O teste estatístico empregado foi o de Mann-Whitney (α=5%). Resultado: As médias de microdureza foram 253,5 ± 55,3 (A), 247,6 ± 45,7 (B), 284,4 ± 68,7 (C) e 252,2 ± 53,8 (D). Não houve diferença estatisticamente significante entre os grupos A e B e os grupos C e D, para cada profundidade e para a média global (p>0,05). Conclusão: Pôde-se concluir que a microdureza de esmalte de dentes decíduos anteriores e posteriores de crianças com PC foi semelhante à microdureza de esmalte de dentes decíduos de crianças normorreativas.Descritores: Esmalte dentário; dente decíduo; testes de dureza; paralisia cerebral. AbstractIntroduction: Cerebral palsy subjects present reduced salivary flow, which may predispose to enamel hypomineralization and dental caries. Aim: To compare the enamel microhardness of anterior and posterior primary teeth of normorreactive children (NR) and children with cerebral palsy (CP). Material and method: The sample was consisted of 58 exfoliated/extracted primary teeth distributed into 4 groups: (A) anterior teeth of CP (n= 14), (B) anterior teeth of NR (n=16),(C) posterior teeth of CP (n=14) and (D) posterior teeth of NR (n=14). The teeth were hemisectioned, embedded in acrylic resin, grounded and polished. The longitudinal microhardness analysis was carried out in a microdurometer with a Knoop indenter with a 25-gram load for 5 seconds. Three rows of 12 indentations were made from the outer surface from 10 to 180 mm. The rows were spaced 100 mm from each other. The values of the three measurements at each distance were averaged for each tooth and, afterwards, for each group. The non-parametric statistical test used was the Mann-Whitney U (α=5%). Result: The microhardness means data were 253.5 ± 55.3 (A), 247.6 ± 45.7 (B), 284.4 ± 68.7 (C) and 252.2 ± 53.8 (D).There was no significant difference between the groups A and B, as well as groups C and D for each distance and global average (p>0.05). Conclusion: It can be concluded that the enamel microhardness of anterior and pos...

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The incidence of dental caries in children and adolescents who have cerebral palsy and are participating in a dental program in Brazil

Cited by 21 publications

References 19 publications

Oral hydration in children with cerebral palsy

Oral hydration in children with cerebral palsy

Assessing salivary osmolality as a caries risk indicator in cerebral palsy children

Avaliação da microdureza do esmalte de dentes decíduos de crianças com paralisia cerebral

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