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García-Grau P, Martínez-Rico G, González-García RJ, Escorcia-Mora CT, Cañadas-Pérez M. Caregiver Burden and Family Quality of Life in Early Intervention: The Role of Mothers and Family Confidence. Eur J Investig Health Psychol Educ 2024; 14:1325-1337. [PMID: 38785585 PMCID: PMC11119932 DOI: 10.3390/ejihpe14050087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 04/19/2024] [Accepted: 05/03/2024] [Indexed: 05/25/2024] Open
Abstract
(1) Background: Because life events when there is a family member with a disability can affect the overall family wellbeing, contributing to enhance family quality of life (FQoL) in the field of early childhood intervention has become a priority. However, it is a distal outcome that needs other short-term outcomes to be addressed, some of them under the potential impact of support services. This study examines the relationships between caregiver burden, family confidence, and FQoL, as well as the influence of child and family variables. (2) Method: A total of 58 families with children in early intervention from four Spanish communities participated. Hierarchical regression was conducted to assess the relevance of each predictor. Also, a mediation was performed to investigate the mediating role of family confidence. (3) Results: The family income impacted FQoL scores, and when burden and confidence were added, it was no longer relevant. Mothers with higher levels of confidence predicted a higher FQoL. Finally, we found a complete mediation of family confidence in the relations between severity and caregiver burden on FQoL. (4) Conclusions: Caregiver burden and family confidence affect FQoL. Building families' confidence contributes to attenuating the impact of burden on FQoL.
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Affiliation(s)
| | - Gabriel Martínez-Rico
- Campus Capacitas, Catholic University of Valencia “San Vicente Mártir”, 46001 Valencia, Spain; (P.G.-G.); (C.T.E.-M.); (M.C.-P.)
| | - Rómulo J. González-García
- Campus Capacitas, Catholic University of Valencia “San Vicente Mártir”, 46001 Valencia, Spain; (P.G.-G.); (C.T.E.-M.); (M.C.-P.)
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Pansrimangkorn K, Asvanit P, Santiwong B. Factors associated with dental caries experience of Thai preschool children with cerebral palsy. SPECIAL CARE IN DENTISTRY 2023; 43:40-46. [PMID: 35635839 DOI: 10.1111/scd.12732] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 05/06/2022] [Accepted: 05/09/2022] [Indexed: 01/21/2023]
Abstract
AIM To investigate the factors association with dental caries experience in the primary dentition of Thai preschool children with cerebral palsy. METHODS AND RESULTS A cross-sectional study was conducted among sixty Thai preschool children with cerebral palsy, aged 3-6 years old. Caries experience was determined by identifying decayednon-cavitated and cavitated lesion, missing, and filled surfaces of deciduous teeth(dmfs). Sociodemographic data, CP motor types, dietary habits, oral health behaviors and dental plaque index were collected. Multiple linear regression analysis was carried out to identify the strength of the association between factors and dental caries experience. The prevalence of dental caries was 91.66%. The average dmfs was 20.30 ± 21.63 surfaces/individual. The multiple linear regression indicated that dmfs was significantly associated with snacking carbohydrate between meals more than two times/day (β ± SE = 0.372 ± 0.125; p = 0.004), spastic type of cerebral palsy (β ± SE = 0.309 ± 0.124; p = 0.015) and one-time daily tooth brushing (β ± SE = 0.306 ± 0.124; p = 0.017). CONCLUSIONS Nine out of 10 preschool children with CP experienced dental caries. Spastic type of CP had more risk to develop dental decay. Caries prevention for preschool children with CP should emphasis on controlling the frequency of carbohydrate snack no more than two times/day and reinforcing tooth brushing at least twice daily.
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Affiliation(s)
| | - Pornpun Asvanit
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Busayarat Santiwong
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
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Pryimak KV, Zoriy IA, Bidenko NV, Borysenko AV, Batig VM, Hlushchenko TA, Batih IV, Sheremet MI. Assessment of dental caries in children with organic lesions of the nervous system using ICDAS II criteria. J Med Life 2021; 14:570-577. [PMID: 34621384 PMCID: PMC8485383 DOI: 10.25122/jml-2020-0155] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 06/14/2021] [Indexed: 11/17/2022] Open
Abstract
Studies of the dental status of children with cerebral palsy (CP) indicate a high prevalence and intensity of damage to the hard tissues of the teeth. The risk of developing dental diseases is known to increase significantly as the severity of neurological symptoms increase. The purpose of the study was to assess the incidence of dental caries using the International Caries Detection and Assessment System (ICDAS II) criteria in children with organic diseases of the nervous system depending on the severity of motor impairment. A number of 122 children (mean age 8.8±3.7 years) with spastic forms of cerebral palsy were examined. They were divided into groups according to the Gross Motor Function Classification System – Expanded & Revised (GMFCS-ER). All patients underwent a neurological examination, and the state of dental caries was determined using the ICDAS II criteria. In children with cerebral palsy, lesions of the occlusal surfaces of the teeth predominate, lesions of the proximal surfaces appeared to be three times less, but more than three times higher than in healthy children. Higher intensity of the carious process and the frequency of deep cavities are observed in children with cerebral palsy with severe motor impairment, according to GMFCS-ER. Establishing the features of caries development in children with cerebral palsy depending on the severity of neurological symptoms according to the ICDAS II system is an essential factor in determining the direction of preventive measures that should be taken for this group of children.
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Affiliation(s)
| | - Iryna Anatoliivna Zoriy
- Department of Nervous Diseases, Psychiatry and Medical Psychology, Bukovinian State Medical University, Chernivtsi, Ukraine
| | | | | | | | | | - Iryna Viktorivna Batih
- Department of Pediatric Dentistry, Bukovinian State Medical University, Chernivtsi, Ukraine
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Castelo Branco CMC, Cabral GMP, Castro AMGS, Ferreira ACFM, Bonacina CF, Lussi A, Santos MTBR, Diniz MB. Caries prevalence using ICDAS visual criteria and risk assessment in children and adolescents with cerebral palsy: A comparative study. SPECIAL CARE IN DENTISTRY 2021; 41:688-699. [PMID: 34171134 DOI: 10.1111/scd.12621] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 06/14/2021] [Indexed: 11/30/2022]
Abstract
AIMS To compare the dental caries prevalence using the International Caries Detection and Assessment System (ICDAS) and the caries risk by Caries Management by Risk Assessment (CAMBRA) in individuals with cerebral palsy (CP) and normoactives (NAs). METHODS AND RESULTS Sixty children and adolescents aged 6-12 years (30 CP/30 NA) were clinically evaluated by one calibrated examiner using two-digit ICDAS criteria and converted into components of dmf/DMF indices: d2mf2/D2MF2 (enamel and dentin lesions) and d3mf3/D3MF3 (dentin lesions). An adapted CAMBRA was used for risk classification. The mean d2mf2s/d2mf2t and D2MF2S/D2MF2T for CP were 17.0 ± 16.8/7.5 ± 4.3 and 10.7 ± 17.6/5.3 ± 5.8, respectively, and for NA were 17.2 ± 16.9 /6.9 ± 4.8 and 11.1 ± 11.7/5.5 ± 4.7, respectively. The mean d3mf3s/d3mf3t and D3MF3S/D3MF3T for CP were 10.1 ± 16.7/3.0 ± 4.1 and 4.9 ± 15.6/0.2 ± 0.4, respectively, while for NA the mean values were 9.8 ± 13.0/3.5 ± 3.8 and 2.1 ± 5.7/0.9 ± 2.0, respectively. There were no statistically differences for caries prevalence and risk in both groups (p > 0.05). CONCLUSIONS Dental caries was highly prevalent in CP and NA children and adolescents. Enamel and dentin lesions and high caries risk were the most common condition.
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Affiliation(s)
| | | | | | | | | | - Adrian Lussi
- Department of Operative Dentistry and Periodontology, University Medical Centre, Freiburg, Germany.,School of Dental Medicine, University of Bern, Switzerland
| | | | - Michele Baffi Diniz
- Post-graduate Program in Dentistry, Cruzeiro do Sul University, São Paulo, Brazil
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Kaushal D, Kalra N, Khatri A, Tyagi R, Singh NP, Aggarwal A, Saha R. Oral health status and microbial load of Streptococcus mutans in children with Cerebral palsy in a tertiary care hospital in Delhi. J Indian Soc Pedod Prev Dent 2021; 39:214-220. [PMID: 34341244 DOI: 10.4103/jisppd.jisppd_194_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Cerebral palsy (CP) is a childhood debilitating condition which impairs the physical and mental ability of an individual to maintain oral health. AIM The objective of the present study was assessment of dental neglect and burden of treatment needs of children affected with CP as compared to normal children in a tertiary care hospital in Delhi. SETTINGS AND DESIGN A sample size of 104 children of age group of 6-14 years was selected, in which 52 children of CP (case group) and 52 normal school children (control group) were recruited. MATERIALS AND METHODS Children from both groups were examined, and calculation of drug master files (DMFS), defs, oral hygiene index (OHI), and gingival index was done. The presence of trauma and malocclusion was assessed. Present caries activity was assessed by the level of Streptococcus mutans present in saliva in both groups. Treatment needs were then assessed based on intraoral findings. STATISTICAL ANALYSIS Data were analyzed by SPSS 20.0 software. Student's t-test and nonparametric statistical tests such as Chi-square test and Mann-Whitney test were used as per the nature of variables studied for statistical analysis with the level of significance denoted at P < 0.05. RESULTS The mean DMFS, gingival index, OHI, and treatment needs were observed to be higher in the CP group. Increased S. mutans levels were observed in saliva of CP patients. Defs score, trauma, and malocclusion were not statistically significantly higher in CP group as compared to the control group. CONCLUSION Cerebral palsy group had a poor oral and gingival health, a higher DMFT and burden of treatment needs and an increased risk of further caries progression due to high caries activity indicated by increased level of salivary Streptococcus mutans than the control group.
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Affiliation(s)
- Drishti Kaushal
- Department of Pedodontics and Preventive Dentistry, UCMS and GTB Hospital Delhi, Delhi, India
| | - Namita Kalra
- Department of Pedodontics and Preventive Dentistry, UCMS and GTB Hospital Delhi, Delhi, India
| | - Amit Khatri
- Department of Pedodontics and Preventive Dentistry, UCMS and GTB Hospital Delhi, Delhi, India
| | - Rishi Tyagi
- Department of Pedodontics and Preventive Dentistry, UCMS and GTB Hospital Delhi, Delhi, India
| | - N P Singh
- Microbiology, UCMS (University of Delhi) and GTB Hospital, Delhi, India
| | - Anju Aggarwal
- Paediatrics, UCMS (University of Delhi) and GTB Hospital, Delhi, India
| | - Rumpa Saha
- Microbiology, UCMS (University of Delhi) and GTB Hospital, Delhi, India
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Choi J, Doh RM. Dental treatment under general anesthesia for patients with severe disabilities. J Dent Anesth Pain Med 2021; 21:87-98. [PMID: 33880402 PMCID: PMC8039166 DOI: 10.17245/jdapm.2021.21.2.87] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 03/21/2021] [Accepted: 03/27/2021] [Indexed: 11/15/2022] Open
Abstract
Patients with disabilities have difficulties tolerating in-office dental treatment due to limitations relating to cooperation and/or physical problems. Therefore, they often require general anesthesia or sedation to facilitate safe treatment. When deciding on dental treatment under general anesthesia, the plan should be carefully determined because compared to general patients, patients with disabilities are more likely to experience anesthetic complications because of their underlying medical conditions and potential drug interactions. Clinicians prefer simpler and more aggressive dental treatment procedures, such as extraction, since patients with impairment have difficulty maintaining oral hygiene, resulting in a high incidence of recurrent caries or restorative failures. This study aimed to review the available literature and discuss what dentists and anesthesiologists should consider when providing dental treatment to patients with severe disability under general anesthesia.
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Affiliation(s)
- Junglim Choi
- Department of Advanced General Dentistry, School of Dentistry, Dankook University, Cheonan, Korea
| | - Re-Mee Doh
- Department of Advanced General Dentistry, School of Dentistry, Dankook University, Cheonan, Korea
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Gárate KMS, Cotrim JDM, Brasil MAA, Castro GFBDA. Influence of Depression and Use of Alcohol and / or Tobacco by Parents in the Oral Health of Children with Disabilities. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Chouchene F, Masmoudi F, Baaziz A, Maatouk F, Ghedira H. Parental stress as a predictor of early childhood caries: a systematic review. Eur Arch Paediatr Dent 2020; 22:111-119. [PMID: 33184697 DOI: 10.1007/s40368-020-00580-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 10/21/2020] [Indexed: 11/28/2022]
Abstract
AIM The aim of this study was to systematically review the literature to answer the question: Are parental stress associated with early childhood caries (ECC)? METHODS Electronic databases including MEDLINE (via Pubmed), Scopus and SciELO were searched. Cross-sectional and case-control studies that investigate the association between parental stress and ECC were included. The Newcastle-Ottawa scale was used to assess the risk of bias of the included articles. RESULTS Out of 498 articles identified in initial research, 7 articles met the inclusion criteria; five were cross-sectional and two were control-case in design. A statistically significant correlation between ECC and total parental stress as well as a higher level of carious activity associated with total parental stress was reported in four studies. In two studies, no significant relationship between stress and ECC was found (P > 0.05) and in one study, parental stress was inversely associated with children's ECC status with better dental outcomes significantly associated with a higher level of parenting stress. CONCLUSION Despite the fact that the heterogenicity of the following data precluded conclusions to be drawn, it was obvious that parenting stress or some of its domains may influence the development of carious lesions in young children.
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Affiliation(s)
- F Chouchene
- Pediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, ABCDF Laboratory of Biological, Clinical and Dento-Facial Approach, University of Monastir, Rue Hedi Chekir., 5111, Mahdia, Tunisia.
| | - F Masmoudi
- Pediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, ABCDF Laboratory of Biological, Clinical and Dento-Facial Approach, Faculty of Dental Medicine of Monastir, Monastir, Tunisia
| | - A Baaziz
- Pediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, ABCDF Laboratory of Biological, Clinical and Dento-Facial Approach, Faculty of Dental Medicine of Monastir, Monastir, Tunisia
| | - F Maatouk
- Pediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, ABCDF Laboratory of Biological, Clinical and Dento-Facial Approach, Faculty of Dental Medicine of Monastir, Monastir, Tunisia
| | - H Ghedira
- Pediatric and Preventive Dentistry Department, Faculty of Dental Medicine of Monastir, ABCDF Laboratory of Biological, Clinical and Dento-Facial Approach, Faculty of Dental Medicine of Monastir, Monastir, Tunisia
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Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional Study. Int J Dent 2020; 2020:8856754. [PMID: 32908512 PMCID: PMC7475759 DOI: 10.1155/2020/8856754] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 08/17/2020] [Accepted: 08/23/2020] [Indexed: 11/17/2022] Open
Abstract
Background To assess the prevalence and factors associated with malocclusions in children and adolescents with cerebral palsy (CP). Methods The study included 134 subjects with CP aged 2-18 years enrolled in six rehabilitation institutions and their caregivers, which provided demographic, systemic, and behavioral data. A calibrated researcher held oral examinations with record of the following malocclusion indexes, DAI and DMFT. Poisson regression analysis was used (α < 0.05). Results About 85.8% (n = 115) of patients had malocclusion. In deciduous and mixed dentition (n = 99), increased overjet (75.8%), open bite (51.5%), posterior cross bite (19.2%), and anterior cross bite (3.0%) were identified. Increased overjet was associated with the age group of 2-5 years and mild communication impairment. Anterior open bite was more common in children who underwent tongue interposition, lip interposition, and pacifier sucking. Communication skills, mouth breathing, and tongue interposition were associated with posterior cross bite. Severe malocclusions (DAI > 30) were observed in 88.6% of patients with permanent dentition (n = 35) and were associated with liquid diet consistency and finger sucking. Conclusion The prevalence of malocclusion in individuals with CP was high and associated with demographic, behavioral, and systemic factors.
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Bensi C, Costacurta M, Docimo R. Oral health in children with cerebral palsy: A systematic review and meta‐analysis. SPECIAL CARE IN DENTISTRY 2020; 40:401-411. [DOI: 10.1111/scd.12506] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 07/22/2020] [Accepted: 08/01/2020] [Indexed: 01/07/2023]
Affiliation(s)
- Caterina Bensi
- Paediatric Dentistry Post‐Graduate School University of Rome “Tor Vergata” Rome Italy
| | - Micaela Costacurta
- Pediatric Dentistry, Department of Surgical Sciences University of Rome “Tor Vergata” Rome Italy
| | - Raffaella Docimo
- Pediatric Dentistry, Department of Surgical Sciences University of Rome “Tor Vergata” Rome Italy
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Alvarenga ÉDSL, Silva AM, da Silva TAE, de Araújo RF, Prado Júnior RR, Mendes RF. Oral health-related quality of life in caregivers of individuals with Cerebral Palsy: a case-control study. Eur Arch Paediatr Dent 2019; 21:193-202. [PMID: 31471856 DOI: 10.1007/s40368-019-00472-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 08/20/2019] [Indexed: 02/07/2023]
Abstract
AIM The object of this study is to evaluate the oral health-related quality of life (OHRQoL) of caregivers of individuals with Cerebral Palsy (CP). METHODS Ninety-eight caregivers of individuals with CP (SG) and 196 caregivers of individuals without special needs (CG) completed the reduced version of the Oral Health Impact Profile (OHIP-14). In addition, a questionnaire with demographic and socioeconomic questions was used. Groups were matched according to gender, schooling and family income. Fisher's exact tests, Chi square and Mann-Whitney, and bi/multivariate logistic regression were used (p < 0.05). RESULTS The impact on OHRQoL was similar for SG and CG (OHIP-14 total score). For SG, the high negative impact was in the following OHIP domains: "Functional limitation", "Physical disability", "Psychological incapacity" and "Disadvantages". For SG, a higher number of caregivers was single, unemployed, received government financial aid. There was a statistically significant association between the number of children a caregiver has and a negative impact on OHRQoL. CONCLUSIONS Being a caregiver of children with or without CP had a negative impact of similar magnitude on ORHQoL. The negative impact on OHRQoL of caregivers of children with CP was associated with having a high number of children; the higher the number of children, the greater the negative impact on their OHRQoL.
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Affiliation(s)
- É da S L Alvarenga
- Postgraduate Program in Dentistry, Federal University of Piauí, UFPI, Campus Universitário Ministro Petrônio Portella, Bloco 5, Bairro Ininga, Teresina, PI, CEP: 64049-550, Brazil
| | - A M Silva
- Postgraduate Program in Dentistry, Federal University of Piauí, UFPI, Campus Universitário Ministro Petrônio Portella, Bloco 5, Bairro Ininga, Teresina, PI, CEP: 64049-550, Brazil.
| | - T A E da Silva
- Postgraduate Program in Dentistry, Federal University of Piauí, UFPI, Campus Universitário Ministro Petrônio Portella, Bloco 5, Bairro Ininga, Teresina, PI, CEP: 64049-550, Brazil
| | - R F de Araújo
- Postgraduate Program in Dentistry, Federal University of Piauí, UFPI, Campus Universitário Ministro Petrônio Portella, Bloco 5, Bairro Ininga, Teresina, PI, CEP: 64049-550, Brazil
| | - R R Prado Júnior
- Postgraduate Program in Dentistry, Federal University of Piauí, UFPI, Campus Universitário Ministro Petrônio Portella, Bloco 5, Bairro Ininga, Teresina, PI, CEP: 64049-550, Brazil
| | - R F Mendes
- Postgraduate Program in Dentistry, Federal University of Piauí, UFPI, Campus Universitário Ministro Petrônio Portella, Bloco 5, Bairro Ininga, Teresina, PI, CEP: 64049-550, Brazil
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Wyne AH, Al-Hammad NS, Splieth CH. Dental caries and related risk factors in Saudi cerebral palsy children. ACTA ACUST UNITED AC 2019; 22:282-286. [PMID: 29057853 PMCID: PMC5946377 DOI: 10.17712/nsj.2017.4.20170191] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objective: To determine caries experience and related risk factors in cerebral palsy (CP) children. Methods: Random sample of CP children was examined for dental caries and oral hygiene. Questionnaire was utilized for information about caries risk factors. This cross-sectional study was conducted in Riyadh from December 2014 to May 2015. Results: Fifty-two CP children were examined with mean age of 6.3±2.7 years. Only one (1.9%) child out of the 52 had no clinical caries. Combined (dmft plus DMFT) mean caries score among study sample was 9.98±3.99. Older children had significantly higher mean caries scores (11.5±3.34) than younger children (8.86±4.1, p=0.017). The CP children with good oral hygiene had lowest mean caries score (5.8±7.32) as compared to those with fair (9.72±3.3) and poor (11.55±3.05) oral hygiene (p=0.012). Those children whose first dental visit was for routine check-up had significantly (p=0.02) lower mean caries scores (7.33±4.65) than those who made their first visit due to dental problem (11.57±4.15). Similarly, those who had topical fluoride applications by dentist had significantly (p=0.003) lower mean caries scores (8.67±4.14) than those with no topical fluoride application (11.9±2.89). Conclusion: The studied CP children had very high caries experience and poor oral hygiene. There was strong association between the high caries experience and poor oral hygiene.
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Affiliation(s)
- Amjad H Wyne
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-Mail:
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Tzouanaki A, Agouropoulos A, Kavvadia K, Papagiannoulis L. A comparative study on oral health status in Greek preschool children with neurodevelopmental disorders with movement limitations. SPECIAL CARE IN DENTISTRY 2019; 39:421-428. [PMID: 31131909 DOI: 10.1111/scd.12390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Revised: 01/31/2019] [Accepted: 02/09/2019] [Indexed: 11/28/2022]
Abstract
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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Affiliation(s)
- Aikaterini Tzouanaki
- Department of Pediatric Dentistry, National and Kapodistrian University of Athens, Faculty of Dentistry, Greece
| | - Andreas Agouropoulos
- Department of Pediatric Dentistry, National and Kapodistrian University of Athens, Faculty of Dentistry, Greece
| | - Katerina Kavvadia
- Department of Pediatric Dentistry, National and Kapodistrian University of Athens, Faculty of Dentistry, Greece
| | - Liza Papagiannoulis
- Department of Pediatric Dentistry, National and Kapodistrian University of Athens, Faculty of Dentistry, Greece
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Cardoso AMR, de Medeiros MMD, Gomes LN, Martins ML, Padilha WWN, Cavalcanti AL. Factors associated with health and oral health-related quality of life of children and adolescents with cerebral palsy. SPECIAL CARE IN DENTISTRY 2018; 38:216-226. [PMID: 29893998 DOI: 10.1111/scd.12301] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 05/24/2018] [Accepted: 05/25/2018] [Indexed: 11/29/2022]
Affiliation(s)
| | | | - Lays Nóbrega Gomes
- Department of Dental Materials and Prosthesis; Araraquara School of Dentistry; State University of São Paulo; Araraquara Brazil
| | - Mariana Leonel Martins
- Department of Pediatric Dentistry and Orthodontics; Rio de Janeiro School of Dentistry; Federal University of Rio de Janeiro; Rio de Janeiro Brazil
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Ruiz LA, Diniz MB, Loyola-Rodriguez JP, Habibe CH, Garrubbo CC, Santos MTBR. A controlled study comparing salivary osmolality, caries experience and caries risk in patients with cerebral palsy. Med Oral Patol Oral Cir Bucal 2018; 23:e211-e215. [PMID: 29476677 PMCID: PMC5911353 DOI: 10.4317/medoral.22135] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2017] [Accepted: 01/12/2018] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Cerebral palsy (CP) is a permanent neurological disorder accompanied by secondary musculoskeletal masticatory disorder, with repercussion on chewing and deglutition functions. In these conditions, the liquids ingestion is compromised resulting in salivary osmolality alteration. The objective of this study was to compare salivary osmolality, caries experience and caries risk between normoreactive individuals and patients with CP. MATERIAL AND METHODS The participants were 4-20 years old: 52 patients with CP treated at a reference rehabilitation centre (study group, SG), and 52 normoreactive individuals (control group, CG). Saliva was collected for five minutes using cotton rolls. Following centrifugation, salivary osmolality was determined by freezing point depression osmometry. Evaluations included caries experience (DMFT index), and caries risk based on a caries-risk assessment tool (CAT). Descriptive and inferential statistics (Chi square and Student t tests) were used to compare the groups. Receiver operating characteristic (ROC) analyses were performed and the area under the ROC curve (Az) was calculated. The level of significance was set at 5%. RESULTS The groups were homogeneous for sex (p=0.843) and age (p=0.128). In the SG, spastic type CP was the most prevalent (80.8%), and patients showed significantly higher salivary osmolality values compared with the CG (p<0.001). No significant differences in caries experience (p=0.159) or caries risk (p=0.297) were observed. ROC curve analysis determined a salivary osmolality cutoff point of >74 for the SG and >54 for the CG in the presence of dental caries. A significant correlation was verified between salivary osmolality and the DMFT index for the SG (p≤0.05). CONCLUSIONS Although patients with CP showed higher salivary osmolality values, higher caries experience and caries risk were not observed compared with normoreactive individuals.
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Affiliation(s)
- L-A Ruiz
- Universidade Cruzeiro do Sul, School of Dentistry, Department of Patients with Special Needs, Rua Constantino de Sousa, 454, apto 141, ZIPCODE: 04605-001 São Paulo, SP, Brazil,
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Santos MTBR, Diniz MB, Guaré RO, Ferreira MCD, Gutierrez GM, Gorjão R. Inflammatory markers in saliva as indicators of gingival inflammation in cerebral palsy children with and without cervical motor control. Int J Paediatr Dent 2017; 27:364-371. [PMID: 27785840 DOI: 10.1111/ipd.12270] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
AIM To evaluate the relation among gingival inflammation, salivary osmolality, levels of IL-1β, IL-6, IL-8, TNF-α, and s-IgA concentrations in children with spastic CP with or without cervical motor control in a cross-sectional study. DESIGN Unstimulated whole saliva and the gingival index were collected in 37 and 34 CP children with and without cervical motor control, respectively. The data were dichotomized as follows: (=0) absence of gingival inflammation and (≥0.1) presence of gingival inflammation. RESULTS The group without cervical control presented statistically higher mean values of salivary osmolality, s-IgA, and cytokines. In addition, statistically positive correlation between the gingival index and salivary cytokines was observed in the group with cervical control. Salivary osmolality, salivary cytokines, and s-IgA from both groups presented a significant positive correlation. Significant differences (P = 0.00336) in the values of salivary osmolality were observed between the CP individuals with (93.9 ± 32.7) and without gingival inflammation (74.4 ± 16.6). ROC analysis was performed, and values of salivary osmolality >80 indicated a sensitivity of 0.54 and a specificity of 0.79. CONCLUSIONS Children without cervical motor control presented a more pronounced oral inflammatory status that was characterized by higher levels of cytokines.
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Affiliation(s)
| | | | | | | | | | - Renata Gorjão
- Postgraduate Interdisciplinary Program in Health Sciences, Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, São Paulo, SP, Brazil
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Efficacy of photobiomodulation therapy on masseter thickness and oral health-related quality of life in children with spastic cerebral palsy. Lasers Med Sci 2017; 32:1279-1288. [PMID: 28536904 DOI: 10.1007/s10103-017-2236-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2016] [Accepted: 05/16/2017] [Indexed: 12/16/2022]
Abstract
The study aimed to evaluate the efficacy of photobiomodulation therapy (PBMT) on bilateral masseter muscle thickness and amplitude of mouth opening in children with spastic cerebral palsy (CP), and the impact on their oral health-related quality of life (OHRQOL). Three groups were included: experimental CP group (EG: n = 26 with oral complaints), positive control CP group (PCG: n = 26 without complaints), and negative control group (NCG: n = 26 without CP). In the EG, the masseter muscles on both sides were irradiated with an infrared low-level Ga-Al-As laser (λ = 808 ± 3 nm, 120 mW) using a 3 J/cm2 energy dose per site, with a 20 s exposure time per site (spot area: 4 mm2; irradiance: 3 W/cm2; energy delivery per point: 2.4 J) six times over six consecutive weeks. Masseter thickness, assessed through ultrasonography, and the amplitude of mouth opening were measured in the EG before and after six applications of PBMT and once in the PCG and NCG. The Parental-Caregiver Perception Questionnaire (P-CPQ) was used to evaluate OHRQOL. ANOVA, chi-square, t tests, and multilevel linear regression were used for statistical analysis. In the EG, the study results revealed average increments of 0.77 (0.08) millimeter in masseter thickness (P < 0.05) and 7.39 (0.58) millimeter for mouth opening (P < 0.05) and reduction in all P-CPQ domains (P < 0.001), except for social well-being. The six applications of PBMT increased masseter thickness and mouth opening amplitude and reduced the impact of spastic CP on OHRQOL.
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18
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Akhter R, Hassan NMM, Martin EF, Muhit M, Haque MR, Smithers-Sheedy H, Jones C, Badawi N, Khandaker G. Risk factors for dental caries among children with cerebral palsy in a low-resource setting. Dev Med Child Neurol 2017; 59:538-543. [PMID: 27935024 DOI: 10.1111/dmcn.13359] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/02/2016] [Indexed: 11/28/2022]
Abstract
AIM To describe the oral health status and investigate factors affecting dental caries experience among children with cerebral palsy (CP) in rural Bangladesh. METHOD A cross-sectional study was conducted among children with CP who are part of the Bangladesh Cerebral Palsy Register (BCPR) study. Caries experience was measured by identifying decayed, missing, and filled teeth for deciduous and permanent teeth (dmft/DMFT). Clinical periodontal index, body mass index, oral hygiene behaviour, masticatory ability, and dietary habits were recorded. CP motor types and severity of functional mobility (Gross Motor Function Classification System [GMFCS]) were assessed. RESULTS Of 90 children with CP (mean age 9y 7mo, range 2-17y, 37.8% female and 62.2% male), 35% of 2 to 6 year olds, and 70% of 7 to 11 year olds (p=0.014) experienced caries (dmft+DMFT>0). The mean values (standard deviation [SD]) of dmft and DMFT were 2.46 (3.75) and 0.72 (1.79) respectively. After adjusting for age and sex, binary logistic regression analysis showed a significant relationship with dental caries for children who had quadriplegia (odds ratio [OR] 5.56, p=0.035), tooth cleaning less than one time/day (OR 0.08, p=0.016), using toothpowder or charcoal for cleaning (OR 7.63, p=0.015), and snacking between meals more than one time/day (OR 6.93, p=0.012). INTERPRETATION Early oral health preventive care is required for children with CP because dental caries is highly prevalent in these children.
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Affiliation(s)
- Rahena Akhter
- Faculty of Dentistry, University of Sydney, Westmead, NSW, Australia
| | | | | | - Mohammad Muhit
- CSF Global, Dhaka, Bangladesh.,Asian Institute of Disability and Development, University of South Asia, Dhaka, Bangladesh
| | | | | | - Cheryl Jones
- The Children's Hospital at Westmead Clinical School, University of Sydney, Westmead, NSW, Australia.,Marie Bashir Institute of Emerging Infection and Biosecurity, University of Sydney, Sydney, NSW, Australia
| | - Nadia Badawi
- Cerebral Palsy Alliance Research Institute, Sydney, NSW, Australia.,The Children's Hospital at Westmead Clinical School, University of Sydney, Westmead, NSW, Australia
| | - Gulam Khandaker
- Department of Public Health, University of South Asia, Dhaka, Bangladesh.,The Children's Hospital at Westmead Clinical School, University of Sydney, Westmead, NSW, Australia.,Marie Bashir Institute of Emerging Infection and Biosecurity, University of Sydney, Sydney, NSW, Australia
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19
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Santos MTBR, Ferreira MCD, Guaré RO, Diniz MB, Rösing CK, Rodrigues JA, Duarte DA. Gingivitis and salivary osmolality in children with cerebral palsy. Int J Paediatr Dent 2016; 26:463-470. [PMID: 26726753 DOI: 10.1111/ipd.12220] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM To investigate the influence of salivary osmolality on the occurrence of gingivitis in children with cerebral palsy (CP). DESIGN A total of 82 children with spastic CP were included in this cross-sectional study. Oral motor performance and gingival conditions were evaluated. Unstimulated saliva was collected using cotton swabs, and salivary osmolality was measured using a freezing point depression osmometer. Spearman's coefficient, receiver operating characteristic (ROC), and multiple logistic regression analyses were performed. RESULTS Strong correlation (r > 0.7) was determined among salivary osmolality, salivary flow rate, visible plaque, dental calculus, and the occurrence of gingivitis. The area under the ROC to predict the influence of salivary osmolality on the occurrence of gingivitis was 0.88 (95% CI 0.81-0.96; P < 0.001). The cutoff value of 84.5 for salivary osmolality presented good sensitivity and specificity, both higher than 77%. The proportion of children presenting salivary osmolality ≤84.5 mOsm/kgH2 O and gingivitis was 22.5%, whereas for the group presenting osmolality >84.5 mOsm/kgH2 O, the proportion of children with gingivitis was 77.5%. Salivary osmolality above 84.5 increased the likelihood of gingivitis fivefold, whereas each additional 0.1 mL of salivary flow reduced the likelihood of gingivitis by 97%. CONCLUSION Gingivitis occurs more frequently in children with CP showing increased values of salivary osmolality.
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Affiliation(s)
| | | | - Renata Oliveira Guaré
- Pediatric Dentistry, Institute of Dentistry, Cruzeiro do Sul University, São Paulo, Brazil
| | - Michele Baffi Diniz
- Pediatric Dentistry, Institute of Dentistry, Cruzeiro do Sul University, São Paulo, Brazil
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20
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Diéguez-Pérez M, de Nova-García MJ, Mourelle-Martínez MR, Bartolomé-Villar B. Oral health in children with physical (Cerebral Palsy) and intellectual (Down Syndrome) disabilities: Systematic review I. J Clin Exp Dent 2016; 8:e337-43. [PMID: 27398187 PMCID: PMC4930646 DOI: 10.4317/jced.52922] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2015] [Accepted: 01/08/2016] [Indexed: 12/03/2022] Open
Abstract
Introduction Traditionally, 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 Methods For 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. Results There 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. Conclusions Children 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.
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Affiliation(s)
- Montserrat Diéguez-Pérez
- Dentist. Associate Professor. Department of Stomatology IV. School of Dentistry. Universidad Complutense de Madrid. Assistant Professor of the Department of Dentistry. School of Biomedical Sciences. European University of Madrid
| | - Manuel-Joaquín de Nova-García
- Stomatologist. Tenured Professor of Paediatric Dentistry. Department of Stomatology IV. School of Dentistry. Universidad Complutense de Madrid
| | - M Rosa Mourelle-Martínez
- Stomatologist. Contract Professor, PhD. Department of Stomatology IV. School of Dentistry. Universidad Complutense de Madrid
| | - Begona Bartolomé-Villar
- Stomatologist. Associate Professor, Department of Dentistry. School of Biomedical Sciences. European University of Madrid
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Cardoso AMR, Silva CRD, Gomes LN, Gomes MDNC, Padilha WWN, Cavalcanti AL. Dental trauma in Brazilian children and adolescents with cerebral palsy. Dent Traumatol 2015; 31:471-6. [PMID: 26033710 DOI: 10.1111/edt.12184] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2014] [Indexed: 11/28/2022]
Affiliation(s)
| | - Clara Regina Duarte Silva
- Department of Dentistry; Faculty of Dentistry; Federal University of Paraiba; Cidade Universitária; João Pessoa PB Brazil
| | - Lays Nóbrega Gomes
- Department of Dentistry; Faculty of Dentistry; Federal University of Paraiba; Cidade Universitária; João Pessoa PB Brazil
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22
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Campos PHD, Andrade RSL, Rojas PL, Ferreira MCD, Santos MTBR, Guaré RDO, Diniz MB. Avaliação da microdureza do esmalte de dentes decíduos de crianças com paralisia cerebral. REVISTA DE ODONTOLOGIA DA UNESP 2015. [DOI: 10.1590/1807-2577.1061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
INTRODUÇÃO: 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.
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Cardoso AMR, Gomes LN, Silva CRD, Soares RDSC, Abreu MHNGD, Padilha WWN, Cavalcanti AL. Dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 12:335-53. [PMID: 25551517 PMCID: PMC4306865 DOI: 10.3390/ijerph120100335] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/10/2014] [Accepted: 12/09/2014] [Indexed: 11/23/2022]
Abstract
The aim of the present study was determine the prevalence and factors associated with dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy (CP). This is a cross-sectional study conducted with 80 patients ranging in age from 2 to 18 years old. Oral exams were conducted by an examiner with records of DMFT, dmft, Gingival Bleeding Index (GBI) and Community Periodontal Index (CPI). The statistical analysis used Poisson Regression with robust variance estimation (α = 0.05). The prevalence of dental caries was 59.3%, with DMFT and mean dmft of 1.71 ± 2.42 and 2.22 ± 3.23, respectively. The mean GBI was 22.44%, and in the CPI, the prevalence of gingival bleeding, calculus, shallow and deep pockets were 94.73%, 79.62%, 12.90% and 3.22%, respectively. The caregiver’s educational level of less than eight years were associated with the dental caries experience (PR = 1.439; 95%CI = 1.09–1.89). The periodontal alterations were associated with female sex (PR = 0.82; 95%CI = 0.69–0.97), caregiver’s educational level of less than eight years (PR = 1.15; 95%CI = 1.03–1.29), poor oral perception (PR = 0.89; 95%CI = 0.80–0.98), serious communication problem (PR = 0.87; 95%CI = 0.76–0.99) and athetoid type of CP (PR = 0.85; 95%CI = 0.75–0.97). The patients with CP presented high dental caries experience and periodontal alterations, which were associated with their demographic, socioeconomic, oral health perception and systemic information.
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Affiliation(s)
- Andreia M R Cardoso
- Department of Dentistry, State University of Paraiba, Campina Grande, PB, 58429-500, Brazil.
| | - Lays N Gomes
- Department of Dentistry, Federal University of Paraiba, João Pessoa, PB, 58051-900, Brazil.
| | - Clara Regina D Silva
- Department of Dentistry, Federal University of Paraiba, João Pessoa, PB, 58051-900, Brazil.
| | - Renata de S C Soares
- Department of Dentistry, State University of Paraiba, Campina Grande, PB, 58429-500, Brazil.
| | - Mauro Henrique N G de Abreu
- Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, 31270-901, Brazil.
| | - Wilton W N Padilha
- Postdoctoral fellow, State University of Paraiba, Campina Grande, PB, 58429-500, Brazil.
| | - Alessandro L Cavalcanti
- Department of Dentistry, State University of Paraiba, Campina Grande, PB, 58429-500, Brazil.
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Yap E, Parashos P, Borromeo GL. Root canal treatment and special needs patients. Int Endod J 2014; 48:351-61. [PMID: 24871933 DOI: 10.1111/iej.12321] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2013] [Accepted: 05/22/2014] [Indexed: 11/26/2022]
Abstract
AIM To identify current trends of root canal treatment for patients with special needs. METHODOLOGY A postal questionnaire was sent to General Dentists in Victoria, Australia and Endodontists and Special Needs Dentists across Australia to determine the extent of root canal treatment performed on special needs patients. RESULTS Over a four-month period, 1120 questionnaires were distributed with an overall response rate of 63.9% (n = 716). Response rates were 63.2% (n = 655), 68.5% (n = 50) and 100.0% (n = 11) amongst General Dentists, Endodontists and Special Needs Dentists, respectively. Endodontists (95.7%) and Special Needs Dentists (100.0%) performed significantly more root canal treatment on adult patients with special needs compared with 51.2% of General Dentists, (P < 0.001 and P = 0.001 respectively; Fisher's exact test). The most common reasons for not undertaking root canal treatment included limited cooperation, poor oral hygiene and uncontrolled movement. Amongst General Dentists, 75.7% opted for extraction in preference to root canal treatment. Significantly, more specialist practitioners performed root canal treatment utilizing conscious sedation (P < 0.001) and general anaesthesia (P = 0.003). Most specialist practitioners (69.1%) had undertaken single-visit root canal treatment on special needs patients compared with only 29.7% of General Dentists (P < 0.001). CONCLUSIONS Root canal treatment in special needs patients was more likely to be carried out by specialist dental practitioners who were more likely to utilize a pharmacological approach for behaviour guidance and to perform single-visit root canal treatment compared with General Dentists. A multidisciplinary approach for special needs patients who require root canal treatment provides an opportunity for these patients to retain their dentition.
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Affiliation(s)
- E Yap
- Faculty of Medicine, Dentistry and Health Sciences, Melbourne Dental School, University of Melbourne, Carlton, Australia
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Santos MTBR, Ferreira MCD, Mendes FM, de Oliveira Guaré R. Assessing salivary osmolality as a caries risk indicator in cerebral palsy children. Int J Paediatr Dent 2014; 24:84-9. [PMID: 23551764 DOI: 10.1111/ipd.12030] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Salivary osmolality reflects the hydration status of individuals with cerebral palsy (CP) necessary for an adequate unstimulated salivary flow rate. AIM To investigate whether salivary osmolality could serve as a potential indicator of caries risk in children with spastic CP by displaying a stronger association with caries occurrence than salivary flow rate. DESIGN The convenience sample consisted of 65 children with CP aged 6-13 years old. Unstimulated whole saliva was collected using cotton roll, and salivary osmolality was measured using a freezing point depression osmometer. The children's oral motor performance was evaluated during the feeding process using the Oral Motor Assessment Scale. Caries occurrence was also evaluated according the World Health Organization criteria. RESULTS Motor skills were significantly associated with caries experience. Regarding the salivary parameters, osmolality presented a stronger association with caries experience than did the salivary flow rate. Children with worse oral motor performance presented a higher rate of caries occurrence. CONCLUSION Osmolality exhibited a stronger association with caries occurrence than did salivary flow rate. This parameter, therefore, could be a potential caries risk indicator for spastic cerebral palsy children.
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Daryani H, Nagarajappa R, Sharda AJ, Asawa K, Tak M, Sanadhya S, Batra M. Cariogram Model in Assessment of Dental Caries among Mentally Challenged and Visually Impaired Individuals of Udaipur, India. J Clin Diagn Res 2014; 8:206-10. [PMID: 24596776 DOI: 10.7860/jcdr/2014/6603.3844] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2013] [Accepted: 10/21/2013] [Indexed: 11/24/2022]
Abstract
OBJECTIVES To assess the caries risk and contribution of diet, bacteria, circumstances and susceptibility sectors among special groups in comparison to the normal group of Udaipur using the Cariogram model. MATERIALS AND METHODS A Cariogram model was used to identify risk factors among 160 subjects (40 mentally challenged, 60 visually impaired and 60 normal healthy individuals) aged 7-36 years. Statistical analysis was done using Chi-square/ Fischer's Exact followed by Marascuilo procedure and Stepwise multiple linear regression. RESULTS Compared to the normal group (74%), mentally challenged (33%) and visually impaired (41%) groups showed less chances of avoiding future caries. Group (R= 0.660) was found to be strongest predictor for caries risk. Susceptibility sector contributed 61% for caries risk in all the groups. CONCLUSION The caries risk was high among special groups compared to normal group. Susceptibility sector illustrated the highest contribution for caries risk in all groups.
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Affiliation(s)
- Hemasha Daryani
- Post Graduate Students, Department of Public Health Dentistry, Pacific Dental College and Hospital , Airport Road, Debari, Udaipur - 313024, Rajasthan, India
| | - Ramesh Nagarajappa
- Professor and Head, Department of Public Health Dentisty, Pacific Dental College and Hospital , Airport Road, Debari, Udaipur - 313024, Rajasthan, India
| | - Archana J Sharda
- Senior Lecturers, Department of Public Health Dentistry, Pacific Dental College and Hospital , Airport Road, Debari, Udaipur - 313024, Rajasthan, India
| | - Kailash Asawa
- Senior Lecturers, Department of Public Health Dentistry, Pacific Dental College and Hospital , Airport Road, Debari, Udaipur - 313024, Rajasthan, India
| | - Mridula Tak
- Senior Lecturers, Department of Public Health Dentistry, Pacific Dental College and Hospital , Airport Road, Debari, Udaipur - 313024, Rajasthan, India
| | - Sudhanshu Sanadhya
- Post Graduate Students, Department of Public Health Dentistry, Pacific Dental College and Hospital , Airport Road, Debari, Udaipur - 313024, Rajasthan, India
| | - Mehak Batra
- Post Graduate Students, Department of Public Health Dentistry, Pacific Dental College and Hospital , Airport Road, Debari, Udaipur - 313024, Rajasthan, India
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Santos MTBR, Guaré RDO, Diniz MB, Ferreira MCD. Experiência de cárie e osmolaridade salivar em crianças com paralisia cerebral. REVISTA DE ODONTOLOGIA DA UNESP 2013. [DOI: 10.1590/s1807-25772013000600009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUÇÃO: Estudos têm demonstrado que quanto maior a severidade do dano neurológico em crianças com paralisia cerebral (PC), maior é o risco de doenças orais. OBJETIVO: Correlacionar a experiência de cárie com a osmolaridade salivar em crianças com PC. MATERIAL E MÉTODO: Participaram do estudo 99 crianças (9,2±2,3 anos) com PC, em tratamento reabilitacional. A saliva de repouso foi coletada no período matutino, utilizando rolos absorventes (Salivette®) por cinco minutos. A osmolaridade salivar foi medida por depressão do ponto de congelamento em osmômetro. As avaliações incluíram a experiência de cárie pelo índice de dentes cariados, perdidos e obturados (CPOD), e o motor oral durante o processo de alimentação da criança. Foram utilizados os testes Qui-quadrado, t de Student, Correlação de Spearman e razão de chances (OR), com nível de significância de 5%. RESULTADO: O grupo 1 (G1) foi composto por 41 crianças livres de cárie e o grupo 2 (G2), por 58 crianças com cárie (CPOD=3,5±2,7). Os grupos foram homogêneos para gênero (p=0,884) e idade (p=0,174). Entretanto, diferiram significantemente com relação à motricidade oral, apresentando G2 maiores porcentagens de crianças com motor oral subfuncional (p<0,001) e tetraparéticos (p=0,001). O G2 apresentou valores significantemente maiores (p<0,001) para osmolaridade (99,6±36,7mOsml) quando comparado ao G1 (76,7±15,9mOsml). Observou-se uma correlação significante entre osmolaridade e experiência de cárie (p<0,001). Apresentar osmolaridade superior a 76,7 (OR=5,18; 1,85 a 14,83) foi determinante individual de maior probabilidade de apresentar risco de cárie (CPOD>0). CONCLUSÃO: Maiores valores de osmolaridade salivar aumentam o risco de cárie em crianças com PC.
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Guillamón N, Nieto R, Pousada M, Redolar D, Muñoz E, Hernández E, Boixadós M, Gómez-Zúñiga B. Quality of life and mental health among parents of children with cerebral palsy: the influence of self-efficacy and coping strategies. J Clin Nurs 2013; 22:1579-90. [PMID: 23461414 DOI: 10.1111/jocn.12124] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2012] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To explore the quality of life and mental health of caregivers of children with cerebral palsy and to examine the impact of self-efficacy and coping strategies on these outcomes. BACKGROUND Few studies analyse the impact of caring for a child with cerebral palsy on the caregivers' quality of life besides mental health. Also, less attention has been paid to the influence of caregiver's personal resources like self-efficacy or coping strategies on how they adjust to the child's illness and the care situation. DESIGN Cross-section correlational design. METHODS Sixty two parents of children with cerebral palsy completed measures to assess the quality of life (i.e. physical, environmental and social relationships), mental health (i.e. general mental health, depression and anxiety), self-efficacy and coping strategies. RESULTS Parents of children with cerebral palsy had, in general terms, low levels of quality of life and mental health. Self-efficacy was related to most of the outcomes, whereas any of the coping strategies assessed was significantly related to the outcomes. CONCLUSIONS Quality of life and mental health can be affected in caregivers of children with CP. Personal resources like self-efficacy also need attention as they can help in the understanding of the differences in these outcomes and the design of effective interventions. RELEVANCE OF CLINICAL PRACTICE: Self-efficacy should be a key element in interventions addressed to parents of children with CP to elicit a process of empowerment that can improve the well-being of the family as a whole.
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Affiliation(s)
- Noemí Guillamón
- PSiNET research Group, Internet Interdisciplinary Institute, Universitat Oberta de Catalunya, Barcelona, Spain.
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Du RY, McGrath CP, Yiu CK, King NM. Oral health behaviors of preschool children with cerebral palsy: a case-control community-based study. SPECIAL CARE IN DENTISTRY 2012; 34:298-302. [DOI: 10.1111/j.1754-4505.2012.00295.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Rennan Y. Du
- PhD student, Faculty of Dentistry; The University of Hong Kong; Hong Kong SAR China
| | - Colman P. McGrath
- Clinical Professor in Dental Public Health, Periodontology and Public Health, Faculty of Dentistry; The University of Hong Kong; Hong Kong SAR China
| | - Cynthia K.Y. Yiu
- Clinical Professor in Paediatric Dentistry, Paediatric Dentistry and Orthodontics, Faculty of Dentistry; The University of Hong Kong; Hong Kong SAR China
| | - Nigel M. King
- Winthrop Professor in Paediatric Dentistry, School of Dentistry, Faculty of Medicine, Dentistry and Health Sciences; The University of Western Australia; Perth Australia
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Wang YC, Lin IH, Huang CH, Fan SZ. Dental anesthesia for patients with special needs. ACTA ACUST UNITED AC 2012; 50:122-5. [DOI: 10.1016/j.aat.2012.08.009] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2012] [Revised: 06/19/2012] [Accepted: 06/22/2012] [Indexed: 10/27/2022]
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Giannasi LC, Matsui MY, de Freitas Batista SR, Hardt CT, Gomes CP, Amorim JBO, de Carvalho Aguiar I, Collange L, dos Reis dos Santos I, Dias IS, de Oliveira CS, de Oliveira LVF, Gomes MF. Effects of neuromuscular electrical stimulation, laser therapy and LED therapy on the masticatory system and the impact on sleep variables in cerebral palsy patients: a randomized, five arms clinical trial. BMC Musculoskelet Disord 2012; 13:71. [PMID: 22587485 PMCID: PMC3479060 DOI: 10.1186/1471-2474-13-71] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2012] [Accepted: 04/25/2012] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Few studies demonstrate effectiveness of therapies for oral rehabilitation of patients with cerebral palsy (CP), given the difficulties in chewing, swallowing and speech, besides the intellectual, sensory and social limitations. Due to upper airway obstruction, they are also vulnerable to sleep disorders. This study aims to assess the sleep variables, through polysomnography, and masticatory dynamics, using electromiography, before and after neuromuscular electrical stimulation, associated or not with low power laser (Gallium Arsenide- Aluminun, =780 nm) and LED (= 660 nm) irradiation in CP patients. METHODS/DESIGN 50 patients with CP, both gender, aged between 19 and 60 years will be enrolled in this study. The inclusion criteria are: voluntary participation, patient with hemiparesis, quadriparesis or diparetic CP, with ability to understand and respond to verbal commands. The exclusion criteria are: patients undergoing/underwent orthodontic, functional maxillary orthopedic or botulinum toxin treatment. Polysomnographic and surface electromyographic exams on masseter, temporalis and suprahyoid will be carry out in all sample. Questionnaire assessing oral characteristics will be applied. The sample will be divided into 5 treatment groups: Group 1: neuromuscular electrical stimulation; Group 2: laser therapy; Group 3: LED therapy; Group 4: neuromuscular electrical stimulation and laser therapy and Group 5: neuromuscular electrical stimulation and LED therapy. All patients will be treated during 8 consecutive weeks. After treatment, polysomnographic and electromiographic exams will be collected again. DISCUSSION This paper describes a five arm clinical trial assessing the examination of sleep quality and masticatory function in patients with CP under non-invasive therapies. TRIAL REGISTRATION The protocol for this study is registered with the Brazilian Registry of Clinical Trials - ReBEC RBR-994XFS.
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Affiliation(s)
- Lilian Chrystiane Giannasi
- Department of Biosciences and Oral Diagnosis, School of Dentistry, São Paulo State University, São José dos Campos, SP, Brazil
- Sleep Laboratory, Nove de Julho University, Sao Paulo, SP, Brazil
| | - Miriam Yumi Matsui
- Department of Biosciences and Oral Diagnosis, School of Dentistry, São Paulo State University, São José dos Campos, SP, Brazil
| | | | - Camila Teixeira Hardt
- Department of Biosciences and Oral Diagnosis, School of Dentistry, São Paulo State University, São José dos Campos, SP, Brazil
| | - Carla Paes Gomes
- Department of Biosciences and Oral Diagnosis, School of Dentistry, São Paulo State University, São José dos Campos, SP, Brazil
| | - José Benedito Oliveira Amorim
- Department of Biosciences and Oral Diagnosis, School of Dentistry, São Paulo State University, São José dos Campos, SP, Brazil
| | | | - Luanda Collange
- Sleep Laboratory, Nove de Julho University, Sao Paulo, SP, Brazil
| | | | | | | | | | - Mônica Fernandes Gomes
- Department of Biosciences and Oral Diagnosis, School of Dentistry, São Paulo State University, São José dos Campos, SP, Brazil
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