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Rosas-Díaz J, Guerrero ME, Castillo-Andamayo D, Galindo-Gómez M, García-Luna M, Cervantes-Ganoza L, Cayo-Rojas C. Importance of local and systemic factors in preventing implant displacement in the mandibular body: a scoping review of existing literature. BMC Oral Health 2024; 24:871. [PMID: 39090743 PMCID: PMC11295648 DOI: 10.1186/s12903-024-04671-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2024] [Accepted: 07/25/2024] [Indexed: 08/04/2024] Open
Abstract
BACKGROUND The aim of this research was to analyse the current literature on displaced dental implants in the mandibular body, including local and systemic variables related to their cause, and to identify the most frequent location. METHODS The study conducted a search of three databases (Pubmed, Scopus, and Web of Science) using specific index terms such as 'dental implant', 'displacement', 'dislocation', 'displaced', and 'mandible'. The analysis focused on the direction of displacement and the characteristics of the bone tissue (bone quality, density, and quantity) in cases where dental implants were displaced. RESULTS A total of 371 articles were obtained. Thirteen of these articles were selected and read in full. To define bone quality, the Lekholm and Zarb classification, modified by Rosas et al., was used. The type II-B bone, which is characterized by thick cortical bone surrounding cancellous bone with extremely wide medullary spaces, presented the largest number of complications. Twenty-two cases were found in which the displacement direction was horizontal. Of these, four were displaced vestibularly, fourteen lingually, and four remained in the center. Additionally, 24 cases presented vertical displacement, with 12 displaced towards the inferior border of the mandible, 9 towards the middle or adjacent to the inferior dental nerve canal, and 3 above the inferior dental nerve canal. CONCLUSION The accidental displacement of implants within the mandibular body is associated with various risk factors, including the characteristics of the bony trabeculum and the size of the medullary spaces. It is reasonable to suggest that only an adequate pre-surgical diagnostic evaluation, with the help of high-resolution tomographic images that allow a previous evaluation of these structures, will help to have better control over the other factors, thus minimizing the risk of displacement.
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Affiliation(s)
- José Rosas-Díaz
- School of Stomatology, Universidad Privada San Juan Bautista, Jose Antonio Lavalle Avenue 302- 304 (Ex Hacienda Villa), Chorrillos, Lima, Peru.
- Faculty of Stomatology, Universidad Peruana Cayetano Heredia, Lima, Peru.
| | - Maria Eugenia Guerrero
- Medico Surgical Department, Faculty of Dentistry, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | | | - Maisely Galindo-Gómez
- School of Stomatology, Universidad Privada San Juan Bautista, Jose Antonio Lavalle Avenue 302- 304 (Ex Hacienda Villa), Chorrillos, Lima, Peru
| | - Marco García-Luna
- School of Stomatology, Universidad Privada San Juan Bautista, Jose Antonio Lavalle Avenue 302- 304 (Ex Hacienda Villa), Chorrillos, Lima, Peru
| | | | - César Cayo-Rojas
- School of Stomatology, Universidad Privada San Juan Bautista, Jose Antonio Lavalle Avenue 302- 304 (Ex Hacienda Villa), Chorrillos, Lima, Peru.
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Pradeep P, Thomas AR, Kaur K, Samson RS, Mayya A, Adiga S, Nagraj SK. Herbal medicines to prevent dental caries. Cochrane Database Syst Rev 2024; 2024:CD015832. [PMCID: PMC11091949 DOI: 10.1002/14651858.cd015832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/14/2024]
Abstract
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of herbs/herbal extracts to prevent or minimise tooth decay in children and adults.
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Zemene MA, Dessie AM, Anley DT, Ahunie MA, Gebeyehu NA, Adella GA, Kassie GA, Mengstie MA, Seid MA, Abebe EC, Gesese MM, Tesfa NA, Kebede YS, Moges N, Bantie B, Feleke SF, Dejenie TA, Bayih WA, Chanie ES. Dental caries and mean values of DMFT among children with cerebral palsy: a systematic review and meta-analysis. BMC Oral Health 2024; 24:241. [PMID: 38360629 PMCID: PMC10868010 DOI: 10.1186/s12903-024-03985-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 02/05/2024] [Indexed: 02/17/2024] Open
Abstract
INTRODUCTION One of the most prevalent causes of physical disability in children is cerebral palsy (CP), which is a series of complicated neurological disorders. Children with cerebral palsy suffer from multiple problems and potential disabilities, including dental caries. Hence, this study aimed to determine the pooled prevalence of dental caries and mean DMFT (Decayed, Missed, and Filled Permanent Teeth) among children with cerebral palsy in Africa and Asia. METHODS A comprehensive search of the literature was made to locate relevant studies in PubMed/Medline, HINARI, Web of Science, Science Direct, the Cochrane Library, the Worldwide Science Database, and Google Scholar. The data were extracted in Microsoft Excel and transferred to Stata version 17 software for further analysis. A random-effect model was employed to estimate the pooled prevalence of dental caries and the pooled mean value of DMFT among children with cerebral palsy in Africa and Asia. Heterogeneity between studies was checked using the Cochrane Q test and I2 test statistics. Sub-group analysis by continent was done, and sensitivity analysis was checked. A small study effect was checked using Egger's statistical test at the 5% level of significance. RESULTS In this study, 25 original studies conducted in 17 countries in Africa and Asia that fulfilled the eligibility criteria were included in the review. The overall pooled prevalence of dental caries in Africa and Asia among children with cerebral palsy was 55.6% (95% CI: 42.4, 68.8). The pooled prevalence of dental caries among children with cerebral palsy in Africa was 42.43% (95% CI: 30.39, 54.58), and it was slightly higher in Asia with 64% (95% CI: 48.32, 79.72). In the random effect model analysis, the pooled mean DMFT of dental caries in children with cerebral palsy was 2.25 (95% CI: 1.86, 2.64). The pooled mean DMFT in Africa was 1.47 (95% CI: 0.86, 2.09), and in Asia it was 3.01 (95% CI: 2.43, 3.60). CONCLUSION In this study, we found that children with cerebral palsy experienced an alarming rate of dental caries. In these settings, dental caries affected roughly more than half of the children with cerebral palsy. Hence, oral health promotion initiatives should target children with CP, and this group of children must receive early preventive dental care.
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Affiliation(s)
- Melkamu Aderajew Zemene
- Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
| | - Anteneh Mengist Dessie
- Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Denekew Tenaw Anley
- Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Mengesha Assefa Ahunie
- Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Natnael Atnafu Gebeyehu
- Department of Midwifery, College of Medicine and Health Science, Wolaita Sodo University, Wolaita Sodo, Ethiopia
| | - Getachew Asmare Adella
- Department of Reproductive Health and Nutrition, School of Public Health, Woliata Sodo University, Wolaita Sodo, Ethiopia
| | - Gizachew Ambaw Kassie
- Department of Epidemiology and Biostatistics, School of Public Health, Woliata Sodo University, Wolaita Sodo, Ethiopia
| | - Misganaw Asmamaw Mengstie
- Department of Biochemistry, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Mohammed Abdu Seid
- Unit of Physiology, Department of Biomedical Science, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Endeshaw Chekol Abebe
- Department of Biochemistry, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Molalegn Mesele Gesese
- Department of Midwifery, College of Medicine and Health Science, Wolaita Sodo University, Wolaita Sodo, Ethiopia
| | - Natnael Amare Tesfa
- School of Medicine, College of Health Science, Woldia University, Woldia, Ethiopia
| | - Yenealem Solomon Kebede
- Department of Medical Laboratory Science, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Natnael Moges
- Department of Pediatrics and Child Health Nursing, College of Health sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Berihun Bantie
- Department of Comprehensive Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Sefineh Fenta Feleke
- Department of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia
| | - Tadesse Asmamaw Dejenie
- Department of Medical Biochemistry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Wubet Alebachew Bayih
- Department of Maternal and neonatal Health Nursing, College of Health Sciences, Department of Epidemiology and preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Debre Tabor University, Monash University, Melbourne, VIC, Australia
| | - Ermias Sisay Chanie
- Department of Pediatrics and Child Health Nursing, College of Health sciences, Debre Tabor University, Debre Tabor, Ethiopia
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Constance D, Subbiah R, Sukumaran A, Madankumar PD. Barriers in maintaining oral health among the children with cerebral palsy - Parent/caregiver's perspective. J Indian Soc Pedod Prev Dent 2023; 41:234-238. [PMID: 37861638 DOI: 10.4103/jisppd.jisppd_360_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2023] Open
Abstract
Background Cerebral palsy (CP) is primarily a neuromotor disorder that affects the development of movement, muscle tone, and posture. Objective This qualitative study explores the underlying barriers in maintaining oral health from the perspective of the caregivers or parents. Materials and Methods Focus group discussion was conducted with the parents or caregivers in the National Institute for Empowerment of Persons with Multiple Disabilities (NIEPMD), Muttukadu, Chennai. Data were collected from seven participants. Thematic analysis identified key themes using NVivo software. Results The discussion on barriers to maintain oral health faced by parents of children with CP identified a collation of three key themes: behavioral challenges, inhibited social and communication skills, and parental dependence. Conclusion Oral health professionals should aim to raise awareness among health-care professionals to work toward reducing the barriers to oral health care that these populations currently experience.
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Affiliation(s)
- Diana Constance
- Department of Public Health Dentistry, Ragas Dental College and Hospital, Chennai, Tamil Nadu, India
| | - Rohini Subbiah
- Department of Public Health Dentistry, Ragas Dental College and Hospital, Chennai, Tamil Nadu, India
| | - Aparna Sukumaran
- Department of Public Health Dentistry, Ragas Dental College and Hospital, Chennai, Tamil Nadu, India
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Karaseridis K, Dermata A. Cerebral palsy: Oral manifestations and dental management. BALKAN JOURNAL OF DENTAL MEDICINE 2023. [DOI: 10.5937/bjdm2301001k] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2023] Open
Abstract
Cerebral palsy is a set of non-progressive neuromuscular disorders caused by defects in the developing fetal brain. Its prevalence is about 2:1000. Although CP does not directly result in any particular oral abnormalities, some conditions are more prevalent or severe in CP patients than in the general population. The purpose of a paediatric dentist is to promote overall oral health wellness and to motivate parents and other primary caregivers to practice good oral hygiene at home. The aim of this article is to provide a general overview of dental health issues that affect people with CP and to analyze key preventative and practical management techniques for this common comorbidity.
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Morozova NS, Kozlitina IA, Makarov VI, Loschenov VB, Grinin VM, Ivanov SY, Kashtanova MS. Optical spectral diagnostics of the oxygenation level in periodontal tissues and photodynamic therapy using methylene blue in children with cerebral palsy. Front Public Health 2023; 11:961066. [PMID: 36794072 PMCID: PMC9922788 DOI: 10.3389/fpubh.2023.961066] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 01/13/2023] [Indexed: 01/31/2023] Open
Abstract
Dental diseases occur in children with cerebral palsy three times higher than in healthy children. Low values of the unstimulated salivation rate (<0.3 ml per minute), pH and buffer capacity, changes in enzyme activity and sialic acid concentration, as well as increased saliva osmolarity and total protein concentration, which indicates impaired hydration, are the factors in the development of a gingiva disease in case of cerebral palsy. This leads to increased bacterial agglutination and the formation of acquired pellicle and biofilm, leading to the formation of dental plaque. There is a tendency toward an increase in the concentration of hemoglobin and a decrease in the degree of hemoglobin oxygenation, as well as an increase in the generation of reactive oxygen and nitrogen species. Photodynamic therapy (PDT) with the use of photosensitizer methylene blue improves blood circulation and the degree of oxygenation in periodontal tissues, as well as eliminates a bacterial biofilm. Analysis of back diffuse reflection spectra makes it possible to conduct non-invasive monitoring determine tissue areas with a low level of hemoglobin oxygenation for precision photodynamic exposure. Aim To improve the effectiveness of phototheranostics methods using, namely PDT with simultaneous optical-spectral control, for the treatment of gingivitis in children with complex dental and somatic status (cerebral palsy). Methods The study involved 15 children (6-18 y.o.) with various forms of cerebral palsy, in particular, spastic diplegia and atonic-astatic form and with gingivitis. The degree of hemoglobin oxygenation was measured in tissues before PDT and on the 12th day. PDT was performed using laser radiation (λ = 660 nm) with a power density of 150 mW/cm2 with a five-minute application of 0.01% MB. The total light dose was 45 ± 15 J/cm2. For statistical evaluation of the results, a paired Student's t-test was used. Results The paper presents the results of phototheranostics using methylene blue in children with cerebral palsy. An increase in the level of hemoglobin oxygenation from 50 to 67% (p < 0.001) and a decrease in blood volume in the microcirculatory bed of periodontal tissues were shown. Conclusion Photodynamic therapy methods with application of methylene blue make it possible to assess the state of the gingival mucosa tissue diseases objectively in real time, and to provide effective targeted therapy for gingivitis in children with cerebral palsy. There is a prospect that they can become widely used clinical methods.
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Affiliation(s)
- Natalia S Morozova
- Department of Pediatric Dentistry and Orthodontics, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Iuliia A Kozlitina
- Department of Pediatric Dentistry and Orthodontics, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Vladimir I Makarov
- Laser Biospectroscopy Laboratory, Prokhorov General Physics Institute of the Russian Academy of Sciences, Moscow, Russia.,Department of Laser Micro-, Nano- and Biotechnologies, Institute for Physics and Engineering in Biomedicine, National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), Moscow, Russia
| | - Victor B Loschenov
- Department of Laser Micro-, Nano- and Biotechnologies, Institute for Physics and Engineering in Biomedicine, National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), Moscow, Russia.,Laboratory of Laser Biospectroscopy, Prokhorov General Physics Institute of the Russian Academy of Sciences, Moscow, Russia
| | - Vasiliy M Grinin
- Department of Maxillofacial Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Sergey Yu Ivanov
- Department of Maxillofacial Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.,Department of Maxillofacial Surgery, The Peoples' Friendship University of Russia, Moscow, Russia
| | - Maria S Kashtanova
- Department of Pediatric Dentistry and Orthodontics, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
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de Gutierrez GM, Marin LM, Xiao Y, Escalante-Herrera A, Santos MTBR, Siqueira WL. Detection of periodontal disease activity based on histatin degradation in individuals with cerebral palsy. Heliyon 2022; 8:e10134. [PMID: 36046535 PMCID: PMC9421316 DOI: 10.1016/j.heliyon.2022.e10134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 06/27/2022] [Accepted: 07/27/2022] [Indexed: 11/13/2022] Open
Abstract
Objectives This proof-of-concept study aimed at evaluating the proteolytic profile of histatin 1 and 5 in saliva of adolescents with spastic cerebral palsy (CP) with gingivitis. Methods This cross-sectional study included 24 individuals allocated into three groups: G1 (CP with gingivitis; n = 8), G2 (without CP and without gingivitis; n = 8), and G3 (without CP and with gingivitis; n = 8). The gingival index (GI) and simplified oral hygiene index (OHI–S) were evaluated. Whole saliva was collected and used to assess the rate and mode of histatin 1 and 5 at different times. The degradation products were visualized after cationic PAGE and the protein band densities (BDs) were compared with a protein standard. Fragmentation products were collected from the gel, pooled by group and characterized by mass spectrometry. BDs and gingival health parameters were analyzed by One-Way ANOVA or Kruskal Wallis tests, whereas poisson multilevel regression was used to the factors that influenced histatin degradation (α = 5%). Results Groups G1 and G3 differed significantly on OHI–S, visible biofilm, oral calculus and GI (p < 0.001). Poisson Regression showed that: 1) CP and gingivitis influenced the degradation of histatin 1 and 5 (p < 0.05); 2) The degradation of histatin 5 was influenced by age and male sex (p < 0.05); and 3) GI influenced significantly the degradation of histatin 1 (p < 0.001). Unique histatin degradation peptides were identified in individuals with gingivitis. Conslusions These data demonstrated that both the kinetics and pattern of histatins degradation differ according to the gingival health or disease conditions.
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Affiliation(s)
- Gabriela M de Gutierrez
- College of Dentistry, University of Saskatchewan, 105 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada.,University of Cruzeiro do Sul, Rua Galvão Bueno, 868 - Liberdade, São Paulo, SP, 01506-000, Brazil
| | - Lina M Marin
- College of Dentistry, University of Saskatchewan, 105 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada
| | - Yizhi Xiao
- College of Dentistry, University of Saskatchewan, 105 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada
| | - Andrea Escalante-Herrera
- College of Dentistry, University of Saskatchewan, 105 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada
| | - Maria T B R Santos
- University of Cruzeiro do Sul, Rua Galvão Bueno, 868 - Liberdade, São Paulo, SP, 01506-000, Brazil
| | - Walter L Siqueira
- College of Dentistry, University of Saskatchewan, 105 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada
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Cui S, Akhter R, Yao D, Peng XY, Feghali MA, Chen W, Blackburn E, Martin EF, Khandaker G. Risk Factors for Dental Caries Experience in Children and Adolescents with Cerebral Palsy—A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19138024. [PMID: 35805684 PMCID: PMC9265822 DOI: 10.3390/ijerph19138024] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 06/19/2022] [Accepted: 06/22/2022] [Indexed: 11/16/2022]
Abstract
Cerebral palsy is a developmental motor disorder which has far-reaching impacts on oral health. This scoping review examined the extent of research undertaken regarding the risk factors affecting dental caries experience in children and adolescents with cerebral palsy. Data were obtained from the electronic databases Web of Science and PubMed, using 10 search strings, for studies published between 1983 and 2018. Eligible studies were required to have investigated caries in children under 18 with cerebral palsy, as well as be written in English. 30 papers published were identified for inclusion in the review. These included 23 cross-sectional, 6 case–control, and 1 longitudinal study. Studies were categorized into six domains of risk factors: socioeconomic status (SE); cerebral palsy subtype (CPS); demographics (D); condition of oral cavity (OC); dental habits (DH); nutrition and diet (ND). This review was conducted and reported in accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. The most significant risk factors were caregiver-related education levels, oral health literacy, and sugar intake; this underlines the important role of special education and dental awareness in reducing dental caries incidence in CP children. Other factors showed divergent findings, highlighting the need for standardization and culturally specific studies in future literature.
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Affiliation(s)
- Sarah Cui
- Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia; (S.C.); (D.Y.); (X.-Y.P.); (M.-A.F.); (W.C.); (E.B.); (E.F.M.)
| | - Rahena Akhter
- Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia; (S.C.); (D.Y.); (X.-Y.P.); (M.-A.F.); (W.C.); (E.B.); (E.F.M.)
- Correspondence: ; Tel.: +61-2889-04348
| | - Daniel Yao
- Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia; (S.C.); (D.Y.); (X.-Y.P.); (M.-A.F.); (W.C.); (E.B.); (E.F.M.)
| | - Xin-Yun Peng
- Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia; (S.C.); (D.Y.); (X.-Y.P.); (M.-A.F.); (W.C.); (E.B.); (E.F.M.)
| | - Mary-Anne Feghali
- Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia; (S.C.); (D.Y.); (X.-Y.P.); (M.-A.F.); (W.C.); (E.B.); (E.F.M.)
| | - Winnie Chen
- Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia; (S.C.); (D.Y.); (X.-Y.P.); (M.-A.F.); (W.C.); (E.B.); (E.F.M.)
| | - Emily Blackburn
- Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia; (S.C.); (D.Y.); (X.-Y.P.); (M.-A.F.); (W.C.); (E.B.); (E.F.M.)
| | - Elizabeth Fieldja Martin
- Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia; (S.C.); (D.Y.); (X.-Y.P.); (M.-A.F.); (W.C.); (E.B.); (E.F.M.)
| | - Gulam Khandaker
- Central Queensland Public Health Unit (Rockhampton), Rural and District Wide Service, Central Queensland Hospital and Health Service, Rockhampton, QLD 4700, Australia;
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Ajwa N, Alhuwayji ZAA, Masiri HM, Alhaddad NM, Allaf LT, AlMutairi AMR, Al-Lwemi N. Prevalence of Dental Defects Among Pediatric Patients with Cerebral Palsy: A Systematic Review. ANNALS OF DENTAL SPECIALTY 2022. [DOI: 10.51847/djodfvu3os] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Lansdown K, Irving M, Mathieu Coulton K, Smithers-Sheedy H. A scoping review of oral health outcomes for people with cerebral palsy. SPECIAL CARE IN DENTISTRY 2021; 42:232-243. [PMID: 34706111 DOI: 10.1111/scd.12671] [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: 09/11/2021] [Accepted: 10/10/2021] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Good oral health is important for good overall health. Studies have reported poorer oral health outcomes for people with cerebral palsy, but there has been no synthesis of the evidence surrounding this and, there are no clear oral health recommendations for people with cerebral palsy globally. This review synthesizes the existing knowledge base on oral health in people with cerebral palsy and provides recommendations for future research. METHODS A scoping review was conducted to assess the current literature. Databases were searched using relevant search terms. Study outcomes were synthesized according to their reported outcomes. RESULTS One hundred seventy three studies were included in this review. Children with cerebral palsy have an increased risk for dental caries and untreated caries. Higher saliva osmolality is a major contributor to increased dental caries. People with cerebral palsy are more likely to experience tooth wear and bruxism. Children and their care-givers have poor oral health related quality of life. There is a large unmet need for oral healthcare in this group. There is no suggested plan for the prevention of poor oral health for this group. A high number of studies included related to research is conducted in low- and middle-income countries, care should be taken in applying results outside this context. There is a lack of research conducted in people with cerebral palsy, 18 years and over. CONCLUSION There is a higher risk for poor oral health in people with cerebral palsy and there is a large unmet need to dental care in this group. This study highlights the need for further research to focus on adults with cerebral palsy and an of understanding the oral health care outcomes in the context of settings. The authors recommend the inclusion of classification systems and the integration of disability inclusive language in future studies.
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Affiliation(s)
- Karen Lansdown
- School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Michelle Irving
- School of Public Health, Faculty of Medicine and Health, Menzies Centre for Health Policy, University of Sydney, Camperdown, Australia
| | - Kimberly Mathieu Coulton
- School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Hayley Smithers-Sheedy
- Cerebral Palsy Alliance Research Institute, Sydney Medical School, The University of Sydney, Sydney, Australia
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Sabharwal A, Stellrecht E, Scannapieco FA. Associations between dental caries and systemic diseases: a scoping review. BMC Oral Health 2021; 21:472. [PMID: 34563194 PMCID: PMC8466895 DOI: 10.1186/s12903-021-01803-w] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Accepted: 09/01/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The objective of this study was to evaluate and present evidence from animal and human clinical studies on associations between dental caries and systemic diseases, and to suggest potential mechanisms that might explain such associations. METHODS An electronic search was conducted of PubMed, Embase and Cochrane Central Register of Controlled Trials for articles published from 2010 to 2020 in the English language. From the initial search, 404 full-text studies were assessed for eligibility. After excluding studies for technical and study limitations, a total of 67 studies were included in the summary tables and additional studies were included in the review to support evidence. RESULTS Few systemic disease and conditions were found to be clinically meaningfully associated with caries experience. Best evidence from human and animal studies described association between metabolic diseases and dental caries. Several interesting animal studies were noted that could generate clinical hypotheses and further investigations in rodent models for cardiovascular injury and hyperglycemia. Inadequate data was found to suggest any modifications to current clinical practice or prevention guidelines. CONCLUSIONS Limited clinical evidence was found connecting several systemic diseases and dental caries. Inadequate data was found to suggest any modifications to current clinical practice or prevention guidelines. CLINICAL SIGNIFICANCE Understanding of associations between dental caries and systemic diseases play a crucial role in the treatment planning and education of the dental patient.
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Affiliation(s)
- Amarpreet Sabharwal
- Division of Periodontics, Schulich School of Medicine and Dentistry, DSB 0156A, Western University, 1151 Richmond St., London, ON N6A 5C1 Canada
- Department of Periodontics and Endodontics, School of Dental Medicine, University at Buffalo, 3435 Main St., Buffalo, NY 14214 USA
| | - Elizabeth Stellrecht
- Health Sciences Library University at Buffalo, 3435 Main St., Buffalo, NY 14214 USA
| | - Frank A. Scannapieco
- Department of Oral Biology, School of Dental Medicine, University at Buffalo, 3435 Main St, Buffalo, NY 14214 USA
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Ribeiro-Lages MB, Jural LA, Magno MB, Vicente-Gomila J, Ferreira DM, Fonseca-Gonçalves A, Maia LC. A world panorama of bruxism in children and adolescents with emphasis on associated sleep features: A bibliometric analysis. J Oral Rehabil 2021; 48:1271-1282. [PMID: 34431126 DOI: 10.1111/joor.13249] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 06/02/2021] [Accepted: 08/12/2021] [Indexed: 12/11/2022]
Abstract
BACKGROUND AND OBJECTIVES To present a world panorama of the published papers on bruxism in children and adolescents, emphasising the characteristics of studies related to the sleep features of these patients. METHODS Literature searches were conducted in six databases without language or date restrictions. Data on the titles, types of study, main subjects, countries of origin, keywords, years of publication, authors and their network collaborations, journals and sleep studies were extracted and analysed using VantagePoint™ software. RESULTS A total of 725 studies met the eligibility criteria. Most included only children (75.31%), with observational design (66.34%), and risk or aetiology (53.93%) as the main subject. Brazil (18.06%) and Brazilian authors (54.84%) had the largest number of studies, with a low amount of network collaboration. The Journal of Oral Rehabilitation published most of the studies (6.2%); publications in this field have grown considerably from 2000 to 2020. Of the studies, 123 (16.96%) included sleep studies; night sweating, restless sleep, sleep talking, mouth breathing, snoring, obstructive sleep apnoea syndrome, sleep-disordered breathing, nightmares, poor sleep quality and duration, and daytime naps were significantly associated with bruxism in most. CONCLUSION Studies on bruxism in children and adolescents have increased in the past 20 years, with most being observational, and risk or aetiology as the main subject. Brazil and the Journal of Oral Rehabilitation have published most in the field. Sleep studies have shown some features associated with bruxism, such as night sweating, restless sleep, somniloquy, snoring, breathing problems, nightmares, daytime naps, and poor sleep quality and duration.
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Affiliation(s)
- Mariana Batista Ribeiro-Lages
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Lucas Alves Jural
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Marcela Baraúna Magno
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - José Vicente-Gomila
- Department of Engineering Projects, Universitat Politècnica de València, València, Spain
| | - Daniele Masterson Ferreira
- Central Library of the Health Science Center, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Andréa Fonseca-Gonçalves
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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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. SPECIAL CARE IN DENTISTRY 2021; 41:340-348. [PMID: 33512001 DOI: 10.1111/scd.12568] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 01/01/2021] [Accepted: 01/05/2021] [Indexed: 11/29/2022]
Abstract
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.
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Affiliation(s)
- K S Sruthi
- Department of Public Health Dentistry, Government Dental College and Research Institute, Bangalore, India
| | - R Yashoda
- Department of Public Health Dentistry, Government Dental College and Research Institute, Bangalore, India
| | - Manjunath P Puranik
- Department of Public Health Dentistry, Government Dental College and Research Institute, Bangalore, India
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14
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Rabello F, Prado HV, Angelo GL, Martins MB, Carneiro NCR, Borges-Oliveira AC. Mothers of a Child with Cerebral Palsy: Perception on the Diagnosis Moment and the Child’s General and Oral Health. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.144] [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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15
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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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16
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Hada M, Azuma T, Irie K, Yonenaga T, Watanabe K, Deguchi F, Obora A, Kojima T, Tomofuji T. Periodontal Condition Is Correlated with Deep and Subcortical White Matter Hyperintensity Lesions in Japanese Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17051694. [PMID: 32150917 PMCID: PMC7084602 DOI: 10.3390/ijerph17051694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 03/02/2020] [Accepted: 03/03/2020] [Indexed: 11/16/2022]
Abstract
Deep and subcortical white matter hyperintensity (DSWMH) lesions are a small-vessel disease of the brain. The aim of this cross-sectional study was to investigate the relationship between DSWMH lesions and periodontal status in Japanese adults who participated in a health check. We enrolled 444 consecutive participants (mean age, 54.5 years) who received both brain and oral health evaluation services at the Asahi University Hospital. Magnetic resonance imaging was used to detect DSWMH lesions. Periodontal status was assessed using the community periodontal index. Of the study participants, 215 (48.4%) had DSWMH lesions. Multivariate logistic regression showed that the presence of DSWMH lesions was significantly related to age ≥ 65 years (vs. < 65 years, odds ratio [OR] = 2.984, 95% confidence interval [CI] = 1.696-5.232), systolic blood pressure ≥ 140 mmHg (vs. < 140 mmHg, OR = 2.579, 95% CI = 1.252-5.314), the presence of ≥ 28 teeth (vs. < 28 teeth, OR = 0.635, 95% CI = 0.420-0.961), and probing pocket depth (PPD) ≥ 6 mm (vs. PPD < 6 mm, OR = 1.948, 95% CI = 1.132-3.354) after adjustment for confounding factors. Having PPD ≥ 6 mm may be a risk factor for DSWMH lesions in Japanese adults.
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Affiliation(s)
- Minako Hada
- Department of Community Oral Health, School of Dentistry, Asahi University, Mizuho, Gifu 501-0296, Japan; (M.H.); (T.A.); (T.Y.)
| | - Tetsuji Azuma
- Department of Community Oral Health, School of Dentistry, Asahi University, Mizuho, Gifu 501-0296, Japan; (M.H.); (T.A.); (T.Y.)
| | - Koichiro Irie
- Department of Oral Health and Preventive Dentistry, Meikai University School of Dentistry, Sakado, Saitama 350-0283, Japan;
| | - Takatoshi Yonenaga
- Department of Community Oral Health, School of Dentistry, Asahi University, Mizuho, Gifu 501-0296, Japan; (M.H.); (T.A.); (T.Y.)
| | - Kazutoshi Watanabe
- Asahi University Hospital, 3- 23 Hashimoto-cho, Gifu, Gifu 500-8523, Japan; (K.W.); (F.D.); (A.O.); (T.K.)
| | - Fumiko Deguchi
- Asahi University Hospital, 3- 23 Hashimoto-cho, Gifu, Gifu 500-8523, Japan; (K.W.); (F.D.); (A.O.); (T.K.)
| | - Akihiro Obora
- Asahi University Hospital, 3- 23 Hashimoto-cho, Gifu, Gifu 500-8523, Japan; (K.W.); (F.D.); (A.O.); (T.K.)
| | - Takao Kojima
- Asahi University Hospital, 3- 23 Hashimoto-cho, Gifu, Gifu 500-8523, Japan; (K.W.); (F.D.); (A.O.); (T.K.)
| | - Takaaki Tomofuji
- Department of Community Oral Health, School of Dentistry, Asahi University, Mizuho, Gifu 501-0296, Japan; (M.H.); (T.A.); (T.Y.)
- Correspondence: ; Tel.: +81-58-329-1496
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17
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Basha S, Enan ET, Mohamed RN, Ashour AA, Alzahrani FS, Almutairi NE. Association between soft drink consumption, gastric reflux, dental erosion, and obesity among special care children. SPECIAL CARE IN DENTISTRY 2019; 40:97-105. [PMID: 31820473 DOI: 10.1111/scd.12443] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Revised: 11/24/2019] [Accepted: 11/25/2019] [Indexed: 02/07/2023]
Abstract
OBJECTIVES This study assessed the association between soft drink consumption, gastric reflux, dental erosion, and obesity among special care children. MATERIALS AND METHODS A total of 350 special care children (male-131, female-219) mean age of 12.6 (± 2.6) years were included. Detection of dental erosion was performed according to the World Health Organization criteria. The medical evaluation assessed body mass index (BMI). With appropriate sample weighting, relationships between dental erosion prevalence and obesity were assessed using multivariable logistic regression. RESULTS Overall prevalence of dental erosion was 36%. Mean BMI for entire study population was 24.7 (± 7.8). Regression analysis showed strong association between dental erosion prevalence and consumption of soft drinks (adjusted odds ratio = 1.8; 95% CI = 0.71-2.92, P < .05), bulimia (adjusted odds ratio = 2.27; 95% CI = 0.99-4.28, P < .001), and gastric reflux (adjusted odds ratio = 2.24; 95% CI = 0.82-4.1, P < .001). Bivariate analysis showed high prevalence of dental erosion among obese children compared to children with normal weight (P = .04). CONCLUSION The present study demonstrated a significant association between dental erosion prevalence and consumption of soft drinks and gastric reflux among special care children.
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Affiliation(s)
- Sakeenabi Basha
- Department of Community Dentistry, Faculty of Dentistry, Taif University, Taif, Saudi Arabia
| | - Enas Tawfik Enan
- Department of Dental Biomaterials, Faculty of Dentistry, Taif University, Taif, KSA
| | | | - Amal Adnan Ashour
- Department of Oral Pathology, Faculty of Dentistry, Taif University, Taif, Saudi Arabia
| | | | - Nada Eid Almutairi
- Department of Community Dentistry, Faculty of Dentistry, Taif University, Taif, Saudi Arabia
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18
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Ahmad R, Rahman NA, Hasan R, Yaacob NS, Ali SH. Oral health and nutritional status of children with cerebral palsy in northeastern peninsular Malaysia. SPECIAL CARE IN DENTISTRY 2019; 40:62-70. [PMID: 31774579 DOI: 10.1111/scd.12436] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 10/27/2019] [Accepted: 11/10/2019] [Indexed: 11/29/2022]
Abstract
AIMS To investigate the oral health and nutritional status of children with cerebral palsy (CP). METHODS AND RESULTS Oral health assessment included dental caries and dental plaque maturity scores (DPMS) while the nutritional assessment included children's height-for-age Z-score (HAZ), body mass index-for-age Z-score (BAZ), mid-upper-arm circumference (MUAC), nutrient intake, cariogenic food frequency (CFF) and daily sugar exposure (DSE). Ninety-three CP children were recruited. The prevalence of caries was 81.7% (95% CI: 72.7%-88.3%). The median (IQR) of the DMFT and dft scores were 0.5(4.0) and 3.0(8.0), respectively. Most of the participants had acid-producing plaque (90.3%), severely stunted (81.4%), and 45% were severely thin with acute malnutrition. Intakes of calcium, iron, zinc, vitamin A, vitamin D and total fat were below 77% of the Recommended Nutrient Intakes for Malaysian children (RNI 2017). Nine types of cariogenic foods/drinks were consumed moderately, and DSE indicated that 45% of the children were at moderate risk of dental caries. CONCLUSION Untreated dental caries, severe stunting and thinness were prevalent, and cariogenic foods/drinks were consumed moderately suggesting a moderate risk of caries. Therefore, controlling cariogenic food intake is crucial, but monitoring daily nutrient intake is needed for the optimum growth of children with CP.
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Affiliation(s)
- Rathmawati Ahmad
- Dental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.,Cerebral Palsy Research Cluster, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Normastura Abd Rahman
- Dental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.,Cerebral Palsy Research Cluster, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Ruhaya Hasan
- Dental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.,Cerebral Palsy Research Cluster, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Nik Soriani Yaacob
- Cerebral Palsy Research Cluster, Universiti Sains Malaysia, Kelantan, Malaysia.,School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Siti Hawa Ali
- Cerebral Palsy Research Cluster, Universiti Sains Malaysia, Kelantan, Malaysia.,School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
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Cardona‐Soria S, Cahuana‐Cárdenas A, Rivera‐Baró A, Miranda‐Rius J, Martín de Carpi J, Brunet‐Llobet L. Oral health status in pediatric patients with cerebral palsy fed by oral versus enteral route. SPECIAL CARE IN DENTISTRY 2019; 40:35-40. [DOI: 10.1111/scd.12429] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 10/17/2019] [Accepted: 10/19/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Sandra Cardona‐Soria
- Department of Pediatric DentistryHospital Sant Joan de DéuUniversity of Barcelona Barcelona Spain
| | - Abel Cahuana‐Cárdenas
- Department of Pediatric DentistryHospital Sant Joan de DéuUniversity of Barcelona Barcelona Spain
| | - Alejandro Rivera‐Baró
- Department of Pediatric DentistryHospital Sant Joan de DéuUniversity of Barcelona Barcelona Spain
- Hospital DentistryClinical Orthodontics and Periodontal Medicine Research Group (HDECORPEMrg)Institut de Recerca Sant Joan de Déu (IRSJD) Barcelona Spain
| | - Jaume Miranda‐Rius
- Department of Pediatric DentistryHospital Sant Joan de DéuUniversity of Barcelona Barcelona Spain
- Hospital DentistryClinical Orthodontics and Periodontal Medicine Research Group (HDECORPEMrg)Institut de Recerca Sant Joan de Déu (IRSJD) Barcelona Spain
- Department of OdontostomatologyFaculty of Medicine and Health SciencesUniversity of Barcelona Barcelona Spain
| | - Javier Martín de Carpi
- Comprehensive Care Unit of Pediatric Inflammatory Bowel DiseaseSection of Pediatric Gastroenterology and NutritionHospital Sant Joan de Déu Barcelona Spain
| | - Lluís Brunet‐Llobet
- Department of Pediatric DentistryHospital Sant Joan de DéuUniversity of Barcelona Barcelona Spain
- Hospital DentistryClinical Orthodontics and Periodontal Medicine Research Group (HDECORPEMrg)Institut de Recerca Sant Joan de Déu (IRSJD) Barcelona Spain
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20
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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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21
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Tadakamadla SK, Tadakamadla J, Kroon J, Lalloo R, Johnson NW. Effect of family characteristics on periodontal diseases in children and adolescents-A systematic review. Int J Dent Hyg 2019; 18:3-16. [PMID: 30941877 DOI: 10.1111/idh.12398] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 02/20/2019] [Accepted: 03/29/2019] [Indexed: 11/27/2022]
Abstract
AIM To synthesize the literature on the influence of family/parents characteristics on periodontal diseases in children and adolescents. METHODS An electronic search for relevant literature published between 2007 and 2017 was undertaken in PubMed, Embase, Cinahl and Cochrane databases; the search was updated in April 2018. Two reviewers independently reviewed the abstracts of these; of which, 43 articles were reviewed in full. RESULTS Of the 746 retrieved titles, 649 remained after removing duplicates. Thirty articles met the inclusion criteria, and 13 were excluded. Also, two were included from the updated search. Data from the reviewed articles indicate that all three indicators of parent's socioeconomic status (income, education and occupation) are significantly associated with periodontal diseases in children. Better periodontal status was observed in children of parents with higher SES than those whose parents were of lower SES. Although the association between parent's smoking practices, level of periodontal diseases and children's periodontal status was explored only in few studies, findings indicate that children exposed to passive smoking and having parents with periodontal diseases are more likely to present with periodontal diseases as well. CONCLUSIONS Most of the studies considered socioeconomic factors and had not attempted to explore the impact of parental psychosocial variables on periodontal diseases in children. The literature indicates that these variables significantly influence health practices, including oral hygiene practices, which could ultimately affect periodontal health. More studies are required to explore the association of these variables with periodontal outcomes in children.
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Affiliation(s)
- Santosh K Tadakamadla
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia
| | - Jyothi Tadakamadla
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia
| | - Jeroen Kroon
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia
| | - Ratilal Lalloo
- School of Dentistry, The University of Queensland, Herston, Queensland, Australia
| | - Newell W Johnson
- Menzies Health Institute Queensland & School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia.,Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK
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22
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Akhter R, Hassan NMM, Martin EF, Muhit M, Smithers-Sheedy H, Badawi N, Khandaker G. Caries experience and oral health-related quality of life (OHRQoL) of children and adolescents with cerebral palsy in a low-resource setting. BMC Oral Health 2019; 19:15. [PMID: 30646890 PMCID: PMC6332610 DOI: 10.1186/s12903-018-0704-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Accepted: 12/26/2018] [Indexed: 11/17/2022] Open
Abstract
Background Children with complex neurodevelopmental disabilities such as cerebral palsy (CP), have a higher risk of dental disease related at least in part to greater difficulties in performing and maintaining effective oral hygiene and oral care practices. However, to date, there are very few studies that have considered the impact of dental disease on the Oral Health-Related Quality of Life (OHRQoL) of children and adolescents with cerebral palsy. This study aimed to investigate the association between dental caries experience and oral health related quality of life (OHRQoL) among children and adolescents with cerebral palsy in a low-resource setting (Bangladesh). Methods A total of 90 children and adolescents with CP, 2–17 years old (median age 10 years; 37.8% female and 62.2% male) were randomly selected from the Bangladesh Cerebral Palsy Register (BCPR) The decayed, missing and filled teeth (dmft/DMFT) index was used to measure caries experience. Child Perceptions Questionnaire (CPQ) and Family Impact Scale (FIS) were used to assess oral health–related quality of life (OHRQoL). Binary logistic regression was used to investigate factors that may contribute to dental caries experience. Results Dental caries were observed among 55.6% of the participants. After adjusting for age and gender, binary logistic regression analysis showed that dental caries experience was significantly associated with those who had teeth/mouth pain (rate ratio 7.3; P = 0.02), food caught between teeth (rate ratio: 6.4; P = 0.02), difficulty in eating and drinking (rate ratio 5.9; p = 0.02) and those who felt frequently upset (rate ratio: 54.7; P = 0.02). Conclusion In this study, we found that children and adolescents with CP in a low-resource setting had high dental caries experience and that dental caries had a negative impact on OHRQoL amongst these participants and their parents/caregivers. Health care professionals should be aware of the importance of dental health and oral hygiene in this population. These findings highlight the need for oral health promotion programs for children and adolescents with CP in these settings to reduce pain and to improve quality of life.
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Affiliation(s)
- Rahena Akhter
- School of Dentistry, Faculty of Medicine and Health, The University of Sydney, C24 Westmead Hospital, Level 1 WCOH, Westmead, NSW, 2145, Australia.
| | | | - Elizabeth F Martin
- School of Dentistry, Faculty of Medicine and Health, The University of Sydney, C24 Westmead Hospital, Level 1 WCOH, Westmead, NSW, 2145, Australia
| | - Mohammad Muhit
- CSF Global, Dhaka, Bangladesh.,Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh
| | - Hayley Smithers-Sheedy
- Cerebral Palsy Alliance Research Institute, The University of Sydney, Allambie Heights, NSW, Australia.,The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW, Australia
| | - Nadia Badawi
- Cerebral Palsy Alliance Research Institute, The University of Sydney, Allambie Heights, NSW, Australia.,The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW, Australia
| | - Gulam Khandaker
- CSF Global, Dhaka, Bangladesh.,Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh.,The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW, Australia.,Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia
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23
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Mazecaite-Vaitilaviciene L, Owens J. Children with Disabilities at Risk of Poor Oral Health in the Republic of Lithuania: A Retrospective Descriptive Service Evaluation. WORLD MEDICAL & HEALTH POLICY 2018. [DOI: 10.1002/wmh3.275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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24
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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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Cancio V, Faker K, Bendo CB, Paiva SM, Tostes MA. Individuals with special needs and their families’ oral health-related quality of life. Braz Oral Res 2018; 32:e39. [DOI: 10.1590/1807-3107bor-2018.vol32.0039] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 04/04/2018] [Indexed: 11/21/2022] Open
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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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Al Hashmi H, Kowash M, Hassan A, Al Halabi M. Oral Health Status among Children with Cerebral Palsy in Dubai, United Arab Emirates. J Int Soc Prev Community Dent 2017; 7:S149-S154. [PMID: 29285470 PMCID: PMC5730977 DOI: 10.4103/jispcd.jispcd_295_17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2017] [Accepted: 10/30/2017] [Indexed: 11/04/2022] Open
Abstract
Objectives: The purpose of this study was to assess the oral health status of children with cerebral palsy (CP) in Dubai, United Arab Emirates (UAE). Materials and Methods: Eighty-four CP and 125 healthy children were recruited from special needs centers and private/public schools in Dubai. A dental examination for decayed-missing-filled teeth in primary dentition (dmft)/Decayed-Missing-Filled teeth in permanent dentition (DMFT) indices, simplified oral hygiene index, calculus index (CI), and oral debris index was conducted. In addition, assessments of occlusal, dentofacial, soft tissue anomalies and erosion were conducted. Statistical analysis was conducted using SPSS for Windows, version 20.0 (SPSS Inc., Chicago, IL, USA). Results: DMFT/dmft scores were comparable in both groups. CI was significantly higher among children with CP. CP patients had a significantly higher proportion of anterior open bite, anterior spacing, Class II molar Angle malocclusion, trauma, high-arched palate, tongue thrust, lymphadenopathy, angular cheilitis, macroglossia, drooling, and erosion as compared to controls. Conclusions: The study highlighted peculiar characteristics and needs for the CP patients in Dubai, UAE.
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Affiliation(s)
- Haifa Al Hashmi
- Specialist, Registrar in Pediatric Dentistry, Dubai Health Authority, Dubai, UAE
| | - Mawlood Kowash
- Department of Pediatric Dentistry, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE.,Biostatistics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE
| | - Amar Hassan
- Biostatistics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE
| | - Manal Al Halabi
- Department of Pediatric Dentistry, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE
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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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Abstract
Cerebral palsy (CP) is a common chronic motor disorder with associated cognitive, communicative, and seizure disorders. Children with CP have a higher risk of dental problems creating significant morbidity that can further affect their wellbeing and negatively impact their quality of life. Screening for dental disease should be part of the initial assessment of any child with CP. The objective of this article is to present an updated overview of dental health issues in children with CP and outline important preventative and practical strategies to the management of this common comorbidity. Providing adequate oral care requires adaptation of special dental skills to help families manage the ongoing health issues that may arise. As oral health is increasingly recognized as a foundation for general wellbeing, caregivers for CP patients should be considered an important component of the oral health team and must become knowledgeable and competent in home oral health practices.
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Affiliation(s)
- Basil M Jan
- Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
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Oral health care offered to people with disabilities in the primary health care network: what do dentists say? J Public Health (Oxf) 2016. [DOI: 10.1007/s10389-016-0757-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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