Abstract
AIM: To evaluate the influence of the classification of cerebral palsy CP on the caries experience in children and adolescents, and determine the types of teeth most affected by dental caries. METHODS: A total of 181 individuals with CP, aged 8.30±4.10 years were examined for dental caries diagnosis in primary, mixed and permanent dentitions. The sample consisted of 96 quadriplegic individuals, 56 diplegic, 18 hemiplegic and 11 with choreoathetosis. The groups were compared using Kruskal-Wallis and Chi-square tests. Univariate logistic regression models were used to identify whether age was a predictor of caries risk α=5%. RESULTS: The sample was homogeneous as regards sex and age, among patients with quadriplegia, diplegia, hemiplegia and choreoathetosis. Out of the total sample, 51.4% of the individuals were caries free. The overall mean for the dmft and DMFT indices were 1.70±3.30 and 0.70±1.60, respectively. The mean caries experience in primary, mixed and permanent dentitions did not vary significantly according to the CP classification p>0.05. Child´s age was a predictor for dental caries experience p<0.05. CONCLUSIONS: The CP classification did not influence on caries experience, and the teeth most affected by dental caries were the primary and first permanent molars.
Highlights
IntroductionCerebral palsy (CP) describes a group of permanent disorders involving movement and posture development that cause activity limitations
Received for publication: January 21, 2015 Accepted: March 17, 2015Correspondence to: Michele Baffi DinizUniversidade Cruzeiro do Sul Setor de Pós GraduaçãoBraz J Oral Sci. 14(1):[46-51]Cerebral palsy (CP) describes a group of permanent disorders involving movement and posture development that cause activity limitations
The sample was homogeneous as regards dentition (p=0.6454), sex (p=0.6829) and age (0.1932) among the quadriplegia, diplegia, hemiplegia and choreoathetosis groups
Summary
Cerebral palsy (CP) describes a group of permanent disorders involving movement and posture development that cause activity limitations. These are attributed to nonprogressive disturbances occurring in the developing fetal or infant brain. CP motor disorders are often accompanied by epilepsy, secondary musculoskeletal problems and disturbances of sensation, perception, cognition, communication and behavior. This condition is the most common cause of severe physical disability in childhood[1,2]. Individuals with spastic cerebral palsy present increased tone, pathological reflexes and hyperreflexia or pyramidal signs, with clinical patterns of involvement including: quadriplegia, more severe motor involvement of all four limbs; diplegia, involvement of corresponding limbs, 47 Does the classification of cerebral palsy influence caries experience in children and adolescents?
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
