Factors that can influence the gingival health of children with cerebral palsy
DOI:
https://doi.org/10.5935/0104-7795.20140007Keywords:
Disabled Children, Cerebral Palsy, GingivitisAbstract
Studies have shown that the greater the severity of neurological damage in children with cerebral palsy (CP), the greater risk of oral disease. Objective: To evaluate the influence of some factors as intellectual disability, oral sensitivity, manual ability and clinical patterns of cerebral palsy (CP) onto gingival health of CP children. Method: One hundred and six children (10.7 ± 3.6) with CP participated of the study. Descriptive data and continuous use of drugs were collected from their medical records. Clinical assessments included the Simplified Oral Hygiene Index (SOHI), the Gingival Index (GI) and the biting reflex. Were also evaluate oral sensitivity, intellectual assessment by Raven test, and manual dexterity by Manual Ability Classification System Manual (MACS). It was used the chi-square, t Student, and logistic regression tests whit a significance level of 5%. Results: Group 1 (G1) consisted of 47 children without and group 2 (G2) by 59 children with gingivitis. Groups were similar regarding gender (p = 0566), but G2 were significantly older (p = 0.001), with quadriplegia (p = 0.016), who used drugs (p < 0.001) and biting reflex (p = 0.025). G2 children presented significantly higher values for SOHI (p < 0.001) and IG (p < 0.001). Significantly higher percentages of children in G2 presented percentiles below 10 (p = 0.036) for Raven test, with manual skill levels IV and V (p = 0.002) of MACS. The chance of a child present gingivitis grows 23.5% for each year of age, and up to 5 times for every 1 unit increase in SOHI. The use of medication increases the chance of children present gingivitis by about 4.5 times. Conclusion: Increasing age, accumulation of biofilm, and use of drugs increase the risk of gingivitis in children with CP.
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Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.
Kuban KC, Leviton A. Cerebral palsy. N Engl J Med. 1994;330(3):188-95.
Bax MC, Flodmark O, Tydeman C. Definition and classification of cerebral palsy. From syndrome toward disease. Dev Med Child Neurol Suppl. 2007;109:39-41. DOI: http://dx.doi.org/10.1111/j.1469-8749.2007.tb12627.x
Du RY, McGrath C, Yiu CK, King NM. Oral health in preschool children with cerebral palsy: a case-control community-based study. Int J Paediatr Dent. 2010;20(5):330-5. DOI: http://dx.doi.org/10.1111/j.1365-263X.2010.01062.x
Chu CH, Lo EC. Oral health status of Chinese teenagers with cerebral palsy. Community Dent Health. 2010;27(4):222-6.
Guare RO, Ciampioni AL. Prevalence of periodontal disease in the primary dentition of children with cerebral palsy. J Dent Child (Chic). 2004;71(1):27-32.
Rodrigues dos Santos MT, Masiero D, Novo NF, Simionato MR. Oral conditions in children with cerebral palsy. J Dent Child (Chic). 2003;70(1):40-6.
Santos MTR, Bianccardi M, Celiberti P, Guaré RO. Dental caries in cerebral palsied individuals and their caregivers' quality of life. Child Care Health Dev. 2009;35(4):475-81. DOI: http://dx.doi.org/10.1111/j.1365-2214.2009.00976.x
Santos MT, Guare RO, Celiberti P, Siqueira WL. Caries experience in individuals with cerebral palsy in relation to oromotor dysfunction and dietary consistency. Spec Care Dentist. 2009;29(5):198-203. DOI: http://dx.doi.org/10.1111/j.1754-4505.2009.00092.x
Santos MT, Biancardi M, Guare RO, Jardim JR. Caries prevalence in patients with cerebral palsy and the burden of caring for them. Spec Care Dentist. 2010;30(5):206-10. DOI: http://dx.doi.org/10.1111/j.1754-4505.2010.00151.x
Pal DK. Quality of life assessment in children: a review of conceptual and methodological issues in multidimensional health status measures. J Epidemiol Community Health. 1996;50(4):391-6. DOI: http://dx.doi.org/10.1136/jech.50.4.391
Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68:7-13.
Santos MT, Nogueira ML. Infantile reflexes and their effects on dental caries and oral hygiene in cerebral palsy individuals. J Oral Rehabil. 2005;32(12):880-5. DOI: http://dx.doi.org/10.1111/j.1365-2842.2005.01518.x
Loe H, Silness J. Periodontal disease in pregnancy. I. prevalence and severity. Acta Odontol Scand. 1963;21:533-51.
WHO. Oral Health Surveys. Basic Methods. Geneva: WHO; 1997.
Dunn W. Performance of typical children on the sensory profile: an item analysis. Am J Occup Ther. 1994;48(11):967-74. DOI: http://dx.doi.org/10.5014/ajot.48.11.967
Dunn W, Westman K. The sensory profile: the performance of a national sample of children without disabilities. Am J Occup Ther. 1997;51(1):25-34. DOI: http://dx.doi.org/10.5014/ajot.51.1.25
Angelini AL, Alves ICB, Custódio EM, Duarte WF, Duarte JLM. Matrizes progressivas coloridas de Raven: escala especial. São Paulo: CETEPP; 1999.
Eliasson AC, Krumlinde-Sundholm L, Rösblad B, Beckung E, Arner M, Ohrvall AM, et al. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48(7):549-54.
Gebran MP, Gebert APO. Controle químico e mecânico da placa bacteriana. Ciênc Cultura. 2002;26:45-58.
Guerreiro PO, Garcias GL. Oral health conditions diagnostic in cerebral palsy individuals of Pelotas, Rio Grande do Sul State, Brazil. Cien Saude Colet. 2009;14(5):1939-46.
Siqueira WL, Santos MT, Elangovan S, Simoes A, Nicolau J. The influence of valproic acid on salivary pH in children with cerebral palsy. Spec Care Dentist. 2007;27(2):64-6. DOI: http://dx.doi.org/10.1111/j.1754-4505.2007.tb00330.x
Altun C, Guven G, Akgun OM, Akkurt MD, Basak F, Akbulut E. Oral health status of disabled individuals attending special schools. Eur J Dent. 2010;4(4):361-6.
Ermer J, Dunn W. The sensory profile: a discriminant analysis of children with and without disabilities. Am J Occup Ther. 1998 Apr;52(4):283-90. DOI: http://dx.doi.org/10.5014/ajot.52.4.283
Moreira RN, Alcântara CE, Mota-Veloso I, Marinho SA, Ramos-Jorge ML, Oliveira-Ferreira F. Does intellectual disability affect the development of dental caries in patients with cerebral palsy? Res Dev Disabil. 2012;33(5):1503-7. DOI: http://dx.doi.org/10.1016/j.ridd.2012.03.026
Castilho AR, Mialhe FL, Barbosa Tde S, Puppin-Rontani RM. Influence of family environment on children's oral health: a systematic review. J Pediatr (Rio J). 2013;89(2):116-23. DOI: http://dx.doi.org/10.1016/j.jped.2013.03.014
Souza AMC. A criança especial: temas médicos, educativos e sociais. 2 ed. São Paulo: Roca; 2003.
Vilbor R, Vaz R. Correlação entre a função motora e cognitiva de pacientes com paralisia cerebral. Rev Neurociencia 2010;18:380-5.
Chagas PSC, Defilipo EC, Lemos RA, Mancini MC, Frônio JS, Carvalho RM. Classificação da função motora e do desempenho funcional de crianças com paralisia cerebral. Rev bras fisioter. 2008;12(5):409-416. DOI: http://dx.doi.org/10.1590/S1413-35552008000500011
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