☆ 4.5 Article

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)

期刊

BMC ORAL HEALTH

卷 19, 期 -, 页码 -

出版社

BMC

DOI: 10.1186/s12903-018-0704-2

关键词

Dental caries; Cerebral palsy; Quality of life; Oral health; Children; Adolescents

类别

Dentistry, Oral Surgery & Medicine

资金

Research Foundation of Cerebral Palsy Alliance (Bangladesh CP Register: IT Set Up) [PG4314]
Child Sight Foundation (CSF), Bangladesh
NHMRC Health Early Career Fellowship [1054414]

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BackgroundChildren 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).MethodsA total of 90 children and adolescents with CP, 2-17years old (median age 10years; 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.ResultsDental 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).ConclusionIn 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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Oral hygiene and oral microbiota in children and young people with neurological impairment and oropharyngeal dysphagia

Luiz Fernando Fregatto, Isabela Bazzo Costa, Daniel De Bortoli Teixeira, Janaina Costa Marangon Duarte, Aline Maria Noli Mascarin, Salum Bueno da Silveira Junior, Bianca Eduarda Baptistella Mesquita Serva, Roberta Goncalves da Silva, Francisco Agostinho Junior, Paula Cristina Cola

Summary: This study found that children and young people with neurological impairment and oropharyngeal dysphagia who had gastrostomy had worse oral hygiene compared to those without gastrostomy, and both groups harbored Streptococcus mutans.

SCIENTIFIC REPORTS (2021)