Journal of South Asian Association of Pediatric Dentistry

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VOLUME 2 , ISSUE 2 ( July-December, 2019 ) > List of Articles

Original Article

Oral Health Status of Children with Cerebral Palsy and its Relationship with Caregivers’ Knowledge Related to Oral Health

Thulara R Daraniyagala, Chandra K Herath, Manjula S Gunasinghe, Nandana Ranasinghe, Methsiri B Herath, Primali R Jayasooriya

Keywords : Cerebral palsy, Dental caries, Gingivitis, Knowledge,Caregiver

Citation Information : Daraniyagala TR, Herath CK, Gunasinghe MS, Ranasinghe N, Herath MB, Jayasooriya PR. Oral Health Status of Children with Cerebral Palsy and its Relationship with Caregivers’ Knowledge Related to Oral Health. J South Asian Assoc Pediatr Dent 2019; 2 (2):37-42.

DOI: 10.5005/jp-journals-10077-3031

License: CC BY-NC 4.0

Published Online: 00-12-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective: To assess the caries experience and periodontal status of a group of Sri Lankan children with cerebral palsy (CP) and to correlate it with caregivers’ knowledge on oral hygiene/diseases. Materials and methods: Ninety-three children with CP aged between 3 years and 18 years were included in the study. An oral examination was carried out to assess the dental caries and periodontal status by calibrated, trained dental surgeons. An interviewer-administered questionnaire comprising 10 questions was used to assess the oral health-related knowledge of caregivers. The results were analyzed statistically using Chi-square test (p < 0.05). Results: The prevalence of caries in permanent and primary dentition was 10.75% and 55.91%, respectively, while 100% showed gingivitis in varying severities. Dental history revealed that only 6% of the children brushed their teeth alone. When the knowledge was tested, majority of caregivers (93.5%) knew that children should visit a dentist even without any complaint at least once in every 6 months; in contrast, 62% had never visited a dentist. Caregivers’ level of knowledge is significantly correlated with poor oral health, as children with high level of caries in permanent dentition (p = 0.025) and severe gingivitis (p = 0.013) were most often accompanied by individuals with poor/moderate oral health-related knowledge. Conclusion: Although majority of caregivers have moderate level of knowledge related to oral health, it does not invariably mean that they apply this knowledge to maintain good oral health in children. As gingivitis was observed in all patients, caregivers require instructions on how to perform good plaque control to maintain good periodontal health and reduce caries. Therefore, more educational programs are required to motivate caregivers to effectively practice oral health-related habits.


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  1. Sehrawat N, Marwaha M, Bansal K, et al. Cerebral palsy: a dental update. Int J Clin Pediatr Dent 2014;7(2):109. DOI: 10.5005/jp-journals-10005-1247.
  2. Stavsky M, Mor O, Mastrolia SA, et al. Cerebral palsy—trends in epidemiology and recent development in Prenatal mechanisms of disease, treatment, and prevention. Front Pediatr 2017;5:21.
  3. Glick M, Williams DM, Kleinman DV, et al. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. J Public Health Dent 2017;77:3–5. DOI: 10.1111/jphd.12213.
  4. Nouri S, Alaki. S, Ashiry. E. Oral health in children with cerebral palsy. Oral Health Dent Manag 2014;13:4.
  5. National Oral Health Survey Sri Lanka 2015-2016. Colombo: Ministry of Health, Nutrition and Indigenous Medicine (Sri Lanka); 2018.
  6. Abanto J, Carvalho TS, Bönecker M, et al. Parental reports of the oral health-related quality of life of children with cerebral palsy. BMC Oral Health 2012;12:15. DOI: 10.1186/1472-6831-12-15.
  7. Hearth CK, Perera IR, Jayasooriya PR. The socio-demographic profile of children affected by amelogenesis imperfecta and its impact on families: a pilot study based on children attending a pedodontic clinic in Sri Lanka. J South Asian Assoc Ped Dent 2018; 1. DOI: 10.5005/jp-journals-10077-3004.
  8. Dholam KP, Gurav S, Dugad J, et al. Correlation of oral health of children with acute leukemia during the induction phase. Indian J Med Paediatr Oncol 2014;35(1):36–39. DOI: 10.4103/0971-5851.133717.
  9. Jarvis S, Glinianaia SV, Arnaud C, et al. Case gender and severity in cerebral palsy varies with intrauterine growth. Arch Dis Child 2005;90(5):474–479. DOI: 10.1136/adc.2004.052670.
  10. Brehaut JC, Kohen DE, Raina P, et al. The health of primary caregivers of children with cerebral palsy: how does it compare with that of other Canadian caregivers? Pediatrics 2004;114(2):182–191. DOI: 10.1542/peds.114.2.e182.
  11. Dougherty NJ. A review of cerebral palsy for the oral health professional. Dent Clin North Am 2009;53(2):329–338. DOI: 10.1016/j.cden.2008.12.001.
  12. Santos MTBR, Guare RO, Celiberti P, et al. Caries experience in individuals with cerebral palsy in relation to oromotor dysfunction and dietary consistency. Spec Care Dentist 2009;29(5):198–203. DOI: 10.1111/j.1754-4505.2009.00092.x.
  13. De Carvalho RB, Mendes RF, Prado RR. Jr, et al. Oral health and oral motor function in children with cerebral palsy. Spec Care Dent 2011;31(2):58–62. DOI: 10.1111/j.1754-4505.2011.00180.x.
  14. Diéguez-Pérez M, de Nova-García MJ, Mourelle-Martínez MR, et al. Oral health in children with physical (cerebral palsy) and intellectual (Down syndrome) disabilities: systematic review I. J Clin Exp Dent 2016;8(3):e337–e343.
  15. Huang ST, Hurng SJ, Liu HY, et al. The oral health status and treatment needs of institutionalized children with cerebral palsy in Taiwan. J Dent Sci 2010;5(2):75–89. DOI: 10.1016/S1991-7902(10)60012-8.
  16. Cardoso AM, Gomes LN, Silva CRD, et al. Dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy. Int J Environ Res Public Health 2014;12(1):335–353. DOI: 10.3390/ijerph120100335.
  17. Oredugba FA. Comparative oral health of children and adolescents with cerebral palsy and controls. J Disab Oral Health 2011;12:68.
  18. Riberto M, Miyazaki MH, Jucá SS, et al. Validação da versãobrasileira da Medida de Independência Funcional. Acta fisiátrica 2004;11(2):72–76.
  19. Guare RDO, Ciampioni AL. Prevalence of periodontal disease in the primary dentition of children with cerebral palsy. J Dent Child 2004;71(1):27–32.
  20. Du RY, McGrath C, Yiu CK, et al. Health-and oral health-related quality of life among preschool children with cerebral palsy. Qual Life Res 2010;19(9):1367–1371. DOI: 10.1007/s11136-010-9693-6.
  21. Ain TS, Gowhar O, Sultan S, et al. Prevalence of oral mucosal lesions and associated habits in Kashmir, India. Int J Res Med Sci 2016;4(8):3525–3530. DOI: 10.18203/2320-6012.ijrms20162324.
  22. Maharani DA, Rahardjo A. Mothers’ dental health behaviors and mother-child's dental caries experiences: study of a suburb area in Indonesia. Makara J Health Res 2013; 72–76.
  23. Gurunathan D, Moses J, Arunachalam SK. Knowledge, attitude, and practice of mothers regarding oral hygiene of primary school children in Chennai, Tamil Nadu, India. Int J Clin Pediatr Dent 2018;11(4):338. DOI: 10.5005/jp-journals-10005-1535.
  24. Akpabio A, Klausner CP, Inglehart MR. Mothers’/guardians’ knowledge about promoting children's oral health. Am Dent Hyg 2008;82(1):12–12.
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