Oral care state in children with cerebral palsy
DOI:
https://doi.org/10.33295/1992-576X-2020-1-64Keywords:
children, infantile cerebral palsy, oral hygiene, oral healthAbstract
The relevance of research. Cerebral palsy (CP) is a common disease in Ukraine. In children with (CP) brain structures responsible for voluntary movements are affected. They have increased risk of oral diseases developing.
The purpose of the study was to determine the state of individual oral hygiene in children with cerebral palsy and the level of knowledge of their parents about maintaining oral health.
Material and methods. An examination of 122 children with cerebral palsy (mean age 8.8±3.7 years) was performed.In all children, the state of oral hygiene was determined using the simplified OHI-S index (J.C. Green, J.R. Vermillon, 1964). A questionnaire was conducted among parents about their knowledge about the dental health of their children, ways to preserve it and provide hygienic oral care.
Results and discussion. The oral hygiene index in children with cerebral palsy increased with an increase in the severity of impaired motor function from 1.68±0.16 with minimal motor impairment to 2.27±0.22 at maximum (p = 0.035). A questionnaire survey of parents demonstrated their insufficient knowledge and attention to preserving the children's dental health: 41.8% brush their teeth irregularly, most only once a day, 26.2 % of parents use toothpaste without fluoride, and carbohydrate foods are high. One of the reasons for this condition is the high concentration of parents on the underlying disease and insufficient attention to the hygienic condition of the oral cavity.
Conclusions. The hygienic condition of the oral cavity in children with cerebral palsy worsens with an increase in the severity of motor disorders. The level of knowledge of parents of children with cerebral palsy about the state of the oral cavity of their children, the basic rules of hygienic oral care, as well as their attention to the dental needs of the child with increased risk of oral diseases developing, are low and require significant correction.
Key words: children, infantile cerebral palsy, oral hygiene, oral health.
Downloads
References
Braun K, Doernberg NS. Prevalence of Cerebral Palsy: Autism and Developmental Disabilities
Monitoring Network, Three Sites, United States, 2004. Disability and Health Journal.
2009; 2 (1): 45–8. Available from: https://www.sciencedirect.com/science/article/abs/pii/
S1936657408000873?via%3Dihub. https://doi.org/10.1016/j.dhjo.2008.08.001
2. Paneth N, Hong T, Korzeniewski S. The descriptive epidemiology of cerebral palsy.
Clinics in Perinatology. 2006; 33 (2): 251–267. Available from: https://www.sciencedirect.com/
science/article/pii/S009551080600025X?via%3Dihub. https://doi.org/10.1016/j.clp.2006.03.011
3. Atezhanov DO, Supiev TK, Bakiev BA. Osobennosti sanatsii polosti rta u podrostkov
s organicheskimi porazheniyami tsentralnoy nervnoy sistemyi. Mezhdunarodnyiy zhurnal prikladnyih
i fundamentalnyih issledovaniy. 2019; 1: 66–71. Available from: http://appliedresearch.
ru/ru/article/view?id=12642 [in Russian]
4. Wyne AH, Al-Hammad NS, Splieth CH. Oral health comprehension in parents of
Saudi cerebral palsy children. Saudi Dental Journal. 2017; 29: 156–160. Available from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5634794/
5. Koziavkin VI, Kachmar OO, Voloshyn TB. Systema klasyfikatsii velykykh motornykh
funktsii u ditei z tserebralnym paralichem. Rozshyryna ta utochnena. Sotsialna pediatriia ta
reabilitolohiia. 2012; 2 (3): 74–82. Available from: https://kozyavkin.com/fileadmin/files/publications/
biblio/GMFCS-soc-ped-12.pdf [in Ukrainian]
6. Oral Health Surveys. Basic Methods. 5-th edition. World Health Organization, 2013:
125 р. Available from: https://www.who.int/oral_health/publications/9789241548649/en/
7. Chandna P, Adlakha VK, Joshi JL. Oral status of a group of cerebral palsy children.
Journal of Dentistry and Oral Hygiene. 2011; 3 (2): 18–21
8. Denga.OV, Sergienko OP. Structure of dental disease in children with cerebral palsy.
Visnyk stomatolohii. 2014; 3: 123–125. Available from: http://nbuv.gov.ua/UJRN/VSL_2014_3_33
[in Russian]
9. Basil MJ, Mohammed MJ. Dental health of children with cerebral palsy. Neurosciences
(Riyadh). 2016; 21 (4): 314–18. Available from: https://doi.org/10.17712/nsj.2016.4.20150729
10. Losik IM, Terehova TN. Sostoyanie polosti rta u detey s detskim tserebralnyim paralichom.
Sovremennaya stomatologiya. 2011; 1: 112–115. Available from: https://cyberleninka.
ru/article/n/sostoyanie-polosti-rta-u-detey-s-detskim-tserebralnym-paralichom [in Russian]
11. Bodnaruk YuB, Rozhko MM, Popovych ZB. Stomatolohichna zakhvoriuvanist u
ditei z dytiachym tserebralnym paralichem. Halytskyi likarskyi visnyk. 2013; 20 (1): 136–8.
Available from: http://nbuv.gov.ua/UJRN/glv_2013_20_1(1)__50. [in Ukrainian].
12. Chandna P, Adlakha VK, Joshi JL. Oral status of a group of cerebral palsy children.
Journal of Dentistry and Oral Hygiene. 2011; 3 (2): 18–21. Available from:
https://www.researchgate.net/publication/215547950_Oral_Health_Status_of_a_Group_Of_Ce
rebral_Palsy_Children.
Downloads
Published
How to Cite
Issue
Section
