Article

AIM: To describe the oral health status and investigate factors affecting dental
caries experience among children with cerebral palsy (CP) in rural Bangladesh.
METHOD: A cross-sectional study was conducted among children with CP who are part
of the Bangladesh Cerebral Palsy Register (BCPR) study. Caries experience was
measured by identifying decayed, missing, and filled teeth for deciduous and
permanent teeth (dmft/DMFT). Clinical periodontal index, body mass index, oral
hygiene behaviour, masticatory ability, and dietary habits were recorded. CP
motor types and severity of functional mobility (Gross Motor Function
Classification System [GMFCS]) were assessed. RESULTS: Of 90 children with CP
(mean age 9y 7mo, range 2-17y, 37.8% female and 62.2% male), 35% of 2 to 6 year
olds, and 70% of 7 to 11 year olds (p=0.014) experienced caries (dmft+DMFT>0).
The mean values (standard deviation [SD]) of dmft and DMFT were 2.46 (3.75) and
0.72 (1.79) respectively. After adjusting for age and sex, binary logistic
regression analysis showed a significant relationship with dental caries for
children who had quadriplegia (odds ratio [OR] 5.56, p=0.035), tooth cleaning
less than one time/day (OR 0.08, p=0.016), using toothpowder or charcoal for
cleaning (OR 7.63, p=0.015), and snacking between meals more than one time/day
(OR 6.93, p=0.012). INTERPRETATION: Early oral health preventive care is required
for children with CP because dental caries is highly prevalent in these children.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS