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Int. J. Environ. Res. Public Health 2015, 12(1), 335-353; doi:10.3390/ijerph120100335

Dental Caries and Periodontal Disease in Brazilian Children and Adolescents with Cerebral Palsy

1
Department of Dentistry, State University of Paraiba, Campina Grande, PB, 58429-500, Brazil
2
Department of Dentistry, Federal University of Paraiba, João Pessoa, PB, 58051-900, Brazil
3
Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, 31270-901, Brazil
4
Postdoctoral fellow, State University of Paraiba, Campina Grande, PB, 58429-500, Brazil
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 10 September 2014 / Accepted: 9 December 2014 / Published: 29 December 2014
(This article belongs to the Special Issue Social and Environmental Determinants of Oral Health)
View Full-Text   |   Download PDF [714 KB, uploaded 29 December 2014]

Abstract

The aim of the present study was determine the prevalence and factors associated with dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy (CP). This is a cross-sectional study conducted with 80 patients ranging in age from 2 to 18 years old. Oral exams were conducted by an examiner with records of DMFT, dmft, Gingival Bleeding Index (GBI) and Community Periodontal Index (CPI). The statistical analysis used Poisson Regression with robust variance estimation (α = 0.05). The prevalence of dental caries was 59.3%, with DMFT and mean dmft of 1.71 ± 2.42 and 2.22 ± 3.23, respectively. The mean GBI was 22.44%, and in the CPI, the prevalence of gingival bleeding, calculus, shallow and deep pockets were 94.73%, 79.62%, 12.90% and 3.22%, respectively. The caregiver’s educational level of less than eight years were associated with the dental caries experience (PR = 1.439; 95%CI = 1.09–1.89). The periodontal alterations were associated with female sex (PR = 0.82; 95%CI = 0.69–0.97), caregiver’s educational level of less than eight years (PR = 1.15; 95%CI = 1.03–1.29), poor oral perception (PR = 0.89; 95%CI = 0.80–0.98), serious communication problem (PR = 0.87; 95%CI = 0.76–0.99) and athetoid type of CP (PR = 0.85; 95%CI = 0.75–0.97). The patients with CP presented high dental caries experience and periodontal alterations, which were associated with their demographic, socioeconomic, oral health perception and systemic information. View Full-Text
Keywords: dental caries; periodontal index; cerebral palsy; epidemiology dental caries; periodontal index; cerebral palsy; epidemiology
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Cardoso, A.M.R.; Gomes, L.N.; Silva, C.R.D.; Soares, R.S.C.; de Abreu, M.H.N.G.; Padilha, W.W.N.; Cavalcanti, A.L. Dental Caries and Periodontal Disease in Brazilian Children and Adolescents with Cerebral Palsy. Int. J. Environ. Res. Public Health 2015, 12, 335-353.

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