IADR Abstract Archives
Prevalence of Dental Caries and Oral Health-Related Quality of Life among Children with Cerebral Palsy
Objectives: Our aim was to investigate the factors affecting dental caries experience and oral health-related quality of life (OHRQoL) among children with cerebral palsy (CP) in a low resource setting.
Methods: 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, dental visit pattern, masticatory ability, and dietary habits were recorded. CP motor types and severity of functional mobility (Gross Motor Function Classification System) were assessed. Child Perceptions Questionnaire (CPQ) and Family Impact Scale (FIS) were used to assessing the impact on OHRQoL. The data were processed using SPSS version 22.0 for windows. The significance level was set at p<0.05.
Results: Of 90 children with CP (mean age 9y 7mo, range 2–17y, 37.8% female and 62.2% male. The mean values (standard deviation) 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). Dental caries experience was significantly associated with CPQ scores especially those who had pain in teeth/mouth (rate ratio 7.3; P=0.02), food caught in between teeth (rate ratio: 6.4; P=0.02) and difficulty in eating and drinking (rates ratio 5.9; p=0.02) and also those who did feel upset frequently (rates ratio: 54.7; P=0.02).
Conclusions: Early oral health preventive care is required for children with CP because dental caries is highly prevalent in these children and also require a comprehensive multidisciplinary approach by both medical and dental healthcare professionals.
Methods: 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, dental visit pattern, masticatory ability, and dietary habits were recorded. CP motor types and severity of functional mobility (Gross Motor Function Classification System) were assessed. Child Perceptions Questionnaire (CPQ) and Family Impact Scale (FIS) were used to assessing the impact on OHRQoL. The data were processed using SPSS version 22.0 for windows. The significance level was set at p<0.05.
Results: Of 90 children with CP (mean age 9y 7mo, range 2–17y, 37.8% female and 62.2% male. The mean values (standard deviation) 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). Dental caries experience was significantly associated with CPQ scores especially those who had pain in teeth/mouth (rate ratio 7.3; P=0.02), food caught in between teeth (rate ratio: 6.4; P=0.02) and difficulty in eating and drinking (rates ratio 5.9; p=0.02) and also those who did feel upset frequently (rates ratio: 54.7; P=0.02).
Conclusions: Early oral health preventive care is required for children with CP because dental caries is highly prevalent in these children and also require a comprehensive multidisciplinary approach by both medical and dental healthcare professionals.