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Effects of treatments for drooling on caries risk in children and adolescents with cerebral palsy
- Source :
- Medicina Oral, Patología Oral y Cirugía Bucal, Gutierrez, Gabriela-Mancia ; Siqueira, Vanessa-Lira ; Loyola Rodríguez, Juan Pablo ; Diniz, Michele B. ; Guaré, Renata-Oliveira ; Ferreira, Ana-Cristina-Fernandes-Maria ; Santos, Maria-Teresa-Botti-Rodrigues. Effects of treatments for drooling on caries risk in children and adolescents with cerebral palsy. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 24 2 2019: 3, RODERIC. Repositorio Institucional de la Universitat de Valéncia, instname
- Publication Year :
- 2019
- Publisher :
- Medicina Oral S.L., 2019.
-
Abstract
- Background Neuromuscular impairment makes individuals with cerebral palsy (CP) more prone to drooling. Among the treatment options, there are procedures that interfere with saliva production. It is imperative to evaluate the effect of the different modalities since the reduction in salivary flow rate/production may exacerbate the risk of dental caries. Material and Methods The aim of this study was to compare the effects of different treatments for drooling on caries risk and salivary parameters in children and adolescents with CP. Study design A total of 142 children and adolescents with CP, aged 6 to 18 years, were assigned to groups based on the different treatments they had received for drooling: G1—anticholinergic drugs (n = 18), G2—botulinum toxin injection (n = 16), G3—salivary glands surgery (n = 16), G4—no treatment (n = 42), and G5—non-drooling subjects (n = 50). All participants were evaluated on the Simplified Oral Hygiene Index, and for the prevalence of dental caries (decayed, missing, and filled teeth index and white spot lesions). Unstimulated whole saliva was collected, and salivary flow rate and osmolality were measured. Chi-square, ANOVA and Poisson regression were calculated. Prevalence ratios and their respective 95 % confidence intervals were obtained. The significance level was fixed at 5%. Results No differences were found in the decayed, missing, and filled teeth index (p = 0.128) and Simplified Oral Hygiene Index (p = 0.674) among the different groups. G3 presented significantly higher percentages of WSL (p
- Subjects :
- Male
Saliva
Botulinum Toxins
Adolescent
Dentistry
Dental Caries
Oral Hygiene Index
Drooling
Cholinergic Antagonists
Salivary Glands
Cerebral palsy
03 medical and health sciences
symbols.namesake
0302 clinical medicine
Statistical significance
medicine
Prevalence
Humans
Poisson regression
Child
General Dentistry
business.industry
DMF Index
Research
Cerebral Palsy
Osmolar Concentration
030206 dentistry
Sialorrhea
medicine.disease
CIENCIAS MÉDICAS [UNESCO]
Medically compromised patients in Dentistry
Oral Hygiene
Confidence interval
Cross-Sectional Studies
Otorhinolaryngology
UNESCO::CIENCIAS MÉDICAS
symbols
Regression Analysis
Surgery
Female
Analysis of variance
medicine.symptom
business
Brazil
Subjects
Details
- Language :
- English
- ISSN :
- 16986946 and 16984447
- Volume :
- 24
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Medicina Oral, Patología Oral y Cirugía Bucal
- Accession number :
- edsair.doi.dedup.....13699188955821586571dcfbbd264959