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Risk factors for dental caries among children with cerebral palsy in a low‐resource setting
Author(s) -
Akhter Rahena,
Hassan Nur Mohammad Monsur,
Martin Elizabeth F,
Muhit Mohammad,
Haque Mohammad Raziul,
SmithersSheedy Hayley,
Jones Cheryl,
Badawi Nadia,
Khandaker Gulam
Publication year - 2017
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.13359
Subject(s) - medicine , cerebral palsy , snacking , oral hygiene , odds ratio , dentistry , body mass index , logistic regression , oral health , early childhood caries , cross sectional study , pediatrics , physical therapy , pathology , obesity
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.