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[巴西南里奥格兰德州佩洛塔斯脑瘫患者口腔健康状况诊断]

[Oral health conditions diagnostic in cerebral palsy individuals of Pelotas, Rio Grande do Sul State, Brazil].

作者信息

Guerreiro Patrícia Osório, Garcias Gilberto de Lima

机构信息

Prefeitura Municipal de Pelotas, Pelotas, RS 96075-765.

出版信息

Cien Saude Colet. 2009 Sep-Oct;14(5):1939-46. doi: 10.1590/s1413-81232009000500036.

Abstract

Cerebral Palsy (CP) is an encephalic static lesion defined as a non-progressive disorder of movements and posture. It is usually associated with epilepsy, speaking, hearing and sight disorders and also mental retardation. Even though, people who have CP need special care for the prevention of factors linked to oral problems, in the odontological context, the literary information is contradictory when it comes to the incidence of oral diseases on patients who have cerebral palsy. In order to determine the oral health and associated factors conditions, an epidemiological research has been made in 41 children who have cerebral palsy. The variables taken into account were: social-economical aspects, risk factors for the development of oral diseases, access to odontological care, caries index, periodontal disease, malocclusion and dental fluorose. Children who were examined showed a higher level of gingivitis and caries experience, mainly on the primary dentition, and also severe malocclusions, factors that indicate the need of early intervention, whether with educational programs or healing assistance. The study has shown that, in addition to the quantitative necessity of care, it is also necessary to improve the quality of these patients' consultations.

摘要

脑瘫(CP)是一种脑部静态病变,被定义为一种运动和姿势的非进行性障碍。它通常与癫痫、言语、听力和视力障碍以及智力迟钝有关。尽管患有脑瘫的人需要特别护理以预防与口腔问题相关的因素,但在牙科学领域,关于脑瘫患者口腔疾病发病率的文献信息相互矛盾。为了确定口腔健康状况及相关因素,对41名脑瘫儿童进行了一项流行病学研究。考虑的变量包括:社会经济方面、口腔疾病发展的风险因素、获得牙科护理的情况、龋齿指数、牙周疾病、错颌畸形和氟斑牙。接受检查的儿童表现出较高水平的牙龈炎和龋齿经历,主要发生在乳牙列,同时还存在严重的错颌畸形,这些因素表明无论是通过教育项目还是治疗援助都需要早期干预。该研究表明,除了护理的数量需求外,提高这些患者诊疗的质量也很有必要。

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