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照顾者对脑瘫儿童和青少年口腔健康状况的认知

Caregivers' Perceptions Regarding Oral Health Status of Children and Adolescents with Cerebral Palsy.

作者信息

Malta Cristiana Pereira, Guerreiro Gabriele Groehs, Dornelles Natali Marchezan, Marques Clandio Timm, Martins Juliana Saibt, Westphalen Bento Letícia

出版信息

J Clin Pediatr Dent. 2020;44(3):161-167. doi: 10.17796/1053-4625-44.3.5. Epub 2020 Jun 17.

Abstract

The aim of the present study was to compare the perception of caregivers regarding the oral health status of children and adolescents with cerebral palsy (CP) and those with typical development. Study group (SG) was composed of 35 children and adolescents with a clinical diagnosis of CP and their caregivers. Control group (CG) was composed of 35 individuals with typical development (matched with the SG for age, sex and caries activity) and their caregivers. Questionnaire was administered to caregivers addressing the oral health of individuals under their care. Caries activity, dmft/DMFT index, visible plaque index (VPI) and occlusal characteristics were determined. Statistically significant differences were found in the perceptions of dental problems (p = 0.004) and gingival bleeding (p = 0.013). Individuals in SG whose caregivers perceived dental problems had a higher mean VPI (50.84 ± 5.11%) than those in CG (27.97 ± 6.50%). The mean dmft/DMFT in the SG was 2.77 ± 3.20. Class II molar relationship, overjet and anterior open bite were more prevalent in the SG. Caregivers of children/adolescents with CP perceive more oral problems, such as visible plaque, gingival bleeding and malocclusion, than caregivers of children/ adolescents with typical development.

摘要

本研究的目的是比较照顾者对脑瘫(CP)儿童和青少年与发育正常儿童和青少年口腔健康状况的认知。研究组(SG)由35名临床诊断为CP的儿童和青少年及其照顾者组成。对照组(CG)由35名发育正常的个体(在年龄、性别和龋活性方面与SG匹配)及其照顾者组成。向照顾者发放问卷,询问其照顾对象的口腔健康情况。测定龋活性、dmft/DMFT指数、可见菌斑指数(VPI)和咬合特征。在牙齿问题(p = 0.004)和牙龈出血(p = 0.013)的认知方面发现了统计学上的显著差异。照顾者认为存在牙齿问题的SG个体的平均VPI(50.84 ± 5.11%)高于CG个体(27.97 ± 6.50%)。SG的平均dmft/DMFT为2.77 ± 3.20。II类磨牙关系、覆盖和前牙开颌在SG中更为普遍。与发育正常儿童/青少年的照顾者相比,CP儿童/青少年的照顾者察觉到更多的口腔问题,如可见菌斑、牙龈出血和错颌畸形。

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