Postgraduate Program in Dentistry, Federal University of Piauí-UFPI, Minister Petrônio Portella Campus, Bloc 5, Teresina, PI, 64049-550, Brazil.
Department of Restorative Dentistry, Federal University of Piauí-UFPI, Teresina, PI, Brazil.
Eur Arch Paediatr Dent. 2022 Jun;23(3):391-398. doi: 10.1007/s40368-022-00694-x. Epub 2022 Feb 6.
To evaluate the impact of oral health conditions on the Oral Health-Related Quality of Life (OHRQoL) in children and adolescents with Cerebral Palsy (CP) and compare with children and adolescents without CP.
This was a paired cross-sectional study, consisting of 121 children and adolescents with CP and 121 without CP, aged 6 to 14 years. Caregivers filled a socioeconomic-demographic and the Parental-Caregiver Perceptions Questionnaire (P-CPQ). Physical examination of the oral cavity assessed the dental caries experience, need for treatment, consequences of untreated dental caries, presence of dental trauma, bruxism and malocclusion. A descriptive analysis and Kruskal-Wallis and Mann-Whitney tests (p < 0.05) were performed. Variables with p values ≤ 0.20 in the bivariate analysis were included in the adjusted model analysis. Variables with a p value < 0.05 remained in the final Poisson Regression model.
Caries experience had a negative impact on the quality of life of both groups, with and without CP. Presence of gastroesophageal reflux and difficulty to opening the mouth also had a negative impact on the OHRQoL of the group with CP.
Children and adolescents with CP suffered a greater negative impact on OHRQoL than individuals without CP. Difficulty in opening the mouth and the presence of GER had a negative effect on the quality of life of individuals with CP, while dental caries had a negative impact on the OHRQoL of children and adolescents of both groups.
评估口腔健康状况对脑瘫（CP）儿童和青少年口腔健康相关生活质量（OHRQoL）的影响，并与无 CP 的儿童和青少年进行比较。
这是一项配对的横断面研究，包括 121 名 CP 儿童和青少年和 121 名无 CP 儿童和青少年，年龄 6 至 14 岁。照顾者填写社会经济人口统计学和父母照顾者感知问卷（P-CPQ）。口腔体格检查评估龋齿经历、治疗需求、未经治疗的龋齿后果、牙科创伤、磨牙症和错颌的存在。进行描述性分析和 Kruskal-Wallis 和 Mann-Whitney 检验（p<0.05）。在双变量分析中 p 值≤0.20 的变量被纳入调整后的模型分析。p 值<0.05 的变量保留在最终的泊松回归模型中。
龋齿经历对有 CP 和无 CP 的两组儿童和青少年的生活质量都有负面影响。胃食管反流和张口困难的存在也对 CP 组的 OHRQoL 有负面影响。
与无 CP 的个体相比，CP 儿童和青少年的 OHRQoL 受到更大的负面影响。张口困难和 GER 的存在对 CP 个体的生活质量有负面影响，而龋齿对两组儿童和青少年的 OHRQoL 都有负面影响。
