Pansrimangkorn Kullanant, Asvanit Pornpun, Santiwong Busayarat
Department of Dental, Thammasart University Hospital, Pathumthani, Thailand.
Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Spec Care Dentist. 2023 Jan;43(1):40-46. doi: 10.1111/scd.12732. Epub 2022 May 30.
To investigate the factors association with dental caries experience in the primary dentition of Thai preschool children with cerebral palsy.
A cross-sectional study was conducted among sixty Thai preschool children with cerebral palsy, aged 3-6 years old. Caries experience was determined by identifying decayednon-cavitated and cavitated lesion, missing, and filled surfaces of deciduous teeth(dmfs). Sociodemographic data, CP motor types, dietary habits, oral health behaviors and dental plaque index were collected. Multiple linear regression analysis was carried out to identify the strength of the association between factors and dental caries experience. The prevalence of dental caries was 91.66%. The average dmfs was 20.30 ± 21.63 surfaces/individual. The multiple linear regression indicated that dmfs was significantly associated with snacking carbohydrate between meals more than two times/day (β ± SE = 0.372 ± 0.125; p = 0.004), spastic type of cerebral palsy (β ± SE = 0.309 ± 0.124; p = 0.015) and one-time daily tooth brushing (β ± SE = 0.306 ± 0.124; p = 0.017).
Nine out of 10 preschool children with CP experienced dental caries. Spastic type of CP had more risk to develop dental decay. Caries prevention for preschool children with CP should emphasis on controlling the frequency of carbohydrate snack no more than two times/day and reinforcing tooth brushing at least twice daily.
探讨泰国脑瘫学龄前儿童乳牙龋齿患病情况的相关因素。
对60名3至6岁的泰国脑瘫学龄前儿童进行了一项横断面研究。通过识别乳牙的龋损非龋洞和龋洞病变、缺失及充填面（dmfs）来确定龋齿患病情况。收集了社会人口学数据、脑瘫运动类型、饮食习惯、口腔健康行为和牙菌斑指数。进行多元线性回归分析以确定各因素与龋齿患病情况之间关联的强度。龋齿患病率为91.66%。平均dmfs为20.30±21.63个面/个体。多元线性回归表明，dmfs与每天两餐以上吃碳水化合物零食显著相关（β±SE = 0.372±0.125；p = 0.004）、痉挛型脑瘫（β±SE = 0.309±0.124；p = 0.015）和每天刷牙一次（β±SE = 0.306±0.124；p = 0.017）。
10名脑瘫学龄前儿童中有9名患有龋齿。痉挛型脑瘫患龋齿的风险更高。对脑瘫学龄前儿童的龋齿预防应着重控制碳水化合物零食的频率，每天不超过两次，并加强每天至少刷牙两次。
