Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia.
Central Queensland Public Health Unit (Rockhampton), Rural and District Wide Service, Central Queensland Hospital and Health Service, Rockhampton, QLD 4700, Australia.
Int J Environ Res Public Health. 2022 Jun 30;19(13):8024. doi: 10.3390/ijerph19138024.
Cerebral palsy is a developmental motor disorder which has far-reaching impacts on oral health. This scoping review examined the extent of research undertaken regarding the risk factors affecting dental caries experience in children and adolescents with cerebral palsy. Data were obtained from the electronic databases Web of Science and PubMed, using 10 search strings, for studies published between 1983 and 2018. Eligible studies were required to have investigated caries in children under 18 with cerebral palsy, as well as be written in English. 30 papers published were identified for inclusion in the review. These included 23 cross-sectional, 6 case-control, and 1 longitudinal study. Studies were categorized into six domains of risk factors: socioeconomic status (SE); cerebral palsy subtype (CPS); demographics (D); condition of oral cavity (OC); dental habits (DH); nutrition and diet (ND). This review was conducted and reported in accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. The most significant risk factors were caregiver-related education levels, oral health literacy, and sugar intake; this underlines the important role of special education and dental awareness in reducing dental caries incidence in CP children. Other factors showed divergent findings, highlighting the need for standardization and culturally specific studies in future literature.
脑性瘫痪是一种发育性运动障碍，对口腔健康有深远的影响。本范围综述检查了针对脑瘫儿童龋齿风险因素的研究程度。数据来自电子数据库 Web of Science 和 PubMed，使用 10 个搜索字符串，对 1983 年至 2018 年期间发表的研究进行了搜索。合格的研究需要调查 18 岁以下脑瘫儿童的龋齿情况，并且需要用英文撰写。共确定了 30 篇论文纳入综述。其中包括 23 项横断面研究、6 项病例对照研究和 1 项纵向研究。研究分为六个风险因素领域：社会经济地位（SE）；脑瘫类型（CPS）；人口统计学（D）；口腔状况（OC）；口腔卫生习惯（DH）；营养和饮食（ND）。本综述按照系统评价和 Meta 分析扩展的首选报告项目进行，并符合范围综述（PRISMA-ScR）指南。最重要的风险因素是与照顾者相关的教育水平、口腔健康素养和糖摄入量；这强调了特殊教育和口腔保健意识在降低脑瘫儿童龋齿发病率方面的重要作用。其他因素的研究结果存在差异，突出了未来文献中需要标准化和文化特异性研究的必要性。
