Gandhi Aniruddh, Sonkesriya Subhash, Roy Shovan, Mishra Raman, Arora Jatin, Soni Vineet
Department of Dentistry, Late Shri Atal Bihari Vajpayee Memorial Government Medical College, Rajnandgaon, Chhattisgarh, India.
Department of prosthodontics Government College of Dentistry Indore, M.P., India.
Bioinformation. 2023 Feb 28;19(2):215-220. doi: 10.6026/97320630019215. eCollection 2023.
The motor impairments of cerebral palsy (CP) are typically accompanied by subsequent musculoskeletal issues, seizures, and abnormalities of sensation, intelligence, communication, and behaviour. These kids have a lower capacity for regulating oral health because of their poor voluntary movements. Poor oral hygiene brought on by insufficient brushing and flossing, increased use of sugary foods, and orally administered drugs puts people at risk for periodontal disorders and dental caries. Poor dental health and rising therapy demands establish a sadistic cycle that affects patient overall health and wellbeing. The purpose of this investigation was comparing kids with CP against healthy kids of comparable age group and demographic situation in order to evaluate status of oral heath, current caries behavior using measurement of concentrations in saliva, and treatment required. 204 study participants were divided into two categories: Category A and category B. Both categories consisted of 102 study participants. Category A consisted of study participants having CP while category B consisted of healthy normal controls with same age of same demographic features. Malocclusion, trauma, DMFS/defs, gingival index, and Oral hygiene score (OHI), and were recorded for oral examinations of al study participants However, no radiological assistance was utilized since minimal patient compliance existed in CP patients. When compared with the control category, the CP category had a higher detection of the DMFS index in the permanent teeth. The estimated defs for the CP category did not differ noticeably from the control category. In the CP category, status of hygiene of oral cavity was discovered to be substantially subpar. In comparison to the control category, the gingival condition of the CP category was noticeably worse. Treatment requirements were seen to require greater preventative care in the control category while, stainless steel crowns, pulpectomy and extractions were needed in the CP category. was found in high concentrations in the salivary specimens of the CP category compared to the control category, indicating active dental caries and greater probability of further development.
脑瘫(CP)导致的运动障碍通常会伴随随后的肌肉骨骼问题、癫痫发作以及感觉、智力、沟通和行为异常。由于这些孩子的自主运动能力较差,他们调节口腔健康的能力也较低。刷牙和使用牙线不足、食用含糖食物增多以及口服药物导致口腔卫生不良,使人们面临牙周疾病和龋齿的风险。口腔健康不佳和治疗需求不断增加形成了一个恶性循环,影响患者的整体健康和福祉。本研究的目的是将患有脑瘫的儿童与年龄和人口统计学情况相近的健康儿童进行比较,以评估口腔健康状况、使用唾液浓度测量当前的龋齿行为以及所需的治疗。204名研究参与者分为两类:A类和B类。两类均由102名研究参与者组成。A类由患有脑瘫的研究参与者组成,而B类由具有相同年龄和相同人口统计学特征的健康正常对照组成。记录了所有研究参与者口腔检查的错牙合、创伤、恒牙龋失补牙面数/乳牙龋失补牙面数(DMFS/defs)、牙龈指数和口腔卫生评分(OHI)。然而,由于脑瘫患者的患者依从性极低,未使用放射学辅助手段。与对照组相比,脑瘫组恒牙的DMFS指数检出率更高。脑瘫组的估计乳牙龋失补牙面数与对照组没有明显差异。在脑瘫组中,发现口腔卫生状况明显较差。与对照组相比,脑瘫组的牙龈状况明显更差。在对照组中,治疗需求被认为需要更多的预防性护理,而在脑瘫组中,则需要不锈钢冠、牙髓摘除术和拔牙。与对照组相比,在脑瘫组的唾液样本中发现 浓度较高,表明存在活跃的龋齿且进一步发展的可能性更大。 (注:原文中“ ”处有信息缺失,无法准确完整翻译)