Caries experience and oral health-related quality of life (OHRQoL) of children and adolescents with cerebral palsy in a low-resource setting.

Autor: Akhter R; School of Dentistry, Faculty of Medicine and Health, The University of Sydney, C24 Westmead Hospital, Level 1 WCOH, Westmead, NSW, 2145, Australia. rahena.akhter@sydney.edu.au., Hassan NMM; School of Dentistry and Health Sciences, Charles Sturt University, Orange, NSW, Australia., Martin EF; School of Dentistry, Faculty of Medicine and Health, The University of Sydney, C24 Westmead Hospital, Level 1 WCOH, Westmead, NSW, 2145, Australia., Muhit M; CSF Global, Dhaka, Bangladesh.; Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh., Smithers-Sheedy H; Cerebral Palsy Alliance Research Institute, The University of Sydney, Allambie Heights, NSW, Australia.; The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW, Australia., Badawi N; Cerebral Palsy Alliance Research Institute, The University of Sydney, Allambie Heights, NSW, Australia.; The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW, Australia., Khandaker G; CSF Global, Dhaka, Bangladesh.; Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh.; The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW, Australia.; Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2019 Jan 15; Vol. 19 (1), pp. 15. Date of Electronic Publication: 2019 Jan 15.
DOI: 10.1186/s12903-018-0704-2
Abstrakt: Background: Children with complex neurodevelopmental disabilities such as cerebral palsy (CP), have a higher risk of dental disease related at least in part to greater difficulties in performing and maintaining effective oral hygiene and oral care practices. However, to date, there are very few studies that have considered the impact of dental disease on the Oral Health-Related Quality of Life (OHRQoL) of children and adolescents with cerebral palsy. This study aimed to investigate the association between dental caries experience and oral health related quality of life (OHRQoL) among children and adolescents with cerebral palsy in a low-resource setting (Bangladesh).
Methods: A total of 90 children and adolescents with CP, 2-17 years old (median age 10 years; 37.8% female and 62.2% male) were randomly selected from the Bangladesh Cerebral Palsy Register (BCPR) The decayed, missing and filled teeth (dmft/DMFT) index was used to measure caries experience. Child Perceptions Questionnaire (CPQ) and Family Impact Scale (FIS) were used to assess oral health-related quality of life (OHRQoL). Binary logistic regression was used to investigate factors that may contribute to dental caries experience.
Results: Dental caries were observed among 55.6% of the participants. After adjusting for age and gender, binary logistic regression analysis showed that dental caries experience was significantly associated with those who had teeth/mouth pain (rate ratio 7.3; P = 0.02), food caught between teeth (rate ratio: 6.4; P = 0.02), difficulty in eating and drinking (rate ratio 5.9; p = 0.02) and those who felt frequently upset (rate ratio: 54.7; P = 0.02).
Conclusion: In this study, we found that children and adolescents with CP in a low-resource setting had high dental caries experience and that dental caries had a negative impact on OHRQoL amongst these participants and their parents/caregivers. Health care professionals should be aware of the importance of dental health and oral hygiene in this population. These findings highlight the need for oral health promotion programs for children and adolescents with CP in these settings to reduce pain and to improve quality of life.
Databáze: MEDLINE
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