Prevalence of orofacial injuries resulting from trauma in individuals with cerebral palsy: A systematic review and meta-analysis.

Autor: Heiden GS; Undergraduate Dentistry Program, Tuiuti University of Paraná, Curitiba, Brazil., Andrade RVS; Undergraduate Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil., de Mattos de Araujo BM; Department of Endodontics, Pontifícia Universidade Católica do Paraná, Paraná, Brazil., da Silva-Neto UX; Department of Endodontics, Pontifícia Universidade Católica do Paraná, Paraná, Brazil., Baratto-Filho F; Department of Endodontics, Tuiuti University of Paraná, Paraná, Brazil.; Undergraduate Department of Dentistry, University of the Region of Joinville (Univille), Santa Catarina, Brazil., Zeigelboim BS; Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil., de Castro Corrêa C; Department of Speech Therapy and Audiology, Centro Universitário Planalto do Distrito Federal, Brasília, Brazil., Taveira KVM; Department of Morphology-Center of Biosciences, Federal University of Rio Grande do Norte, Natal, Brazil., de Araujo CM; Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil.
Jazyk: angličtina
Zdroj: Dental traumatology : official publication of International Association for Dental Traumatology [Dent Traumatol] 2024 Feb; Vol. 40 (1), pp. 111-120. Date of Electronic Publication: 2023 Aug 21.
DOI: 10.1111/edt.12879
Abstrakt: Individuals with cerebral palsy (CP) may have cognitive, sensitive, behavioral, communicative, and convulsive disorders. Because defensive reflexes are reduced by CP, the risk of orofacial trauma is greater in these individuals. This study aimed to evaluate the prevalence of orofacial injuries resulting from trauma in patients with CP. This review was reported according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) and registered in the International Prospective Register of Systematic Reviews (PROSPERO-CRD42022293570). The search was performed for articles published until January 2023 in Embase, Latin American and Caribbean Literature on Health Sciences (LILACS), PubMed/Medline, Scopus, and Web of Science databases. Gray literature was also consulted through Google Scholar, OpenGrey, ProQuest Dissertations, and Theses. Studies in which orofacial injuries due to trauma were prevalent in individuals with CP were included. The risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal Tool. Additionally, a random-effects meta-analysis was conducted. Twelve studies were included in the synthesis, of which nine presented a low risk of bias and three presented a moderate risk. When considering the general prevalence of orofacial injuries in patients with CP, a prevalence of 34% [95% CI = 18%-52%; I 2  = 98%] was observed, with enamel and dentin fractures being the most common orofacial injuries. Approximately one in three patients with CP showed at least one type of orofacial injury involving dental trauma. There is a lack of literature assessing the prevalence of these traumas in soft tissues and the evidence for this outcome remains uncertain.
(© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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