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Introducao: No Brasil, as unidades basicas de saude devem ofertar e garantir atendimento a pacientes com necessidades especiais. Objetivo: Verificar a forma de acesso aos servicos de saude bucal por pacientes com Paralisia Cerebral (PC) e seus fatores associados. Metodologia: Estudo transversal realizado na APAE do municipio de Campina Grande-PB, com 80 criancas e adolescentes com diagnostico de PC. Os cuidadores primarios responderam um formulario de 50 perguntas relacionadas a caracteristicas socioeconomicas, sistemicas e de acesso aos servicos de saude bucal. Os dados foram analisados de forma descritiva e com analise de Poisson (α

Made available in DSpace on 2020-12-10T19:36:14Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-01-01. Added 1 bitstream(s) on 2021-07-15T15:24:52Z : No. of bitstreams: 1 S1983-46322019000100416.pdf: 257119 bytes, checksum: da16572e721273615cf0c1df31acf307 (MD5) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Objective: To evaluate factors associated with the caregivers' perception of the oral health of children and adolescents with cerebral palsy. Material and Methods: A cross-sectional study was carried out with 80 children and adolescents with cerebral palsy aged 2-18 years, registered at a reference institution and their respective caregivers. Caregivers provided socioeconomic, systemic and health perception and access to dental services data. A calibrated researcher (Kappa=0.75-0.98) performed oral examinations using DMF-T, dmf-t, dental trauma, gingival bleeding index, community periodontal index, malocclusion index and the dental aesthetic index. The Poisson Regression was used (alpha=0.05). Results: According to the caregivers' perception, the oral health reports of children and adolescents with cerebral palsy considered good and poor was 73.8% and 26.3%, respectively. The poor oral health perception is associated with the presence of dental caries in anterior teeth (PR 1.34, 95% CI=1.11-1.63) and bleeding during tooth brushing (PR 1.20, 95% CI=1.04-1.40). Conclusion: Children and adolescents with cerebral palsy who presented lesions of caries in the anterior teeth and gingival bleeding during tooth brushing, more frequently, had poor oral health by their caregivers. Univ Estadual Campinas, Piracicaba Dent Sch, Dept Prosthodont & Periodontol, BR-13414903 Piracicaba, SP, Brazil Univ Fed Rio de Janeiro, Sch Dent, Dept Pediat Dent & Orthodont, Rio De Janeiro, RJ, Brazil Sao Paulo State Univ, Araraquara Dent Sch, Dept Dent Mat & Prosthodont, Araraquara, SP, Brazil Centro Univ Joao Pessoa, Dept Dent, Joao Pessoa, PB, Brazil Univ Fed Paraiba, Dept Clin & Social Dent, Joao Pessoa, PB, Brazil State Univ Paraiba, Dept Dent, Campina Grande, PB, Brazil Sao Paulo State Univ, Araraquara Dent Sch, Dept Dent Mat & Prosthodont, Araraquara, SP, Brazil CAPES: 001

Background. To assess the prevalence and factors associated with malocclusions in children and adolescents with cerebral palsy (CP). Methods. The study included 134 subjects with CP aged 2–18 years enrolled in six rehabilitation institutions and their caregivers, which provided demographic, systemic, and behavioral data. A calibrated researcher held oral examinations with record of the following malocclusion indexes, DAI and DMFT. Poisson regression analysis was used (α Results. About 85.8% (n = 115) of patients had malocclusion. In deciduous and mixed dentition (n = 99), increased overjet (75.8%), open bite (51.5%), posterior cross bite (19.2%), and anterior cross bite (3.0%) were identified. Increased overjet was associated with the age group of 2–5 years and mild communication impairment. Anterior open bite was more common in children who underwent tongue interposition, lip interposition, and pacifier sucking. Communication skills, mouth breathing, and tongue interposition were associated with posterior cross bite. Severe malocclusions (DAI > 30) were observed in 88.6% of patients with permanent dentition (n = 35) and were associated with liquid diet consistency and finger sucking. Conclusion. The prevalence of malocclusion in individuals with CP was high and associated with demographic, behavioral, and systemic factors.

Background: Assessing the frequency and factors associated with dental trauma in pediatric populations with cerebral palsy is impor- tant for the planning and implementation of prevention and health promo- tion programs. The aim of this study was to determine the prevalence and factors associated with dental trauma in children and adolescents with cerebral palsy. Material and methods: Cross-sectional study with a non- probabilistic sample of 80 patients aged 2-18 years was treated in a reha- bilitation institution in northeastern Brazil. Caregivers completed a socio- economic questionnaire, while oral exams were performed by a calibrated investigator (K = 0.75-1.00), with record of the Dental Trauma Index, DMFT and dmft, and Dental Aesthetics and malocclusion indices. Bivari- ate and multivariate Poisson regression analyses (a = 0.05) were performed with the Statistical Package for Social Sciences, version 17. Results: The prevalence of dental trauma was 36.3%, enamel fracture was the most common trauma (89.1%), and the upper central incisors were the most affected dental elements (63.0%). Patients with dental trauma were male, aged 7-18 years, with family income more than one minimum wage, care- giver's education over 4 years, increased overjet, lip hypotonia, quadriple- gia, epilepsy, oral breathing, and severe communication skills. The presence of dental trauma was not associated with socioeconomic charac- teristics (gender, age, family income, and caregiver's educational level), oral health perception, and systemic and oral conditions (dental caries, maloc- clusion, and lip hypotonia) were evaluated (P > 0.05). Conclusion: The prevalence of dental trauma was high, but not associated with clinical vari- ables and evaluated socioeconomic indicators.

AIMS To verify factors associated with impact on Health-Related Quality of Life (HRQoL) and Oral Health-Related Quality of Life (OHRQoL) of children and adolescents with cerebral palsy (CP). METHODS AND RESULTS Sample of 149 individuals with CP aged 2 to 18 years and their caregivers, who provided information regarding HRQoL (PedsQL 4.0), OHRQoL (PedsQL 3.0 Oral Health, and socioeconomic factors. A calibrated investigator performed dental examinations, with dental caries, traumatic dental injury, periodontal, and occlusal evaluation. HRQoL and OHRQoL scores were transformed into a 0 to 100 scale, dichotomized in absence or presence of impact (score

The aim of the present study was determine the prevalence and factors associated with dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy (CP). This is a cross-sectional study conducted with 80 patients ranging in age from 2 to 18 years old. Oral exams were conducted by an examiner with records of DMFT, dmft, Gingival Bleeding Index (GBI) and Community Periodontal Index (CPI). The statistical analysis used Poisson Regression with robust variance estimation (α = 0.05). The prevalence of dental caries was 59.3%, with DMFT and mean dmft of 1.71 ± 2.42 and 2.22 ± 3.23, respectively. The mean GBI was 22.44%, and in the CPI, the prevalence of gingival bleeding, calculus, shallow and deep pockets were 94.73%, 79.62%, 12.90% and 3.22%, respectively. The caregiver’s educational level of less than eight years were associated with the dental caries experience (PR = 1.439, 95%CI = 1.09–1.89). The periodontal alterations were associated with female sex (PR = 0.82, 95%CI = 0.69–0.97), caregiver’s educational level of less than eight years (PR = 1.15, 95%CI = 1.03–1.29), poor oral perception (PR = 0.89, 95%CI = 0.80–0.98), serious communication problem (PR = 0.87, 95%CI = 0.76–0.99) and athetoid type of CP (PR = 0.85, 95%CI = 0.75–0.97). The patients with CP presented high dental caries experience and periodontal alterations, which were associated with their demographic, socioeconomic, oral health perception and systemic information.