Sandra Cardona-Soria1, Abel Cahuana-Cárdenas1, Alejandro Rivera-Baró1,2, Jaume Miranda-Rius1,2,3, Javier Martín de Carpi4, Lluís Brunet-Llobet1,2. 1. Department of Pediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain. 2. Hospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group (HDECORPEMrg), Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Spain. 3. Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain. 4. Comprehensive Care Unit of Pediatric Inflammatory Bowel Disease, Section of Pediatric Gastroenterology and Nutrition, Hospital Sant Joan de Déu, Barcelona, Spain.
Abstract
AIMS: Cerebral palsy (CP) is a chronic, nonprogressive disorder affecting movement, posture, and tone, caused by injuries in the central nervous system during the early stages of life. Patients with CP have swallowing disorders, which make oral feeding difficult and necessitate the use of external feeding devices. The objective of this research was to study the oral health status of pediatric patients affected with CP fed by either oral or enteral route. METHODS: A cross-sectional observational clinical study of the oral health of two groups of patients with CP, fed either orally or enterally (via percutaneous endoscopic gastrostomy, PEG). RESULTS: Patients fed by enteral route via PEG presented lower caries scores (DMFT: PEG: 1.09, non-PEG: 2.81) and higher percentages of supragingival dental calculus than the oral feeding group (PEG: 86%, non-PEG: 57.6%). CONCLUSION: Oral health status differed in pediatric patients with CP fed enterally via PEG and those fed orally. Specific preventive measures in both groups will be required to minimize the risk of complications.
AIMS: Cerebral palsy (CP) is a chronic, nonprogressive disorder affecting movement, posture, and tone, caused by injuries in the central nervous system during the early stages of life. Patients with CP have swallowing disorders, which make oral feeding difficult and necessitate the use of external feeding devices. The objective of this research was to study the oral health status of pediatric patients affected with CP fed by either oral or enteral route. METHODS: A cross-sectional observational clinical study of the oral health of two groups of patients with CP, fed either orally or enterally (via percutaneous endoscopic gastrostomy, PEG). RESULTS: Patients fed by enteral route via PEG presented lower caries scores (DMFT: PEG: 1.09, non-PEG: 2.81) and higher percentages of supragingival dental calculus than the oral feeding group (PEG: 86%, non-PEG: 57.6%). CONCLUSION: Oral health status differed in pediatric patients with CP fed enterally via PEG and those fed orally. Specific preventive measures in both groups will be required to minimize the risk of complications.
Authors: Sara Lopes; Vitor Tavares; Paulo Mascarenhas; Marta Lopes; Carolina Cardote; Catarina Godinho; Cátia Oliveira; Carla Adriana Santos; Madalena Oom; José Grillo-Evangelista; Jorge Fonseca Journal: Int J Environ Res Public Health Date: 2022-04-15 Impact factor: 4.614
Authors: Kamilla França; Guilherme T Cintra; Léia Cardoso-Sousa; Washington H T da Silva; Álex M Herval; Robinson Sabino-Silva; Ana P Turrioni Journal: J Int Soc Prev Community Dent Date: 2022-06-29