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Physiologic and behavioural signs during a dental appointment in children and teenagers with Cerebral Palsy: a comparative cross-sectional study

  • Original Scientific Article
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European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Aim

To evaluate the heart rate (HR) and behaviour of children and teenagers with Cerebral Palsy (CP) when having a dental appointment.

Methods

A comparative cross-sectional study was carried out with 60 participants with CP, between 2 and 14 years old (study group—SG), and 60 normotypical individuals (CG). The sample was paired according to age, gender and socioeconomic status. Behaviour was evaluated during dental prophylaxis using the Frankl Scale, and HR was measured at five moments: before the appointment, when sitting in the dental chair, during the clinical examination, during prophylaxis and immediately after prophylaxis. Mann–Whitney, Friedman and Chi-square tests were applied at a significance level of 5%.

Results

SG presented significantly higher HR (p < 0.001) and more participants with uncooperative behaviour (p < 0.001) than CG in all observational periods. Furthermore, SG participants with uncooperative behaviour presented higher HR values than those in SG who were cooperative in all observational periods (p ≤ 0.002).

Conclusions

Individuals with CP have a higher HR before and during the clinical session, and are frequently more uncooperative with the procedure than normotypical individuals.

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Acknowledgements

This study was developed during the Master’s degree training of Thalles Anthony Chaves Leal, under the supervision of the Prof. Regina Ferraz Mendes, and was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001. The authors thank the dentist responsible for the treatment of the children, Dr. Regina Fátima Fernandes, and Jonathan Spottiswoode for the translation of the manuscript.

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Authors and Affiliations

  1. Postgraduate Program in Dentistry, Federal University of Piauí - UFPI, Campus Universitário Ministro Petrônio Portella, Bloco 5, Bairro Ininga, Teresina, Piauí, 64049-550, Brazil

    T. A. C. Leal, A. M. Silva, B. R. Nogueira, R. R. Prado Júnior & R. F. Mendes

  2. Postgraduate Program in Dentistry, Ceuma University , São Luís, Maranhão, Brazil

    M. C. Ferreira

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  1. T. A. C. Leal
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  2. A. M. Silva
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  3. B. R. Nogueira
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  4. R. R. Prado Júnior
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  5. M. C. Ferreira
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  6. R. F. Mendes
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Correspondence to A. M. Silva.

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Ethical approval

This study was conducted according to the norms of Resolutions 466/2012 and 510/2016 of the National Health Council. It was approved by the Research Ethics Committee of the Federal University of Piauí (Protocol number 838861). All the participants of the research were clarified regarding the objectives of the research and signed a form of free and informed consent.

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Leal, T.A.C., Silva, A.M., Nogueira, B.R. et al. Physiologic and behavioural signs during a dental appointment in children and teenagers with Cerebral Palsy: a comparative cross-sectional study. Eur Arch Paediatr Dent 22, 181–186 (2021). https://doi.org/10.1007/s40368-020-00524-y

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  • DOI: https://doi.org/10.1007/s40368-020-00524-y

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