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Oral health-related quality of life in children and adolescents with cerebral palsy: paired cross-sectional study

  • Original Scientific Article
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Abstract

Objectives

To evaluate the impact of oral health conditions on the Oral Health-Related Quality of Life (OHRQoL) in children and adolescents with Cerebral Palsy (CP) and compare with children and adolescents without CP.

Methods

This was a paired cross-sectional study, consisting of 121 children and adolescents with CP and 121 without CP, aged 6 to 14 years. Caregivers filled a socioeconomic–demographic and the Parental–Caregiver Perceptions Questionnaire (P-CPQ). Physical examination of the oral cavity assessed the dental caries experience, need for treatment, consequences of untreated dental caries, presence of dental trauma, bruxism and malocclusion. A descriptive analysis and Kruskal–Wallis and Mann–Whitney tests (p < 0.05) were performed. Variables with p values ≤ 0.20 in the bivariate analysis were included in the adjusted model analysis. Variables with a p value < 0.05 remained in the final Poisson Regression model.

Results

Caries experience had a negative impact on the quality of life of both groups, with and without CP. Presence of gastroesophageal reflux and difficulty to opening the mouth also had a negative impact on the OHRQoL of the group with CP.

Conclusion

Children and adolescents with CP suffered a greater negative impact on OHRQoL than individuals without CP. Difficulty in opening the mouth and the presence of GER had a negative effect on the quality of life of individuals with CP, while dental caries had a negative impact on the OHRQoL of children and adolescents of both groups.

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Acknowledgements

The authors thanks the study participants and their caregivers, the Integrated Center for Special Education (CIES—Centro Integrado de Educação Especial), the Integrated Rehabilitation Center (CEIR—Centro Integrado de Reabilitação), the Association of Parents and Friends of the Disabled (APAE—Associação de Pais e Amigos dos Excepcionais) and the Secretaria Municipal de Educação de Teresina, Piauí, Brazil, who authorised and made this study possible. The authors also thanks the dentists Regina de Fátima Fernandes and Áurea Castelo Branco, and the undergraduate dentistry students at the Federal University of Piauí who participated in the scientific initiation projects.

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Authors and Affiliations

  1. Postgraduate Program in Dentistry, Federal University of Piauí-UFPI, Minister Petrônio Portella Campus, Bloc 5, Teresina, PI, 64049-550, Brazil

    T. de Castelo Branco Araújo, R. F. Mendes & R. R. P. Júnior

  2. Department of Restorative Dentistry, Federal University of Piauí-UFPI, Teresina, PI, Brazil

    B. R. Nogueira, R. F. Mendes & R. R. P. Júnior

Authors
  1. T. de Castelo Branco Araújo
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  2. B. R. Nogueira
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  3. R. F. Mendes
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  4. R. R. P. Júnior
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Corresponding author

Correspondence to T. de Castelo Branco Araújo.

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The authors declare that there were no conflicts of interest.

Ethical considerations

Study approved by the Research Ethics Committee (CEP) of the Federal University of Piauí—Brazil (opinion: 2,708,263). The norms for research with human beings established by the Declaration of Helsinki were also obeyed.

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The responsibilities of the participants of the research were clarified regarding to the objectives of the research and signed a Form of Free and Informed Consent.

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de Castelo Branco Araújo, T., Nogueira, B.R., Mendes, R.F. et al. Oral health-related quality of life in children and adolescents with cerebral palsy: paired cross-sectional study. Eur Arch Paediatr Dent 23, 391–398 (2022). https://doi.org/10.1007/s40368-022-00694-x

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  • DOI: https://doi.org/10.1007/s40368-022-00694-x

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