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Masticatory efficiency in children with cerebral palsy

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Abstract

Purpose

The purpose of this investigation was to compare quality of chewing in children with CP to the healthy controls, and determine whether the functional capacity of chewing units and overall dental health affect the quality of chewing.

Methods

A total of 86 were included in the investigation: 43 children with CP and 43 controls (13 girls aged 7–16 years and 30 boys aged 9–16 years) residents of the institutions for the children with special needs. Control group included the same number of children matched by age and gender for every child from the test group according to the pairing principle. The number of functional masticatory units was expressed through the number of healthy teeth and teeth with cavities which the patients could use for chewing. Masticatory efficiency assessment was determined by the method of chewed almond transparency after ten chewing cycles. The particles were passed through 12 sieves with diameter range from 0.6 to 7.2 mm. The masticatory efficiency was expressed with the number of sieves needed to pass 50% of the total almond mass.

Results

Healthy children had significantly more teeth in occlusal contact, while the DMF index did not differ significantly. Both groups had the same number of functional masticatory units. Children with CP had significantly poorer quality of chewing.

Conclusion

Children with CP had significantly poorer quality of chewing which is not affected by tooth functionality, but rather the primary condition.

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References

  • Butts J. The dental status of mentally retarded children. I. A survey of present practices among dentists in Georgia. J Public Health Dent. 1967;27:195.

    Article  PubMed  Google Scholar 

  • Cutress TW, Brown RD, Barker DS. Effects on plaque and gingivitis of a chlorhexidine dental gel in the mentally retarded. Community Dent Oral Epidemiol. 1977;5:78–83.

    Article  PubMed  Google Scholar 

  • Dos Santos MT, Masiero D, Simionato MR. Risk factors for dental caries in children with cerebral palsy. Spec Care Dent. 2002;22:103–7.

    Article  Google Scholar 

  • Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examination and specification, critique. J Craniomandib Disord Facial Oral Pain. 1992;6:302–55.

    Google Scholar 

  • Gaviao MB, Raymundo VG, Sobrinho LC. Masticatory efficiency in children with primary dentition. Pediatr Dent. 2001;23:499–505.

    PubMed  Google Scholar 

  • Gisel EG, Birnbaum R, Schwartz S. Feeding impairments in children: diagnosis and effective intervention. Int J Orofac Myol. 1998;24:27–33.

    Google Scholar 

  • Grzic R, Bakarcic D, Prpic I, Ivancic Jokic N, Sasso A, Kovac Z, Lajnert V. Dental health and dental care in children with cerebral palsy. Coll Antropol. 2011;35:761–4.

    PubMed  Google Scholar 

  • Guare RO, Ciamponi AL. Dental caries prevalence in the primary dentition of cerebral-palsied children. J Clin Pediatr Dent. 2003;27:287–92.

    PubMed  Google Scholar 

  • Harris D. Factitious buccal lesion secondary to bruxism in a child with cerebral palsy. Emerg Med J. 2006;23:4.

    Article  Google Scholar 

  • Kawaguchi T, Nakashima M. Oral findings of institutionalized handicapped children. Fukuoka Shika Daigaku Gakkai Zasshi. 1990;17:13–211.

    PubMed  Google Scholar 

  • Kaya MS, Akyuz S, Guclu B, Diracoglu D, Yarat A. Masticatory parameters of children with and without clinically diagnosed caries in permanent dentition. Eur J Pediatr Dent. 2017;18:116–20.

    Google Scholar 

  • Koch G, Poulsen S. Pediatric dentistry—a clinical approach. Copenhagen: Munksgaard; 2001. p. 445–462.

    Google Scholar 

  • Koman AL, Paterson Smith B, Shlit JS. Cerebral palsy. Lancet. 2004;363:1619–28.

    Article  PubMed  Google Scholar 

  • Lacerda DC, Ferraz-Pereira KN, Bezerra de Morais AT, Costa de Santana BJR, Quevedo OG, Manhaes de Castro R, Toscano AE. Oro-facial functions in experimental models of cerebral palsy: a systematic review. J Oral Rehabil. 2017;44:251–60.

    Article  PubMed  Google Scholar 

  • Lewis C, Robertson AS, Phelps S. Unmet dental care needs among children with special health care needs: implications for the medical home. Pediatrics. 2005;116:426–31.

    Article  Google Scholar 

  • Maiwald HJ, Engelkensmeier B. The oral health status and the tasks of pediatric dental care for mentally handicapped children and adolescents. Zahn Mund Kieferheilkd Zentralbl. 1990;78:11–7.

    PubMed  Google Scholar 

  • Matsson L, Backman B, Nilsen LA. Dental care for the disabled child and adolescent. In: Koch G, Poulsen S, editors. Pediatric dentistry—a clinical approach. Copenhagen: Munksgaard; 2001. p. 445–462.

    Google Scholar 

  • Matsui MY, Giannasi LC, Freitas Batista SR, Oliveira Amorim JB, Oliveira CS, Oliveira LVF, Gomes MF. Differences between the activity of masticatory muscles of adults with cerebral palsy and healthy individuals while at rest and in function. Arch Oral Biol. 2016;73:16–20.

    Article  PubMed  Google Scholar 

  • Miles TS, Nauntofte B, Svensson P. Clinical oral physiology. Copenhagen: Quintessence publishing; 2004. p. 199–255.

    Google Scholar 

  • Mitsea AG, Karidis AG, Donta-Bakoyianni C. Oral health status in Greek children and teenagers, with disabilities. J Clin Pediatr Dent. 2001;26:111–8.

    Article  PubMed  Google Scholar 

  • Mount GJ. Classification for minimal intervention. Quintessence Int. 2000;31:375–6.

    PubMed  Google Scholar 

  • Mowlana F, Heath R. Assessment of masticatory efficiency: new methods appropriate for clinical research in dental practice. Eur J Prosthodont Restor Dent. 1993;1:121–5.

    PubMed  Google Scholar 

  • Nakajima I, Ohnishi T, Nagasawa R. Relationship between the values of masticatory efficiency and biting pressure in children with cerebral palsy: interrelationship between the maximum biting pressure, chewing cycle and the value of masticatory efficiency. J Nihon Univ Sch Dent. 1988;30:244–60.

    Article  PubMed  Google Scholar 

  • Nilsen LA. Caries among children with cerebral palsy: relation to CP-diagnosis, mental and motor handicap. ASDC J Dent Child. 1990;57:267–73.

    Google Scholar 

  • Palin T, Hausen H, Alvesalo L. Dental health of 9–10 year old mentally retarded children in eastern Finland. Community Dent Oral Epidemiol. 1982;10:86–90.

    Article  PubMed  Google Scholar 

  • Paphangkorakit J, Thothongkam N, Supanont N. Chewing-side determination of three food texture. J Oral Rehabil. 2006;33:2–7.

    Article  PubMed  Google Scholar 

  • Pope JE, Curzon ME. The dental status of cerebral palsied children. Pediatr Dent. 1991;13:156–62.

    PubMed  Google Scholar 

  • Rodrigues dos Santos MT, Masiero D, Novo NF. Oral conditions in children with cerebral palsy. J Dent Child. 2003;70:40–6.

    Google Scholar 

  • Rodriguez JPL, Ayala-Herrera JL, Munoz-Gomez N, Martinez-Martinez RE, Santos-Diaz MA, Olvera-Delgrado JH, Loyola-Leyva A. Dental decay and oral findings in children and adolescens affected by different types of cerebral palsy. A comparative study. J Clin Pediatr Dent. 2018;42:62–6.

    Article  PubMed  Google Scholar 

  • Sedky NA. Assessment of oral and dental health status in children eith cerebral palsy: an exploratory study. Int J Health Sci. 2018;12:4–14.

    Google Scholar 

  • Storhaug K. The mentally retarded and the dental health services. Treatment need and preventive strategies. Nor Tannlaegeforen Tid. 1991;101:262–5.

    PubMed  Google Scholar 

  • Strodel BJ. The effects of spastic cerebral palsy on occlusion. ASDC J Dent Child. 1987;54:255–60.

    PubMed  Google Scholar 

  • Van der Bilt A, Van der Glas HW, Mowlana F. Comparison between sieving and optical scanning for the determination of particle size distributions obtained in man. Arch Oral Biol. 1993;38:159–62.

    Article  PubMed  Google Scholar 

  • Van der Bilt A, Fontijn-Tekamp FA. Comparison of single and multiple sieve methods for the determination of masticatory performance. Arch Oral Biol. 2004;49(3):193–8.

    Article  PubMed  Google Scholar 

  • Van Dyck PC, Kogan MD, McPherson MG. Prevalence and characteristics of children with special health care needs. Arch Pediatr Adolesc Med. 2004;158:884–90.

    Article  PubMed  Google Scholar 

  • Waldman HB, Perlman SP. Children with special health care needs: results of a national survey. J Dent Child. 2006;73:57–62.

    Google Scholar 

  • Waldman HB, Perlman SP, Swerdloff M. Children with mental retardation/developmental disabilities: do physicians ever consider needed dental care? Ment Retard. 2001;1:53–6.

    Article  Google Scholar 

  • World Health Organisation. Oral health surveys: basic methods. 4th ed. Geneva: WHO; 1997.

    Google Scholar 

Download references

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Correspondence to N. I. Jokić.

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Bakarčić, D., Lajnert, V., Jokić, N.I. et al. Masticatory efficiency in children with cerebral palsy. Eur Arch Paediatr Dent 22, 77–82 (2021). https://doi.org/10.1007/s40368-020-00529-7

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  • DOI: https://doi.org/10.1007/s40368-020-00529-7

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