The oral health status and treatment needs of institutionalized children with cerebral palsy in Taiwan
Received 11 February 2010; accepted 12 May 2010.
Background/purpose
In this study, we investigated the dental health status of children with cerebral palsy (CP) by determining their dental treatment needs in terms of different grades of disability, sex, and age.
Materials and methods
In total, the dental health of 345 children with CP aged £ 18 years residing in institutions was examined, and their treatment needs were evaluated. Stratified cluster sampling by probability proportional to size was used for sampling. A dental examination was conducted according to the protocol criteria of the World Health Organization. A databank was designed using Microsoft Office Access, and SAS and JMP were used for the statistical analysis.
Results
The deft (decayed, extracted and filled primary teeth) index in 5-year-old children with CP was 7.00 ± 6.73; the DMFT (decayed, missing and filled permanent teeth) index of 12- and 18-year-old children with CP were 2.50 ± 3.17 and 7.42 ± 5.48, respectively. The dental treatment needs increased with increasing age and the grade of disability. Children with a moderate grade of CP had the highest dental treatment needs.
Conclusion
More decayed and missing teeth and fewer dental restorations are common problems in children with CP, and the conditions worsen with age. The grade of CP and having mental retardation or not also worsens their dental health. Promoting the oral health education of parents, caregivers and nurses, strengthening prevention programs from childhood, and motivating dental practitioners to create a dental care system for this population with disabilities are urgently required.
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aDepartment of Pediatric Dentistry, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
bDepartment of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
cBureau of Health Promotion, Department of Health, Executive Yuan, Taichung, Taiwan
dSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
Corresponding author. Department of Pediatric Dentistry, Chung-Ho Memorial Hospital, Kaohsiung Medical University, 100, Tzyou 1st Road, San-Ming District, Kaohsiung City 80756, Taiwan
ABSTRACT