Volltext-Downloads (blau) und Frontdoor-Views (grau)
  • search hit 1 of 1
Back to Result List

Bitte verwenden Sie diesen Link, wenn Sie dieses Dokument zitieren oder verlinken wollen: https://nbn-resolving.org/urn:nbn:de:gbv:9-opus-22440

Oral health of cerebral palsy children and determination of potential for ist improvement

  • Cerebral palsy (CP) remains one of the most common debilitating diseases in the world. Factors such as neuromuscular incoordination, use of soft diet and delayed oral clearance of food make maintenance of optimum oral hygiene a challenging task in these children. The compromised oral hygiene in turn make these children highly vulnerable to dental disease. Maintaining optimal oral/dental health in CP children is of utmost importance as these children usually suffer from several associated general health problems in addition to their primary condition. Poor dental health further compromises their general health. Nevertheless, CP children often suffer from dental diseases including dental caries more than healthy children. This underscores the need for improvement in oral health of the CP children. The CP children are dependent on those around them for their oral hygiene maintenance and dietary intake. CP children spend most of their time with health care workers in special centers for them or with their parents/care takers at home. Therefore, the attitude of special health care workers and parents towards their dental health is of prime importance. The purpose of this project included to determine the attitude of special health care workers towards their dental health and oral health comprehension by parents of CP children. In addition, a study on caries experience of CP children and associated risk factors was also completed. The final objective was to identify various potential areas of improvement with ultimate goal of improving dental health of the CP children. The study involving special health care workers in a Disabled Children’s Center revealed that oral health knowledge and practices among the workers could generally be labeled as satisfactory, however some weak areas (such as trend towards symptom-oriented utilization of oral health care and lack of knowledge about fluoridated water) were identified. There is a need to enhance the workers’ knowledge in these areas. The study involving parents of the CP children showed mixed results. Some areas of strong oral health comprehension (such as importance of good dental health, harmful effects of sweetened foods), others satisfactory (such as need for routine dental visits, use of fluoride) and some weak areas (use of flavored fizzy drinks, bottled/canned juices and sweetened/flavored milks, seeking early treatment) were identified among parents of CP children. The results strongly indicated a need for enhanced efforts towards improvement of oral health comprehension in the parents of the CP children. The study about caries experience and risk factors in CP children has provided useful information in an area where literature has been scarce. Almost all the studied children had clinical dental caries, and most of the caries were untreated. Very few children in the present study had optimal oral hygiene. This study confirmed the strong correlation between high dental caries experience and poor oral hygiene. Routine dental check-up visits and topical fluoride application clearly resulted in lower caries experience. Bottled juices and crispy potato chips were the two predictors for high caries experience. As stated before, the goal of the project was to identify various potential areas of improvement in oral health attitude of special health care workers, oral health comprehension of the parents of CP children and risk factors for dental caries in CP children. It is contemplated that by addressing the identified weak areas, an improvement in dental health and care of the CP children is expected. It is also expected that the collected information will help in improvement of clinical preventive as well as restorative services for the CP children. CP children and their parents lead a challenging life. This project was an effort to assist these children and their parents/care takers with ultimate goal of improving their oral health and in turn their overall quality of life.

Download full text files

Export metadata

Additional Services

Share in Twitter Search Google Scholar


Author:Professor Amjad Wyne
Title Additional (German):Orale Gesundheit von Cerebral Palsy Kindern und Ermittlung des Potentials zu ihrer Verbesserung
Referee:PD Dr. Falk Schwendicke
Advisor:Prof. Dr. Christian Splieth
Document Type:Doctoral Thesis
Year of Completion:2018
Date of first Publication:2018/07/10
Granting Institution:Universität Greifswald, Universitätsmedizin
Date of final exam:2018/06/25
Release Date:2018/07/10
Tag:Oral health, Cerebral palsy, Children, Prevention
GND Keyword:Cerebral Palsy Kinder, Orale Gesundheit
Faculties:Universitätsmedizin / Poliklinik für Kieferorthopädie, Präventive Zahnmedizin und Kinderzahnheilkunde
DDC class:600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin und Gesundheit