Measurement and evaluation of maximum opening capacity and oral health conditions in individuals with cerebral palsy
Mensuração e avaliação da capacidade da máxima abertura e condições de saúde bucal em indivíduos com paralisia cerebral
Palavras-chave:
Malocclusions, Cerebral palsy, oral healthResumo
Neuromuscular problems, inherent to cerebral palsy (CP), significantly affect the oral health of these individuals. The objective of this study was to evaluate and compare the relationship between motor impairment conditions and oral health conditions and TMJ amplitude in individuals with CP. The methodology was based on an evaluative process with extra and intra-oral clinical examination carried out on individuals with CP, who were divided into two groups, according to the condition, according to the GMFCS classification. Given the results obtained, it can be concluded that in both groups analyzed, the Angle class II type of dental malocclusion and the parafunctional habit of tongue interposition had a higher prevalence. The average maximum mouth opening was 29.92 mm, with a slightly significant reduction for the group with greater and lesser neurological involvement. Both groups evaluated presented a moderate prevalence rate of dental caries, with no significant difference between them.
Downloads
Referências
ABANTO, J.; BORTOLOTII, R.; CARVALHO, T. S.; ALVES, F. B. T.; RAGGIO, D. P CIAMPONI, A. L. Avaliação de hábitos alimentares de interesse odontológico em crianças com paralisia cerebral. Rev Inst Ciênc Saúde, v. 27, n. 3, p. 244-248, 2009. https://doi.org/10.1111/scd.12028
ABIMBOLA M.; TAYLOR, G.; CAMP BELL, H.; LELEA, L.; KIRBY, R. S. Cerebral palsy: diagnosis, epidemiology, genetics and clinical update. Adv Pediatr., v. 66, p. 189-208, 2019. https://doi.org/10.1016/j.yapd.2019.04.002
ALIYA, S.; KAUR, H.; GARG, N.; RISHIK; YELURI, R. Clinical Measurement of Maximum Mouth Opening in Children Aged 6-12. J Clin Pediatr Dent., v. 45, n. 3, p. 216-220, 2021. https://doi.org/10.17796/1053-4625-45.3.12
BAGIS, B.; AUAS, E. A.; TURGUT, S.; DURKAN, R.; OZCAN, M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. Int J Med Sci., v. 9, n. 7, p. 539-544, 2012. https://doi.org/10.7150/ijms.4474
BENEVIDES, S. D.; ARAUJO, R. P.; RIBEIRO, C. DE O.; MELLO, S. M. F. Determinação da amplitude dos movimentos mandibulares em crianças do estado da Bahia. Revista CEFAC, v. 18, n. 1, p. 95-103, 2016. https://doi.org/10.1590/1982-0216201618110515
CARDONA-SORIA, S.; CAHUANA-CARDENAS, A.; RIVERA-BARO, A.; MIRANDA-RIUS, J.; MARTIN DE CARPI, J.; BRUNET-LlOBET, L. Oral health status in pediatric patients with cerebral palsy fed by oral versus enteral route. Spec Care Dentist, v. 40, n. 1, p. 35-40, 2020.
https://doi.org/10.1590/1982-0216201618110515
CARMAGNANI, F. G.; GONÇALVES, G. K.; CORRÊA, M. S.; DOS SANTOS, M. T. Occlusal characteristics in cerebral palsy patients. J Dent Child (Chic), v. 74, n. 1, p. 41-45, 2007.
CARVALHO, T. M.; FERREIRA, G. P.; REZENDE, T. R. M. Ortodontia em pacientes com paralisia cerebral: benefícios e abordagens. Brazilian Journal of Development, v. 7, n. 12, p. 117302-117313, 2021. https://doi.org/10.34117/bjdv7n12-472
CASTILHO, L. S.; ABREU, M. H. N. G.; PIRES E SOUZA, L. G. A.; ROMUALDO, L. T. A.; SOUZA E SILVA, M. E.; RESENDE, V. L. S. Factors associated with anterior open bite in children with development disabilities. Sepc Care Dentist., v. 38, n. 1, p. 46-50, 2018. https://doi.org/10.1111/scd.12262
CATTONI, D. M.; FERNANDES, F. D. M. Distância interincisiva máxima em crianças na dentadura mista. Rev Dent Pres Ortodon Ortop Facial, v. 10, n. 1, p. 117-121, 2005. https://doi.org/10.1590/S1415-54192005000100013
CIOCHON, R. L.; NISBETT, R. A.; CORRUCCINI, R. S. Dietary consistency and craniofacial development related to masticatory function in minipigs. J Craniofac Genet Dev Biol, v. 17, n. 2, p. 96-102, 1997.
CUOGHI, O. A.; FARIA, L. P.; MICHELETTI, K. R.; ZAMALLOA, Y. M. M.; TOPOLSKI, F.; MENDONÇA, M. R. Hábitos bucais deletérios em pessoas com deficiência. Full Dent Sci., v. 8, n. 29, p. 96-99, 2016.
DIÉGUEZ-PÉREZ, M.; NOVA-GARCIA, M. J.; MOURELLE-MARTINEZ, M. R.; BARTOLOMÉ-VILLAR, B. Oral health children with physical (cerebral palsy) and intelectual (down syndrome) disabilities: systematic review. J Clin Exp Dent, v. 8, n. 3, p. e337-343, 2016. http://dx.doi.org/10.4317/jced.52922
FREGATTO, L. F.; COSTA, I. B.; DE BORTOLI TEIXEIRA, D.; DUARTE, J. C. M.; MASCARIN, A. M. N.; DA SILVEIRA JUNIOR, S. B.; SERVA, B. E. B. M.; DA SILVA, R. G.; JUNIOR, F. A.; COLA, P. C. Oral hygiene and oral microbiota in children and young people with neurological impairment and oropharyngeal dysphagia. Sci Rep., v. 11, n. 1, p. 18090, 2021. https://doi.org/10.1038/s41598-021-97425-x
HANNA, L. M. O.; ARAÚJO, R. J. G.; PAGANINI, A. L. Aspectos sistêmicos e odontológicos de portadores de paralisia cerebral. Journal of Research in Dentistry, v. 6, n. 6, p. 118-123, 2018. https://doi.org/10.19177/jrd.v6e62018118-123
HIDAS, A.; COHEN, J.; BEERI, M.; SHAPIRA, J.; STEINBERG, D.; MOSKOVITZ, M. Salivary bacteria and oral health status in children with disabilities fed through gastrostomy. Int J Paediatr Dent., v. 20, n. 3, p. 179-185, 2010.
https://doi.org/10.1111/j.1365-263x.2010.01039.x
IHTIJAREVIC-TRTAK, S. et al. Periodontal status in the permanent dentition of children with cerebral palsy. Stomatoloski Vjesnik, v. 3, p. 51-58, 2014.
KLEIN, H.; PALMER, C. E. Dental caries in American Indian children. Public Health Bulletin, v. 239, p. 1-54, 1937.
KUMAR, A.; DUTTA, S.; SINGH, J.; MEHTA, R.; HOODA, A.; NAMDEV, R. Clinical measurement of maximal mouth opening in children: a pioneer method. J Clin Pediatr Dent., v. 37, n. 2, p. 171-175, 2012.
https://doi.org/10.17796/jcpd.37.2.l17x8227682j5610
LINDSTEN, R.; OGAARD, B.; LARSSON, E. Dental arch space and permanent tooth size in the mixed dentition of a skeletal sample from the 14th to the 19th centuries and 3 contemporary samples. Am J Orthod Dentofacial Orthop., v. 122, n. 1, p. 48-58, 2002.
https://doi.org/10.17796/jcpd.37.2.l17x8227682j5610
MARTINEZ-MIHI, V.; SILVESTRE, F. J.; ORELLANA, L. M.; SILVESTRE-RANGIL, J. Resting position of the head and malocclusion in a group of patients with cerebral palsy. J Clin Exp Dent., v. 6, n. 1, p. e1-6, 2014.
https://doi.org/10.4317/jced.51129
MENEZES, M. C.; FERREIRA, N. S. P.; FARIA, L. P.; TOPOLSKI, F.; FERREIRA, A. S. P.; CUOGHI, O. A. Hábitos bucais deletérios em pacientes com paralisia cerebral. Rev Odontol UNESP, v. 43, p. 82, 2014.
MIAMOTO, C. B.; RAMOS-JORGE, M. L.; PEREIRA, L. J.; PAIVA, S. M.; PORDEUS, I. A.; MARQUES, L. S. Severity of malocclusion in patients with cerebral palsy: determinant factors. Am J Orthod Dentofacial Orthop., v. 138, n. 4, p. 394-395, 2010. https://doi.org/10.1016/j.ajodo.2010.03.025
MOTTA, L. J. Assessment of noise temporomandibular joint in children with bruxism. Rev. CEFAC, v. 17, n. 1, p. 111-116, 2015.
https://doi.org/10.1590/1982-021620150814
NAKAGIMA, I.; OHNISHI, T.; NAGASAWA, A.; SEKIL, M.; TANASI, N.; TAKE, K.; MAEDA, T.; OGURA, T.; AKASAWA, M. Relationship between the values of masticatory efficiency and biting pressure in children with cerebral palsy. J Nihon Univ Sch Dent., v. 30, p. 244-260, 1988. https://doi.org/10.2334/josnusd1959.30.244
ORGANIZAÇÃO MUNDIAL DA SAÚDE (OMS). Declaração de Jacarta. Jacarta: OMS, 1997. https://bvsms.saude.gov.br/bvs/publicacoes/declaracao_jacarta_1997.pdf
ORTEGA, A. O.; GUIMARÃES, A. S.; CIAMPONI, A. L.; MARIE, S. K. N. Frequency of parafunctional oral habits in patients with cerebral palsy. J Oral Rehabil., v. 34, n. 5, p. 323-328, 2007. https://doi.org/10.1111/j.1365-2842.2006.01703.x
ORTEGA, A. O.; GUIMARÃES, A. S.; CIAMPONI, A. L.; MARIE, S. K. N. Frequency of temporomandibular disorder signs in individuals with cerebral palsy. J Oral Rehabil., v. 35, n. 3, p. 191-195, 2008. https://doi.org/10.1111/j.1365-2842.2007.01766.x
ORTEGA, A. O. L.; SANTOS, M. T. B. R.; MENDES, F. M.; CIAMPONI, A. L. Association between anticonvulsant drugs and teeh-grinding in children and adolescents with cerebral palsy. Journal of Oral Rehabilitation, v. 41, n. 9, p. 653-658, 2014.
https://doi.org/10.1111/joor.12185
PALISANO, R. J.; COPELAND, W. P.; GALUPPI, B. E. Performance of physical activities by adolescents with cerebral palsy. Phys Ther., v. 87, n. 1, p. 77-87, 2007.
https://doi.org/10.2522/ptj.20060089
PINTO, V. G. Saúde bucal coletiva. 5 ed. São Paulo: Santos, 2008.
PREVITALI, E. F; SANTOS, M. T. B. R. Dental caries and oral hygiene in children with spastic tetraparetic cerebral palsy receiving either oral feeding or nutrition via gastrostomy tube. Pesq Bras Odontoped Clin Integr., v. 9, n. 1, p. 43-47, 2009.
https://doi.org/10.4034/1519.0501.2009.0091.0008
SAWAIR, F. A.; HASSONEH, Y. M.; AL-ZAWAEI, B. M.; BAGAIN, Z. H. Maximum
mouth opening. Associated factors and dental significance. Saudi Med J., v. 31, n. 4, p. 369-373, 2010.
SILVEIRA, L. D. B. R.; GOLDENBERG, M. Hábitos e preferências alimentares de crianças com três a cinco anos de idade. Rev CEFAC, v. 3, n. 1, p. 37-44, 2001.
VAUGHAN, C. W.; NEILSON, P. D.; O’DWYER, N. J. Motor control déficits of orofacial muscles in cerebral palsy. J Neurol Neurosurg Psychiatry, v. 51, n. 4, p. 534-539, 1998. https://doi.org/10.4034/1519.0501.2009.0091.0008
YOGI, H.; ALVES, L. A. C.; GUEDES, R.; CIAMPONO, A. L. Determinants factors of malocclusion in children and adolescentes with cerebral palsy. Am J Orthod and Dentofacial Orthop., v. 154, n. 3, p. 405-411, 2018.
https://doi.org/10.1016/j.ajodo.2017.11.042
ZHOU, Y.; XU, M.; YADAV, S. Temporomandibular joint aging and potential therapies. Aging, v. 13, n. 14, p. 17955-17956, 2021. https://doi.org/10.18632/aging.203332