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Title:	Children and adolescents with cerebral palsy : risk factors related to oral health and their caregivers' burden
Authors:	Narjit Kaur Paramjit Singh (P91338)
Supervisor:	Alida Mahyuddin, Dr.
Keywords:	Oral Health Cerebral Palsy Universiti Kebangsaan Malaysia -- Dissertations Dissertations, Academic -- Malaysia
Issue Date:	13-Jan-2021
Description:	Cerebral palsy (CP) is the most common childhood motor disability that begins early in life, persisting throughout the individual’s lifespan. A study conducted in Kelantan in 2019 reported high caries prevalence and untreated caries among these children, and another research in 1998 reported higher parental stress among their mothers. However, no Malaysian data was available regarding their oral hygiene and gingival health, as well as the risk factors for the poorer oral health. Therefore, the objectives of this cross-sectional study were to assess the current oral health status of children with CP, evaluate their caregiver’s burden and determine the risk factors related to their oral health. The tools used to quantify dental caries, oral hygiene, gingival inflammation and caregiver’s burden were DMFT/dft Index, OHI-S, MGI and ZBI questionnaire respectively. One examiner with good intra-examiner reliability was maintained throughout the study. Sample size calculation yielded 106 subjects, and 110 participants were recruited (males: 60.9%, females: 39.1%, mean age: 8.27 ± 3.38) by convenience sampling in two major hospitals in Kuala Lumpur. Caries experience in their primary teeth was shown to be equivalent to the general population of 5-year olds (NOHPS), while twice as many permanent teeth were carious compared to the general population of 12-year olds (NOHSS). High percentage of untreated caries (86.6%) and low Care Index of 9.7% supported the finding in Kelantan that dental care was lacking in this group. The majority of these children had fair oral hygiene and moderate gingival inflammation, equivalent to the general population. Most caregivers indicated mild to moderate burden. Binary logistic regression showed that individuals with GMFCS IV and V were 25.1 times more likely to present with caries than someone with GMFCS I to III. Children with CP between the ages of 12 to 16 years had 36.87 times higher odds for poor oral hygiene and 24.1 times higher odds for severe gingival inflammation than those aged between 4 to 6 years. However, caregiver’s burden was not a significant predictor of poorer oral health. In conclusion, oral health must be emphasised from an earlier age, by taking into account the child’s gross motor ability scores. The high treatment needs reported among the study population is a matter of concern, especially since there is an existing guideline on the oral healthcare of children with special needs issued by the Oral Health Division, Ministry of Health Malaysia. It is suggested that the guideline be revisited with new emphasis based on the current findings to improve systems and clinical practices for the benefit of this group of children and their caregivers. Multi-disciplinary care by inclusion of a dentist in the patient management team could assist this at-risk group and their families to live better quality lives,Ijazah Doktor Pergigian Klinikal (Pergigian Pediatrik)
Pages:	138
Call Number:	WU113.6.K21c 2020 9 tesis
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Dentistry / Fakulti Pergigian

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