title: The incidence of dental caries in children and adolescents who have cerebral palsy and are participating in a dental program in Brazil.
abstract: The aim of this study was to describe the incidence of caries among children and adolescents who have cerebral palsy. The authors conducted baseline and follow-up dental examinations of 118 children and adolescents with cerebral palsy in a specialized healthcare unit in São Paulo, Brazil. Family care-givers completed a questionnaire that provided socioeconomic and behavioral information. The analysis used multivari-ate Poisson regression models adjusted for age. More than half (52.5%) of the subjects had at least one permanent or deciduous tooth affected by new caries during the longitudinal assessment (2004-2008). The incidence of caries was associated with the baseline prevalence of caries (incidence ratio = 1.92), a higher frequency of sugar intake (IR = 1.56), and having at least one sibling (IR = 1.64). Participants whose family care-givers had more education had a significantly lower incidence (IR = 0.68). The factors associated with a higher incidence of caries are similar to those in the general population. This evidence can potentially be used to develop an effective oral health promotion program for these patients.
authors: Associação de Assisteˆncia à Criança Deficiente - AACD-SP, São Paulo, Brazil.
authors: Marcela Aparecida
authors: MA
authors: Ferreira de Camargo
authors: Antonio Carlos
authors: AC
authors: Frias
authors: José Leopoldo Ferreira
authors: JL
authors: Antunes
mesh_terms: D000293:Adolescent; D001938:Brazil / Q000453:epidemiology; D002547:Cerebral Palsy / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology*; D019422:Dietary Sucrose / Q000008:administration & dosage; D004522:Educational Status; D005190:Family; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D015994:Incidence; D007182:Income / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D009790:Occupations / Q000706:statistics & numerical data; D015995:Prevalence; D035781:Siblings; D012923:Social Class; D014094:Tooth, Deciduous / Q000473:pathology; D014099:Toothbrushing / Q000706:statistics & numerical data
chemical_list: D019422:Dietary Sucrose