title: Does intellectual disability affect the development of dental caries in patients with cerebral palsy?
abstract: The aim of this study was to evaluate if the severity of intellectual disability is a factor that affects the development of dental cavities in patients with cerebral palsy. This cross-sectional study was conducted on 165 individuals who were selected from a physical rehabilitation center, a special public school and a regular public school. Of these, 76 individuals had been diagnosed with spastic cerebral palsy and 89 had no neurological impairment. The subjects were matched based on age and gender and selected randomly by lottery. All patients were examined to determine the number of dental cavities, and tested for their intellectual functioning (Raven Test) and motor abilities. The study showed that children with CP who presented with intellectual disabilities had a larger number of dental cavities than children with CP without intellectual disabilities. Considering intellectual functioning and motor impairment in the multivariate logistic regression, only intellectual functioning was found to have a significant effect on the development of dental cavities. These results suggest that intellectual disability can be considered a contributing factor for the development of dental caries in patients with cerebral palsy.
authors.affiliation: School of Dentistry, Postgraduate Program in Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil.
authors.forename: Rafaela Nogueira
authors.initials: RN
authors.lastname: Moreira
authors.forename: Carlos Eduardo Pinto
authors.initials: CE
authors.lastname: Alcântara
authors.forename: Isabella
authors.initials: I
authors.lastname: Mota-Veloso
authors.forename: Sandra Aparecida
authors.initials: SA
authors.lastname: Marinho
authors.forename: Maria L
authors.initials: ML
authors.lastname: Ramos-Jorge
authors.forename: Fernanda
authors.initials: F
authors.lastname: Oliveira-Ferreira
mesh_terms: D001938:Brazil / Q000453:epidemiology; D002547:Cerebral Palsy / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000453:epidemiology*; D016015:Logistic Models; D008297:Male; D019957:Motor Skills Disorders / Q000453:epidemiology*; D015999:Multivariate Analysis; D012307:Risk Factors; D012720:Severity of Illness Index; D012923:Social Class