Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional Study

Background. To assess the prevalence and factors associated with malocclusions in children and adolescents with cerebral palsy (CP). Methods. The study included 134 subjects with CP aged 2–18 years enrolled in six rehabilitation institutions and their caregivers, which provided demographic, systemic...

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Main Authors: Andreia Medeiros Rodrigues Cardoso, Clara Regina Duarte Silva, Lays Nóbrega Gomes, Mariana Marinho Davino de Medeiros, Wilton Wilney Nascimento Padilha, Alidianne Fábia Cabral Cavalcanti, Alessandro Leite Cavalcanti
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2020/8856754
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author Andreia Medeiros Rodrigues Cardoso
Clara Regina Duarte Silva
Lays Nóbrega Gomes
Mariana Marinho Davino de Medeiros
Wilton Wilney Nascimento Padilha
Alidianne Fábia Cabral Cavalcanti
Alessandro Leite Cavalcanti
author_facet Andreia Medeiros Rodrigues Cardoso
Clara Regina Duarte Silva
Lays Nóbrega Gomes
Mariana Marinho Davino de Medeiros
Wilton Wilney Nascimento Padilha
Alidianne Fábia Cabral Cavalcanti
Alessandro Leite Cavalcanti
author_sort Andreia Medeiros Rodrigues Cardoso
collection DOAJ
description Background. To assess the prevalence and factors associated with malocclusions in children and adolescents with cerebral palsy (CP). Methods. The study included 134 subjects with CP aged 2–18 years enrolled in six rehabilitation institutions and their caregivers, which provided demographic, systemic, and behavioral data. A calibrated researcher held oral examinations with record of the following malocclusion indexes, DAI and DMFT. Poisson regression analysis was used (α < 0.05). Results. About 85.8% (n = 115) of patients had malocclusion. In deciduous and mixed dentition (n = 99), increased overjet (75.8%), open bite (51.5%), posterior cross bite (19.2%), and anterior cross bite (3.0%) were identified. Increased overjet was associated with the age group of 2–5 years and mild communication impairment. Anterior open bite was more common in children who underwent tongue interposition, lip interposition, and pacifier sucking. Communication skills, mouth breathing, and tongue interposition were associated with posterior cross bite. Severe malocclusions (DAI > 30) were observed in 88.6% of patients with permanent dentition (n = 35) and were associated with liquid diet consistency and finger sucking. Conclusion. The prevalence of malocclusion in individuals with CP was high and associated with demographic, behavioral, and systemic factors.
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spelling doaj-art-832e710060f44eb494ee95681ceb527c2025-08-20T02:09:00ZengWileyInternational Journal of Dentistry1687-87281687-87362020-01-01202010.1155/2020/88567548856754Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional StudyAndreia Medeiros Rodrigues Cardoso0Clara Regina Duarte Silva1Lays Nóbrega Gomes2Mariana Marinho Davino de Medeiros3Wilton Wilney Nascimento Padilha4Alidianne Fábia Cabral Cavalcanti5Alessandro Leite Cavalcanti6Department of Dentistry, Faculty of Dentistry, State University of Paraiba, Avenida Das Baraunas, S/N, Bodocongo, Campina Grande 58429-500, PB, BrazilDepartment of Dentistry, Faculty of Dentistry, Federal University of Paraiba, Cidade Universitária, S/N, Castelo Branco, João Pessoa 58051-900, PB, BrazilDepartment of Dentistry, Faculty of Dentistry, Federal University of Paraiba, Cidade Universitária, S/N, Castelo Branco, João Pessoa 58051-900, PB, BrazilDepartment of Dentistry, Faculty of Dentistry, Federal University of Paraiba, Cidade Universitária, S/N, Castelo Branco, João Pessoa 58051-900, PB, BrazilDepartment of Dentistry, Faculty of Dentistry, Federal University of Paraiba, Cidade Universitária, S/N, Castelo Branco, João Pessoa 58051-900, PB, BrazilDepartment of Dentistry, Faculty of Dentistry, State University of Paraiba, Avenida Das Baraunas, S/N, Bodocongo, Campina Grande 58429-500, PB, BrazilDepartment of Dentistry, Faculty of Dentistry, State University of Paraiba, Avenida Das Baraunas, S/N, Bodocongo, Campina Grande 58429-500, PB, BrazilBackground. To assess the prevalence and factors associated with malocclusions in children and adolescents with cerebral palsy (CP). Methods. The study included 134 subjects with CP aged 2–18 years enrolled in six rehabilitation institutions and their caregivers, which provided demographic, systemic, and behavioral data. A calibrated researcher held oral examinations with record of the following malocclusion indexes, DAI and DMFT. Poisson regression analysis was used (α < 0.05). Results. About 85.8% (n = 115) of patients had malocclusion. In deciduous and mixed dentition (n = 99), increased overjet (75.8%), open bite (51.5%), posterior cross bite (19.2%), and anterior cross bite (3.0%) were identified. Increased overjet was associated with the age group of 2–5 years and mild communication impairment. Anterior open bite was more common in children who underwent tongue interposition, lip interposition, and pacifier sucking. Communication skills, mouth breathing, and tongue interposition were associated with posterior cross bite. Severe malocclusions (DAI > 30) were observed in 88.6% of patients with permanent dentition (n = 35) and were associated with liquid diet consistency and finger sucking. Conclusion. The prevalence of malocclusion in individuals with CP was high and associated with demographic, behavioral, and systemic factors.http://dx.doi.org/10.1155/2020/8856754
spellingShingle Andreia Medeiros Rodrigues Cardoso
Clara Regina Duarte Silva
Lays Nóbrega Gomes
Mariana Marinho Davino de Medeiros
Wilton Wilney Nascimento Padilha
Alidianne Fábia Cabral Cavalcanti
Alessandro Leite Cavalcanti
Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional Study
International Journal of Dentistry
title Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional Study
title_full Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional Study
title_fullStr Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional Study
title_full_unstemmed Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional Study
title_short Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional Study
title_sort prevalence of malocclusions and associated factors inbrazilian children and adolescents with cerebralpalsy a multi institutional study
url http://dx.doi.org/10.1155/2020/8856754
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