ArticleSpecial care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
Dental Caries in Children and Youth With Cerebral Palsy: A Nationwide Study of Oral Health in Aotearoa New Zealand.
Article in Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimTo assess oral health outcomes for children with cerebral palsy (CP) in Aotearoa New Zealand and examine whether the level of motor impairment, using the Gross Motor Function Classification System (GMFCS), is associated with increased dental caries at ages 5 and 12 years.
methodsLongitudinal study linking clinical data from New Zealand Cerebral Palsy Register (NZCPR) for 1220 individuals with CP (aged ≤ 21 years) to national Community Oral Health Service records, 2008-2023. Oral health outcomes were measured using dmft/DMFT indices (decayed, missing, filled teeth) for primary and permanent dentitions.
results981 (80%) participants had ≥ 1 dmft/DMFT records. 306/429 (71%) with recorded dmft at age 5 years and 167/230 (73%) with recorded DMFT at age 12 years were caries-free. Caries-free rates did not vary across GMFCS levels. Adjusting for confounders, dental decay was more common in children of NZ Māori, Pacific Peoples and Asian ethnicities compared to European children at age 5 years, [OR 3.60 (1.91, 6.80), OR 5.11 (2.36, 11.05), OR 3.06 (1.38, 6.79) respectively] and in NZ Māori at 12 years [OR 3.18 (1.42, 7.12)].
conclusionsGMFCS was not associated with poorer oral health outcomes. However, significant ethnic disparities highlight the need for culturally responsive oral health interventions.
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