Journal of Disability and Oral Health
- Cover Date:
- December 2008
- Print ISSN:
- 1470-8558
- Electronic ISSN:
- 1754-2758
- Vol:
- 9
- Issue:
- 4
Oral V Presentations Santos 2008
Oral Presentations
V1 Oral motor function and nutritional state in individuals with cerebral palsy
MT Santos, RIR Allevato, PCFC Coimbra, FAS Silva, UNICSUL, LESF, Brazil. Background: The aim was to evaluate the association between oral motor function and nutritional state in individuals with cerebral palsy (CP). Methods: Seventy-eight young people with CP, 36 females and 42 males, aged 4-14yrs [mean 9yrs 5mo ±SD 2yrs 3mo] were evaluated for oral motricity and nutritional state. The oromotor function was assessed using the Orofacial Motor Function Assessment Scale (OFMFAS) and the scores were divided in quartiles according to the severity observed: severely, moderately, slightly, and very slightly impaired (Santos et al., 2005). The nutritional evaluation was performed by anthropometric assessments, that included weight, height (using the length of shin-bone in the equation 3.26 x length of shin-bone+30.8cm, according to AAP, 2002), triceps skinfold thickness and arm muscular circumference. The nutritional state was categorised as subnutrition (P<5), risk for subnutrition (P5- P10), eutrophy (P10-P90), overweight (P90-P97) and obesity (P>97) (Frisancho, 1990). Results: According to the OFMFAS, 25 individuals (32.1%) were considered severely impaired, 31 (39.7%) moderately, 18 (23.1%) slightly and 4 (5.1%) very slightly impaired. Regarding the nutritional status, 36 individuals (46.2%) presented subnutrition, 23 (29.5%) subnutrition risk, 17 (21.8%) eutrophic, 1 (1.3%) overweight and 1 (1.3%) obesity. A statistically significant association (P <0.001) between nutritional state and oral motricity was found. Moderately and severely impaired young people exhibited the highest percentage of subnutrition and subnutrition risk. Discussion/Conclusions: The severity of the neurological damage is reflected in the oral cavity, more specifically in oral motor function and nutritional state.
V3 Drooling in persons with rare disorders – conclusions from twelve years with the MHC database
Å Mogren, L Sjögreen, Mun-H-Center Göteborg Sweden. asa. mogren@vgregion.se
Background: Poor saliva control is a severe problem for many persons with disabilities and a common orofacial manifestation in rare disorders. Drooling has a complex aetiology and needs a multiprofessional management. Methods: Data about orofacial manifestations in rare disorders have been collected in the MHC database since 1996. The aim of the database is to document, analyse and present orofacial findings collected through clinical observations and information from parents. Results: In January 2008, 2155 individuals were registered in the database. They represent 202 different rare disorders Drooling was reported in 32% of the persons registered in the database. Of those, 23% reported that they had received drooling treatment at their home clinic. The most common therapy was oral motor therapy. The outcome of the treatment was very much the same when comparing oral motor therapy, medication and surgery. One third reported good results, one third some improvement, and one third no improvement. Drooling was related to other orofacial manifestations such as malocclusion, oral motor dysfunction, and difficulties with eating. Speech difficulties were strongly related to drooling. Drooling was often rated as a severe problem for the persons and their caregivers. Discussion/Conclusions: Even if drooling is a common and severe problem for many persons with rare disorders treatment is not always offered. It is important that this target group will receive multiprofessional assessment and treatment for their drooling problems.
V2 Effect of palatal plate therapy on maxillary growth and development in children with Down syndrome
AC Grever, G Dahllof, Karolinsak Institute, Sweden/Otago University, New Zealand. ann-christin.grever@otago.ac.nz
V14 Dental care for Down syndrome patients having congenital heart malformations
FDS Frota, TM Brazoloto, SMHCÁ Aguiar, Unesp/Araçatuba, Brazil. fabdiogo@hotmail.com Background: Down syndrome (DS) is an autosomal chromosomal anomaly which results from trisomy of all or part of chromosomal 21. Many of the syndromes related to chromosomal abnormalities and intellectual impairment are frequently associated with congenital heart malformations (CHM). Methods: In this study the authors present the frequency and types of CHM among Down Syndrome patients emphasising the prevention of infectious endocarditis (IE) with appropriate antibiotic prophylaxis (ABP). Results: Of 390 DS patients, 312 (80%) were considered free from any CHM. 78 (20%) presented some CHM; from these 11.5% (n=9) have more than one CHM. The proportion of those with a history of previous bacterial endocarditis (ABP) who would require prophylaxis to prevent IE was 41.0% (n=32). Ventricular septal defect was the most frequent CHM (20.5%, n=16). Discussion/Conclusions: Dentists must know about the patients’ cardiological diagnosis before treatment that could cause bleeding, because antibiotics are required to prevent IE. Although some CHM do not need ABP, according to the protocol of the American Heart Association, there are systemic conditions in DS that are relevant for the prescription of antibiotics.
Background: Morphological deviations with an underdeveloped maxilla together with hypotonia contribute to increased prevalence of occlusal anomalies in children with Down syndrome (DS). The aim of this study was to investigate if the use of palatal plates for three and a half years would normalise the growth of the maxilla for children with Down syndrome. Material: In a multi-centre project started in 1995, 42 children with Down syndrome have been followed longitudinally. The children started oral rehabilitation including palatal plate therapy, at the age of 6 months. At four years of age a clinical examination was performed and dental impressions were taken for the 42 children and two age matched control groups; one group with Down syndrome children who had never used palatal plates and one group of children with normal development. Palatal height, length and width were measured from the dental casts on at total of seventy-five casts from the three groups of children. Results: No significant differences in growth and development of the maxilla in DS children who had used palatal plates for three and a half year compared to DS-children who had never used palatal plates were found. Discussion/Conclusion: palatal plate therapy between 6 and 48 months of age had no orthopaedic effects on the growth of the maxilla.
- Article Price
- £15.00
- Institution Article Price
- £
- Page Start
- 181
- Page End
- 185
- Authors
Articles from this issue
- Title
- Pg. Start
- Pg. End