Impact of Oral Health Promotion Program for Caregivers and Children with Cerebral Palsy

Andreia Medeiros Rodrigues CARDOSO, Yuri Wanderley CAVALCANTI, Wilton Wilney Nascimento PADILHA

Abstract


Objective: To report the effect of an oral health promotion program for children with cerebral palsy and their caregivers.
Method: An interventional study with non-controlled clinical trial was performed in the homes of 10 children (3-13 years) with cerebral palsy and their caregivers, identified at the Public Health Units of João Pessoa, PB, Brazil. Before and after the program, the caregivers were interviewed and the children were subjected to clinical exam and application of the Simplified Oral Hygiene Index (OHI-S). Information on dietary habits and oral hygiene was collected during the interview. The OHI-S was recorded by a calibrated examiner (Kappa = 0.85) in the clinical exam. During 90 days, weekly visits were carried out involving individualized educative actions planned from the data collected in the initial interview (I1) with the caregivers; working on the toothbrushing technique used by the caregiver in the child, comprising orientation, demonstration and supervision; and fluoride therapy. After the program, a new interview (I2) and a new clinical exam were performed. The statistical analysis used the Student’s t-test at a significance level of 5%.
Results: Dietary habits, in I1: a bottle feeding was used (7); offered of sugar in excess (10); and all pasty diets included sugar (8). In I2: a glass/spoon was used (8); offered sugar in excess (0), offered pasty and fibrous diets without sugar (8). Hygiene habits, in I1: gaze and mouthwash exclusivo (?), once a day (1); no toothbrushing technique, once a day (9). In I2: use of gauze soaked with mouthwash once a week (1), satisfactory toothbrushing technique, twice a day (10). The mean OHI-S was 2.63 in the first exam and 0.91 in the second exam, with statistically significant difference between them (p less than 0.01).
Conclusion: Oral health care of children with cerebral palsy was altered and the actions produced positive changes in the hygiene and dietary habits as well as in the amount of dental biofilm.



DOI: http://dx.doi.org/10.4034/pboci.v11i2.1444

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