Dental Status of Children with Cerebral Palsy in the Republic of North Ossetia-Alania

摘要

The infantile cerebral palsy (ICP) is one of the most critical pathologies resulting in disability. Considering that the Republic of North Ossetia-Alania is industrially developed mountain territory with high pollution level in some locations and a region with insufficient content of iodine in its biosphere, the incidence rate of cerebral palsy is quite high. The purpose of the study was to define the dental status of children with cerebral palsy who were born in the Republic of North Ossetia-Alania. 35 children aged from 10 to 12 years having various forms of cerebral palsy undergoing treatment in Phoenix Republican Rehabilitation Center for Disabled Children were examined. All children were divided into 3 groups. The first group was comprised of 19 children suffering from hyperkinetic and atopic-astatic forms of cerebral palsy, which are able to take care of themselves. The second group included 16 children suffering from spastic and hemiplegic forms of cerebral palsy, which are not able to take care of themselves. The third group (control) consisted of 15 healthy children. The index of caries intensity and prevalence, condition of parodentium tissue, prevalence of dentofacial anomalies and needs in dental treatment was assessed. Results: it was found that dental caries and its complications occur in 97% cases. Dental caries occurs 4.5 times more often at children with hyperkinetic and atopic-astatic forms of cerebral palsy than at healthy children, and 4.7 times more often at children with spastic and hemiplegic forms of cerebral palsy.