Severity of malocclusion in patients with cerebral palsy: Determinant factors

Our aims in this study were to compare the biopsychosocial aspects of patients with cerebral palsy and subjects in a control group, establish the severity of malocclusion, and identify determinant factors. The group with cerebral palsy included 60 patients diagnosed with the spastic form of the dise...

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Published inAmerican journal of orthodontics and dentofacial orthopedics Vol. 138; no. 4; pp. 394.e1 - 394.e5
Main Authors Miamoto, Cristina Batista, Ramos-Jorge, Maria Letícia, Pereira, Luciano José, Paiva, Saul Martins, Pordeus, Isabela Almeida, Marques, Leandro Silva
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.10.2010
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ISSN0889-5406
1097-6752
1097-6752
DOI10.1016/j.ajodo.2010.03.025

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Abstract Our aims in this study were to compare the biopsychosocial aspects of patients with cerebral palsy and subjects in a control group, establish the severity of malocclusion, and identify determinant factors. The group with cerebral palsy included 60 patients diagnosed with the spastic form of the disease. The control group included 60 randomly selected healthy subjects with various malocclusions. Data were collected through questionnaires, medical charts, and clinical evaluations. The criteria of the dental aesthetic index were used for the diagnosis of malocclusion. Comparisons between groups and between the independent variables and dependent variable (severity of malocclusion) were performed by using the chi-square test (P ≤0.05) and multivariate logistic regression (forward stepwise procedure). Significant differences between the groups were found for these variables: tooth loss, overjet, anterior open bite, facial type, breathing pattern, drooling, difficulty in swallowing, and lip incompetence. The main risk factors associated with the severity of malocclusion were cerebral palsy, mouth breathing, lip incompetence, and long face.
AbstractList Our aims in this study were to compare the biopsychosocial aspects of patients with cerebral palsy and subjects in a control group, establish the severity of malocclusion, and identify determinant factors. The group with cerebral palsy included 60 patients diagnosed with the spastic form of the disease. The control group included 60 randomly selected healthy subjects with various malocclusions. Data were collected through questionnaires, medical charts, and clinical evaluations. The criteria of the dental aesthetic index were used for the diagnosis of malocclusion. Comparisons between groups and between the independent variables and dependent variable (severity of malocclusion) were performed by using the chi-square test (P ≤ 0.05) and multivariate logistic regression (forward stepwise procedure). Significant differences between the groups were found for these variables: tooth loss, overjet, anterior open bite, facial type, breathing pattern, drooling, difficulty in swallowing, and lip incompetence. The main risk factors associated with the severity of malocclusion were cerebral palsy, mouth breathing, lip incompetence, and long face.
Our aims in this study were to compare the biopsychosocial aspects of patients with cerebral palsy and subjects in a control group, establish the severity of malocclusion, and identify determinant factors. The group with cerebral palsy included 60 patients diagnosed with the spastic form of the disease. The control group included 60 randomly selected healthy subjects with various malocclusions. Data were collected through questionnaires, medical charts, and clinical evaluations. The criteria of the dental aesthetic index were used for the diagnosis of malocclusion. Comparisons between groups and between the independent variables and dependent variable (severity of malocclusion) were performed by using the chi-square test (P ≤0.05) and multivariate logistic regression (forward stepwise procedure). Significant differences between the groups were found for these variables: tooth loss, overjet, anterior open bite, facial type, breathing pattern, drooling, difficulty in swallowing, and lip incompetence. The main risk factors associated with the severity of malocclusion were cerebral palsy, mouth breathing, lip incompetence, and long face.
Our aims in this study were to compare the biopsychosocial aspects of patients with cerebral palsy and subjects in a control group, establish the severity of malocclusion, and identify determinant factors.INTRODUCTIONOur aims in this study were to compare the biopsychosocial aspects of patients with cerebral palsy and subjects in a control group, establish the severity of malocclusion, and identify determinant factors.The group with cerebral palsy included 60 patients diagnosed with the spastic form of the disease. The control group included 60 randomly selected healthy subjects with various malocclusions. Data were collected through questionnaires, medical charts, and clinical evaluations. The criteria of the dental aesthetic index were used for the diagnosis of malocclusion. Comparisons between groups and between the independent variables and dependent variable (severity of malocclusion) were performed by using the chi-square test (P ≤ 0.05) and multivariate logistic regression (forward stepwise procedure).METHODSThe group with cerebral palsy included 60 patients diagnosed with the spastic form of the disease. The control group included 60 randomly selected healthy subjects with various malocclusions. Data were collected through questionnaires, medical charts, and clinical evaluations. The criteria of the dental aesthetic index were used for the diagnosis of malocclusion. Comparisons between groups and between the independent variables and dependent variable (severity of malocclusion) were performed by using the chi-square test (P ≤ 0.05) and multivariate logistic regression (forward stepwise procedure).Significant differences between the groups were found for these variables: tooth loss, overjet, anterior open bite, facial type, breathing pattern, drooling, difficulty in swallowing, and lip incompetence.RESULTSSignificant differences between the groups were found for these variables: tooth loss, overjet, anterior open bite, facial type, breathing pattern, drooling, difficulty in swallowing, and lip incompetence.The main risk factors associated with the severity of malocclusion were cerebral palsy, mouth breathing, lip incompetence, and long face.CONCLUSIONSThe main risk factors associated with the severity of malocclusion were cerebral palsy, mouth breathing, lip incompetence, and long face.
Introduction Our aims in this study were to compare the biopsychosocial aspects of patients with cerebral palsy and subjects in a control group, establish the severity of malocclusion, and identify determinant factors. Methods The group with cerebral palsy included 60 patients diagnosed with the spastic form of the disease. The control group included 60 randomly selected healthy subjects with various malocclusions. Data were collected through questionnaires, medical charts, and clinical evaluations. The criteria of the dental aesthetic index were used for the diagnosis of malocclusion. Comparisons between groups and between the independent variables and dependent variable (severity of malocclusion) were performed by using the chi-square test ( P ≤0.05) and multivariate logistic regression (forward stepwise procedure). Results Significant differences between the groups were found for these variables: tooth loss, overjet, anterior open bite, facial type, breathing pattern, drooling, difficulty in swallowing, and lip incompetence. Conclusions The main risk factors associated with the severity of malocclusion were cerebral palsy, mouth breathing, lip incompetence, and long face.
Author Pordeus, Isabela Almeida
Marques, Leandro Silva
Paiva, Saul Martins
Miamoto, Cristina Batista
Pereira, Luciano José
Ramos-Jorge, Maria Letícia
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  givenname: Cristina Batista
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  fullname: Miamoto, Cristina Batista
  organization: Professor, Department of Orthodontics, University of Vale do Rio Verde (UNINCOR), Três Corações, Brazil; private practice, Diamantina, Brazil
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  givenname: Maria Letícia
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  givenname: Saul Martins
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  givenname: Leandro Silva
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  fullname: Marques, Leandro Silva
  email: lsmarques21@yahoo.com.br
  organization: Professor, Department of Orthodontics, University of Vale do Rio Verde (UNINCOR), Três Corações, Brazil; private practice, Diamantina, Brazil
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Snippet Our aims in this study were to compare the biopsychosocial aspects of patients with cerebral palsy and subjects in a control group, establish the severity of...
Introduction Our aims in this study were to compare the biopsychosocial aspects of patients with cerebral palsy and subjects in a control group, establish the...
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SubjectTerms Case-Control Studies
Cerebral Palsy - complications
Chi-Square Distribution
Data Collection
Deglutition Disorders - complications
Dentistry
Esthetics, Dental
Facial Bones - abnormalities
Female
Humans
Lip - physiopathology
Logistic Models
Male
Malocclusion - etiology
Malocclusion - pathology
Mouth Breathing - complications
Risk Factors
Severity of Illness Index
Sialorrhea - complications
Vertical Dimension
Title Severity of malocclusion in patients with cerebral palsy: Determinant factors
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https://www.ncbi.nlm.nih.gov/pubmed/20889041
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