Evaluation of the Salivary Parameters (pH, Buffering Capacity and Flow Rate) and Dental Caries Status in Children with Cerebral Palsy: A Case Control Study
DOI:
https://doi.org/10.56056/414Keywords:
Cerebral Palsy, Children, Dental Caries Status, Salivary ParametersAbstract
Background and objectives: Children with cerebral palsy suffer from oral and dental problems more than healthy children, this may be due to poor motor control of orofacial muscles and bad oral hygiene. The objectives of this study are to measure the salivary parameters, dental caries status, to find any correlation between them, and to compare these data with that of healthy siblings.
Results: Dental caries were significantly higher in the study group, for the primary teeth P-value = 0.035, and for the permanent teeth P-value = 0.005, salivary flow rate and buffering capacity were significantly lower in the study group, P-value = 0.000 for both of them. pH shows no significant difference, P-value = 0.303, significant correlations noted between both the salivary flow rate and the buffering capacity with dental caries in primary dentition in the study group, P-values = 0.015.
Conclusion: Low salivary flow rate and buffering capacity in children with cerebral palsy might be risk factors for dental caries, so, these parameters could be used as screening tools for detecting children who are at risk of dental caries.
Downloads
References
1. Jan MM. Cerebral palsy: comprehensive review and update. Ann Saudi Med. 2006;26(2):123-32.
2. Quritum SM, Ali AM, Raouf MM, Omar TE, Dowidar KM. Evaluation of salivary parameters and Streptococcus’ Mutans count in children with cerebral palsy in Egypt: a case control study. BMC Oral Health. 2022;22(1):411.
3. Wasnik M, Chandak S, Kumar S, George M, Gahold N, Bhattad D. Dental management of children with cerebral palsy-a review. J Oral Res Rev. 2020;12(1):52-8.
4. Reid SM, McCutcheon J, Reddihough DS, Johnson H. Prevalence and predictors of drooling in 7?to 14?year?old children with cerebral palsy: a population study. Dev Med Child Neurol. 2012;54(11):1032-6.
5. dos Santos MT, Masiero D, Simionato MR. Risk factors for dental caries in children with cerebral palsy. Spec Care Dentist. 2002;22(3):103-7.
6. da Rocha DM, Andrade PM, Ramos ML, Moreira RN, Oliveira F. Association between executive/attentional functions and caries in children with cerebral palsy. Res Dev Disabil. 2013;34(9):2493-9.
7. Ilhanli M, Ilhanli L, Celenk P. Cerebral palsy and oral health. Int J Clin Exp Med. 2022;39(4):1283-93.
8. Sedky NA. Assessment of oral and dental health status in children with cerebral palsy: An exploratory study. J Contemp Dent. 2017;7(1):1-11.
9. Vandal VB, Noorani H, Shivaprakash P, Walikar BN. Salivary lead concentration in dental caries among normal and children with cerebral palsy. JISPPD. 2018;36(4):381-5.
10. Cardoso AM, Gomes LN, Silva CR, de Soares R, De Abreu MH, Padilha WW. Dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy. Int J Environ Res Public Health. 2015;12(1):335-53.
11. Leone CW, Oppenheim FG. Physical and chemical aspects of saliva as indicators of risk for dental caries in humans. J Dent Educ. 2001;65(10):1054-62.
12. Bellagambi FG, Lomonaco T, Salvo P, Vivaldi F, Hangouët M, Ghimenti S. Saliva sampling: Methods and devices. An overview. TrAC, Trends Anal Chem. 2020;124:115781.
13. Guo L, Wenyuan S. Salivary biomarkers for caries risk assessment. J Calif Dent Assoc. 2013;41(2):107-18.
14. Subramaniam P, Babu KG, Rodriguez A. Relation of salivary risk factors to dental caries in children with cerebral palsy. J Clin Pediatr Dent. 2010;34(4):355-60.
15. Baliga S, Muglikar S, Kale R. Salivary pH: A diagnostic biomarker. J Indian Soc Periodontol. 2013;17(4):461.
16. Heintze U, Birkhed D, Björn H. Secretion rate and buffer effect of resting and stimulated whole saliva as a function of age and sex. Swed Dent J. 1983;7(6):227-38.
17. Bansode PV, Pathak SD, Wavdhane M, Birage PP. Salivary biomarkers of dental caries-A review article. J Dent Med Sci. 2018;17(3):12-8.
18. Ericson D, Bratthall D. Simplified method to estimate salivary buffer capacity. Eur J Oral Sci. 1989;97(5):405-7.
19. Botti RS, Masiero D, Novo NF, Simionato MR. Oral conditions in children with cerebral palsy. J Dent Child. 2003;70(1):40-6.
20. Roberto LL, Machado MG, Resende VL, Castilho LS, Abreu MH. Factors associated with dental caries in the primary dentition of children with cerebral palsy. Braz Oral Res. 2012;26:471-7.
21. Weckwerth SA, Weckwerth GM, Ferrairo B, Chicrala GM, Ambrosio AM, Toyoshima GH. Parents' perception of dental caries in intellectually disabled children. Spec Care Dentist. 2016;36(6):300-6.
22. Dougherty NJ. A review of cerebral palsy for the oral health professional. Dent Clin North Am. 2009;53(2):329-38.
23. Anjugam P, Mathian VM, Gawthaman M, Vinod S, Devi EY. Salivary biomarker levels and oral health status of children with cerebral palsy and their healthy siblings: a comparative study. Rambam Maimonides Med J. 2021;12(2).
24. Du RY, McGrath C, Yiu CK, King NM. Oral health in preschool children with cerebral palsy: a case–control community?based study. Int J Paediatr Dent. 2010;20(5):330-5.
25. Alhammad NS, Wyne AH. Caries experience and oral hygiene status of cerebral palsy children in Riyadh. Odontostomatol Trop. 2010;33(130):5-9.
26. Ruiz LA, Diniz MB, Loyola JP, Habibe CH, Garrubbo CC. A controlled study comparing salivary osmolality, caries experience and caries risk in patients with cerebral palsy. Med Oral Patol Oral Cir Bucal. 2018;23(2):e211.
27. Quintela L, Alfredo L. Experience of caries in patients with cerebral palsy. Rev Gaucha Odontol. 2011;59:387-95.
28. de Carvalho RB, Mendes RF, Prado RR, Neto JM. Oral health and oral motor function in children with cerebral palsy. Spec Care Dentist. 2011;31(2):58-62.
29. Al?Allaq T, DeBord TK, Liu H, Wang Y, Messadi DV. Oral health status of individuals with cerebral palsy at a nationally recognized rehabilitation center. Spec Care Dentist. 2015;35(1):15-21.
30. Shapira J, Stabholz A, Schurr D, Sela MN, Mann J. Caries levels, Streptococcus mutans counts, salivary pH, and periodontal treatment needs of adult Down syndrome patients. Spec Care Dentist. 1991;11(6):248-51.
31. Radha G, Swathi V, Jha A. Assessment of salivary and plaque pH and oral health status among children with and without intellectual disabilities. JISPPD. 2016;34(3):257-61.
32. Diniz MB, Guaré RO, Ferreira MC, Santos MT. Does the classification of cerebral palsy influence caries experience in children and adolescents? Braz J Oral Sci. 2015;14:46-51.
33. Erasmus CE, Van HK, Rotteveel LJ, Jongerius PH, Van Den Hoogen FJ, Roeleveld N. Drooling in cerebral palsy: hypersalivation or dysfunctional oral motor control Dev Med Child Neurol. 2009;51(6):454-9.
34. Dowd FJ. Saliva and dental caries. Dent Clin North Am. 1999;43(4):579-97.
35. Bensi C, Costacurta M, Docimo R. Oral health in children with cerebral palsy: A systematic review and meta?analysis. Spec Care Dentist. 2020;40(5):401-11.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Sherwan Kareem Qader, Ali Fakhree Alzubaidee, Maaroof Tahseen Hassan Najjar

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in AMJ (The Scientific Journal of Kurdistan Higher Council of Medical Specialties )is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0)










