Preventive Care by Dental Students of an Patient with Cerebral Palsy. Case Report
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Dec 31, 2019
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Mónica Liliana Cárdenas Lancheros
https://orcid.org/0000-0003-4093-218X
Marcell Ocampo Anjellis
https://orcid.org/0000-0002-1608-9797
Isabel Cristina Mendoza González
https://orcid.org/0000-0001-9103-7789
Edith del Carmen Hernández Rojas
https://orcid.org/0000-0002-2874-068X
https://orcid.org/0000-0003-4093-218X
Marcell Ocampo Anjellis
https://orcid.org/0000-0002-1608-9797
Isabel Cristina Mendoza González
https://orcid.org/0000-0001-9103-7789
Edith del Carmen Hernández Rojas
https://orcid.org/0000-0002-2874-068X
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Abstract
Background: In the city of Bogotá, Colombia, Foundation Fé carries out social work with people with disabilities. There, dental students from the San Martín University Foundation develop preventive activities in oral health. Objective: To describe a preventive intervention by dental students to a patient with cerebral palsy (CP) and their caregivers. Case description: It was an institutionalized patient with CP who had dental caries, periodontal disease, malocclusion, and sialorrhea. The students developed oral health preventive and care activities with the patients’ caregivers. The activities consisted of instructing them on how to use mouth openers or bite plugs, how to use oral hygiene implements such as fluoridated toothpaste, toothbrush, dental floss, and threaders and how to apply mouthwash with gauze. Conclusions: This instructional and preventive activity was beneficial for caregivers by indicating good oral hygiene practices for the patient. It was also beneficial for the training of dental students with regard to preventive and educational emphasis on neediest populations. They gained in proactivity and awareness about the social work that professionals can carry out with these populations.
Keywords
dental student, dentistry, disability, educational practice, oral health, oral health education, preventive dentistrydiscapacidad, educación en salud bucal, estudiante de odontología, odontología, odontología preventiva, práctica educativa, salud bucaleducação em saúde bucal, estudante de odontologia, incapacidade, odontologia, odontologia preventiva, prática educacional, saúde bucal
References
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15. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan J, Jacobsson B. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007; 109(109): 8-14.
16. Basil M. Jan, B. M, Jan, M. M. Dental health of children with cerebral palsy. Neurosciences, 2016; 21(4): 314-18.
17. World Health Organization Geneva. International Classification of Functioning, Disability and Health. WHO Library Cataloguing-in-Publication Data. 2001.
18. Wimalasundera N, Stevenson VL. Cerebral palsy. Practical Neurology 2016; 16(3): 184
19. Oskoui M, Coutinho F, Dykeman J, Jetté N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013 Jun; 55(6): 509-19. doi: 10.1111/dmcn.12080. Epub 2013 Jan 24.Review. Erratum in: Dev Med Child Neurol. 2016 Mar; 58(3): 316.
20. Póo P. Parálisis cerebral infantil. Protocolos Diagnóstico Terapeúticos de la AEP (Asociación Española de Pediatría) Neurología Pediátrica 2008; 271-77.
21. Sanger TD, Delgado MR, Gaebler-Spira D, Hallett M, Mink JW, and the Task Force on. Childhood Motor Disorders. Classification and definition of disorders causing hypertonia in childhood. Pediatrics, 2003; 111: e89–97. doi: 10.1542/peds.111.1.e89
22. Edebol-Tysk K, Hagber B. Epidemiology of spastic tetraplegic cerebral palsy in Sweden: I. Impairments and disabilities. Neuropediatrics. 1989; 20: 41-5. doi:10.1055/s-2008-1071263
23. Calzada C,Vidal CA, Díaz G. Parálisis cerebral infantil: definición y clasificación a través de la historia. Rev Mex Ortop Ped 2014; 16(1): 6-10.
24. Yeargin-Allsopp M, Van Naarden Braun K et al. Prevalence of cerebral palsy in 8 year old children in three areas of the United States in 2002: a multisite collaboration. Pediatrics. 2008; 121(3): 547-54. doi: 10.1542/peds.2007-1270.
25. Sanger TpD. Movement disorders in cerebral palsy. Journal of Pediatric Neurology. 2015; 13(4): 198-207 doi:http://dx.doi.org.ezproxy.unbosque.edu.co/10.1055/s-0035-1558866
26. Colver A, Fairhurst C, O D Pharoah P. Cerebral palsy. The Lancet April 5 2014 383: 1240-49. doi: 10.1016/S0140-6736(13)61835-8
27. Ashwal S, Russman BS, Blasco PA, et al, Quality Standards Subcommittee of the American Academy of Neurology; Practice Committee of the Child Neurology Society. Practice parameter: diagnostic assessment of the child with cerebral palsy: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology 2004; 62: 851-63. doi:10.1212/01.WNL.0000117981.35364.1B
28. Wimalasundera N, Stevenson VL. Cerebral palsy Practical Neurology 2016; 16: 184-94. doi:http://dx.doi.org.ezproxy.unbosque.edu.co/10.1136/practneurol-2015-001184
29. Potharaju, N. Seizures in cerebral palsy. Indian Journal of Cerebral Palsy, 2016; 2(1): 3-21 doi:http://dx.doi.org.ezproxy.unbosque.edu.co/10.4103/2395-4264.188150
30. Da Matta, GS, Barriviera M, Marsiglio, AdA, Peruchi, CMdS. & Miranda, A. F. Preventive and surgical intervention in patient with cerebral palsy – case report. RSBO. 2013; 10(3): 278-83.
31. Abanto, J, Ortega, AO, Raggio, D P, Bonecker M., Mendes FM, Ciamponi, AL. Impact of oral diseases and disorders on oral-health-related quality of life of children with cerebral palsy. Special Care in Dentistry. 2014; 34(2), 56-63. doi:http://dx.doi.org.ezproxy.unbosque.edu.co/10.1111/scd.12028
32. Costa PHM, Costa MABT, Pereira FM. The clinic-epidemiological profile of patients with cerebral palsy treated in a dentistry center in Distrito Federal, Brazil. Com Ciências Saúde. 2007; 18(2): 129-39.Id: lil-484723
33. Dumitru A. study on the barriers and support for participation to social life of children with disabilities. Euromentor Journal 2017; 8(1): 130-48. Retrieved from http://ezproxy.unbosque.edu.co:2048/login?url=https://search-proquest-com.ezproxy.unbosque.edu.co/docview/1907286202?accountid=41311
34. García VV, Bego V, Morales MC. Alteraciones bucodentales prevalentes en una población con parálisis cerebral. Odontol Pediátr. 2016; 24(2): 117-24.
35. Cardoso,AMR., Gomes LN, Silva CRD, Soares RDSC, de Abreu MHNG, Padilha, WWN, Cavalcanti AL. Dental caries and periodontal disease in brazilian children and adolescents with cerebral palsy. International Journal of Environmental Research and Public Health, 2015. 12(1), 335-353. doi:10.3390/ijerph120100335
36. El Ashiry EA, Alaki SM, Nouri SM. Oral Health Quality of Life in Children with Cerebral Palsy: Parental Perceptions. Journal of Clinical Pediatric Dentistry [Internet]. 2016; Jun 6 40(5): 375-87.
37. Diéguez-Pérez, M., de Nova-García, M.-J., Mourelle-Martínez, M. R., & Bartolomé-Villar, B. Oral health in children with physical (Cerebral Palsy) and intellectual (Down Syndrome) disabilities: Systematic review I. Journal of Clinical and Experimental Dentistry. 2016); 8(3): e337–e343. http://doi.org/10.4317/jced.52922
38. Nohelia María Pérez Bejarano, Ferreira Gaona, M. I., Clarisse, V. D., & Sanabria Vázquez, D. A. Salud bucal en adolescentes con discapacidad del centro de educación especial San Miguel, de Guarambaré, Paraguay. Revista De La Facultad De Odontología Universidad De Antioquia, 2017; 29(1).
39. Guideline on management of dental patients with special health care needs. Pediatric Dentistry [Internet]. [cited 2019 Jun 4]; 38(6): 171-6.
40. Cannon k, Ryan B, Stowe M. Consideration for care for your patient with cerebral palsy. A Literature Review. Virginia Commonwealth University Department of General Practice Dental Hygiene program. 2018.
41. Maiya, A, Shetty, YR, Rai K, Padmanabhan V, Hegde, AM. Use of different oral hygiene strategies in children with cerebral palsy: A comparative study. Journalof International Society of Preventive & Community Dentistry. 2015; 5(5): 389–93. http://doi.org/10.4103/2231-0762.165925
2. Fundación Fe. Nosotros. (página en internet). Bogotá, Colombia: la Fundación; 2018. Disponible en: https://www.fundacionfe.org/nosotros.html.
3. Moimaz SAS, Saliba NA, Zina LG, Saliba O, Saliba CAS. Práticas de ensino-aprendizagem com base em cenários reais. Interface (Botucatu). 2010; 14(32): 69-79.
4. Castilho LS, Resende LS, Barros AC, Lacerda DC, Marques EE, Castro N, Pacheco A. Atendimento odontológico a pacientes com necessidades especiais: Considerações a respeito de um projeto de extensão. Rev ELO. 2013 Jul; 2(1): 17-32.
5. Jara AF, Motta E. Orientação e motivação em saúde bucal como aliadas no tratamento odontológico do deficiente mental. Interbio. 2015 Jul-Dez; 9(2): 34-43.
6. Morita MC, Kriger L, Carvalho AC, Haddad AE. Implantação das directrices curriculares nacionales em odontología. Maringá, Paraná, Brasil: Associação Brasileira de Ensino Odontológico, Organização Pan-Americana da Saúde, Ministerio de Saúde; 2007. Disponível em: http://www.abeno.org.br/aadm/images/stories/downloads/implantacao_das_diretrizes_curriculares_nacionais_abeno_2007.pdf
7. González Castro GE. Salud bucal individual y colectiva del niño y del adolescente: una experiencia pedagógica en la Universidad Nacional de Colombia. Acta Odontol Colomb. 2017 ene-jun; 7(1): 101-19.
8. Jacomine J, Ferreira R, Campos A, Sant’Ana A, de Rezende ML, Greghi RL, Damantr C, Zangrando M. Saúde bucal e pacientes com necessidades especiais: percepções de graduandos em odontologia da FOB-USP. Rev ABENO. 2018; 18(2): 45-54.
9. Horruitiner Silva P. El reto de la transformación curricular. Rev Iberoam Educ (Organización de Estados Iberoamericanos). 2006 Oct 25; 40(3): 25.
10. Organización Mundial de la Salud (OMS). Clasificación internacional del funcionamiento, de la discapacidad y de la salud (CIF). Madrid, España: OMS; Organización Panamericana de la Salud; Ministerio de Trabajo y Asuntos Sociales, Secretaría General de Asuntos Sociales, Instituto de Migraciones y Servicios Sociales; 2001.
11. República de Colombia. Censo general 2005. Discapacidad. Personas con limitaciones permanentes. Bogotá, Colombia: Departamento Nacional de Estadística; 2005. [consultado: 2019 febrero 7]. Disponible en: https://www.dane.gov.co/files/censos/discapacidad/preva_indices.pdf
12. Ministerio de Salud y Protección Social, República de Colombia. Registro para la localización y caracterización de personas con discapacidad - RLCPD. Bogotá, Colombia: Minsalud; 2019. [consultado: 2019 abril 23]. Disponible en: https://www.minsalud.gov.co/proteccionsocial/promocion-social/Discapacidad/Paginas/registro-localizacion.aspx.
13. Ministerio de salud – Protección social. [homepage en Internet, datos compartidos, sala situacional 2018]. Bogotá ;c2019 [última actualización: martes, 23 de abril de 2019] ; consultado el 23 de abril de 2019
14. Giraldo Zuluaga MC, Martínez Delgado CM, Cardona Gómez N, Gutierrez Pineda JL, Giraldo Moncada KA, Jiménez Ruiz PM. Manejo de la salud bucal en discapacitados. Artículo de revisión. CES Odontología. 2017; 30(2): 23-36
15. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan J, Jacobsson B. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007; 109(109): 8-14.
16. Basil M. Jan, B. M, Jan, M. M. Dental health of children with cerebral palsy. Neurosciences, 2016; 21(4): 314-18.
17. World Health Organization Geneva. International Classification of Functioning, Disability and Health. WHO Library Cataloguing-in-Publication Data. 2001.
18. Wimalasundera N, Stevenson VL. Cerebral palsy. Practical Neurology 2016; 16(3): 184
19. Oskoui M, Coutinho F, Dykeman J, Jetté N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013 Jun; 55(6): 509-19. doi: 10.1111/dmcn.12080. Epub 2013 Jan 24.Review. Erratum in: Dev Med Child Neurol. 2016 Mar; 58(3): 316.
20. Póo P. Parálisis cerebral infantil. Protocolos Diagnóstico Terapeúticos de la AEP (Asociación Española de Pediatría) Neurología Pediátrica 2008; 271-77.
21. Sanger TD, Delgado MR, Gaebler-Spira D, Hallett M, Mink JW, and the Task Force on. Childhood Motor Disorders. Classification and definition of disorders causing hypertonia in childhood. Pediatrics, 2003; 111: e89–97. doi: 10.1542/peds.111.1.e89
22. Edebol-Tysk K, Hagber B. Epidemiology of spastic tetraplegic cerebral palsy in Sweden: I. Impairments and disabilities. Neuropediatrics. 1989; 20: 41-5. doi:10.1055/s-2008-1071263
23. Calzada C,Vidal CA, Díaz G. Parálisis cerebral infantil: definición y clasificación a través de la historia. Rev Mex Ortop Ped 2014; 16(1): 6-10.
24. Yeargin-Allsopp M, Van Naarden Braun K et al. Prevalence of cerebral palsy in 8 year old children in three areas of the United States in 2002: a multisite collaboration. Pediatrics. 2008; 121(3): 547-54. doi: 10.1542/peds.2007-1270.
25. Sanger TpD. Movement disorders in cerebral palsy. Journal of Pediatric Neurology. 2015; 13(4): 198-207 doi:http://dx.doi.org.ezproxy.unbosque.edu.co/10.1055/s-0035-1558866
26. Colver A, Fairhurst C, O D Pharoah P. Cerebral palsy. The Lancet April 5 2014 383: 1240-49. doi: 10.1016/S0140-6736(13)61835-8
27. Ashwal S, Russman BS, Blasco PA, et al, Quality Standards Subcommittee of the American Academy of Neurology; Practice Committee of the Child Neurology Society. Practice parameter: diagnostic assessment of the child with cerebral palsy: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology 2004; 62: 851-63. doi:10.1212/01.WNL.0000117981.35364.1B
28. Wimalasundera N, Stevenson VL. Cerebral palsy Practical Neurology 2016; 16: 184-94. doi:http://dx.doi.org.ezproxy.unbosque.edu.co/10.1136/practneurol-2015-001184
29. Potharaju, N. Seizures in cerebral palsy. Indian Journal of Cerebral Palsy, 2016; 2(1): 3-21 doi:http://dx.doi.org.ezproxy.unbosque.edu.co/10.4103/2395-4264.188150
30. Da Matta, GS, Barriviera M, Marsiglio, AdA, Peruchi, CMdS. & Miranda, A. F. Preventive and surgical intervention in patient with cerebral palsy – case report. RSBO. 2013; 10(3): 278-83.
31. Abanto, J, Ortega, AO, Raggio, D P, Bonecker M., Mendes FM, Ciamponi, AL. Impact of oral diseases and disorders on oral-health-related quality of life of children with cerebral palsy. Special Care in Dentistry. 2014; 34(2), 56-63. doi:http://dx.doi.org.ezproxy.unbosque.edu.co/10.1111/scd.12028
32. Costa PHM, Costa MABT, Pereira FM. The clinic-epidemiological profile of patients with cerebral palsy treated in a dentistry center in Distrito Federal, Brazil. Com Ciências Saúde. 2007; 18(2): 129-39.Id: lil-484723
33. Dumitru A. study on the barriers and support for participation to social life of children with disabilities. Euromentor Journal 2017; 8(1): 130-48. Retrieved from http://ezproxy.unbosque.edu.co:2048/login?url=https://search-proquest-com.ezproxy.unbosque.edu.co/docview/1907286202?accountid=41311
34. García VV, Bego V, Morales MC. Alteraciones bucodentales prevalentes en una población con parálisis cerebral. Odontol Pediátr. 2016; 24(2): 117-24.
35. Cardoso,AMR., Gomes LN, Silva CRD, Soares RDSC, de Abreu MHNG, Padilha, WWN, Cavalcanti AL. Dental caries and periodontal disease in brazilian children and adolescents with cerebral palsy. International Journal of Environmental Research and Public Health, 2015. 12(1), 335-353. doi:10.3390/ijerph120100335
36. El Ashiry EA, Alaki SM, Nouri SM. Oral Health Quality of Life in Children with Cerebral Palsy: Parental Perceptions. Journal of Clinical Pediatric Dentistry [Internet]. 2016; Jun 6 40(5): 375-87.
37. Diéguez-Pérez, M., de Nova-García, M.-J., Mourelle-Martínez, M. R., & Bartolomé-Villar, B. Oral health in children with physical (Cerebral Palsy) and intellectual (Down Syndrome) disabilities: Systematic review I. Journal of Clinical and Experimental Dentistry. 2016); 8(3): e337–e343. http://doi.org/10.4317/jced.52922
38. Nohelia María Pérez Bejarano, Ferreira Gaona, M. I., Clarisse, V. D., & Sanabria Vázquez, D. A. Salud bucal en adolescentes con discapacidad del centro de educación especial San Miguel, de Guarambaré, Paraguay. Revista De La Facultad De Odontología Universidad De Antioquia, 2017; 29(1).
39. Guideline on management of dental patients with special health care needs. Pediatric Dentistry [Internet]. [cited 2019 Jun 4]; 38(6): 171-6.
40. Cannon k, Ryan B, Stowe M. Consideration for care for your patient with cerebral palsy. A Literature Review. Virginia Commonwealth University Department of General Practice Dental Hygiene program. 2018.
41. Maiya, A, Shetty, YR, Rai K, Padmanabhan V, Hegde, AM. Use of different oral hygiene strategies in children with cerebral palsy: A comparative study. Journalof International Society of Preventive & Community Dentistry. 2015; 5(5): 389–93. http://doi.org/10.4103/2231-0762.165925
How to Cite
Cárdenas Lancheros, M. L., Ocampo Anjellis, M., Mendoza González, I. C., & Hernández Rojas, E. del C. (2019). Preventive Care by Dental Students of an Patient with Cerebral Palsy. Case Report. Universitas Odontologica, 38(81). https://doi.org/10.11144/Javeriana.uo38-81.ippe
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