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Gingivitis and salivary osmolality in children with cerebral palsy.
Santos, Maria Teresa Botti Rodrigues; Ferreira, Maria Cristina Duarte; Guaré, Renata Oliveira; Diniz, Michele Baffi; Rösing, Cassiano Kuchenbecker; Rodrigues, Jonas Almeida; Duarte, Danilo Antonio.
Afiliación
  • Santos MT; Individuals with Special Needs, Institute of Dentistry, Cruzeiro do Sul University, São Paulo, Brazil. drsantosmt@yahoo.com.br.
  • Ferreira MC; Pediatric Dentistry, SENAC, São Paulo, Brazil.
  • Guaré RO; Pediatric Dentistry, Institute of Dentistry, Cruzeiro do Sul University, São Paulo, Brazil.
  • Diniz MB; Pediatric Dentistry, Institute of Dentistry, Cruzeiro do Sul University, São Paulo, Brazil.
  • Rösing CK; Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Rodrigues JA; Pediatric Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Duarte DA; Pediatric Dentistry, APCD, São Paulo, Brazil.
Int J Paediatr Dent ; 26(6): 463-470, 2016 Nov.
Article en En | MEDLINE | ID: mdl-26726753
AIM: To investigate the influence of salivary osmolality on the occurrence of gingivitis in children with cerebral palsy (CP). DESIGN: A total of 82 children with spastic CP were included in this cross-sectional study. Oral motor performance and gingival conditions were evaluated. Unstimulated saliva was collected using cotton swabs, and salivary osmolality was measured using a freezing point depression osmometer. Spearman's coefficient, receiver operating characteristic (ROC), and multiple logistic regression analyses were performed. RESULTS: Strong correlation (r > 0.7) was determined among salivary osmolality, salivary flow rate, visible plaque, dental calculus, and the occurrence of gingivitis. The area under the ROC to predict the influence of salivary osmolality on the occurrence of gingivitis was 0.88 (95% CI 0.81-0.96; P < 0.001). The cutoff value of 84.5 for salivary osmolality presented good sensitivity and specificity, both higher than 77%. The proportion of children presenting salivary osmolality ≤84.5 mOsm/kgH2 O and gingivitis was 22.5%, whereas for the group presenting osmolality >84.5 mOsm/kgH2 O, the proportion of children with gingivitis was 77.5%. Salivary osmolality above 84.5 increased the likelihood of gingivitis fivefold, whereas each additional 0.1 mL of salivary flow reduced the likelihood of gingivitis by 97%. CONCLUSION: Gingivitis occurs more frequently in children with CP showing increased values of salivary osmolality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Saliva / Parálisis Cerebral / Gingivitis Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Int J Paediatr Dent Asunto de la revista: ODONTOLOGIA / PEDIATRIA Año: 2016 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Saliva / Parálisis Cerebral / Gingivitis Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Int J Paediatr Dent Asunto de la revista: ODONTOLOGIA / PEDIATRIA Año: 2016 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido