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Routine oral health care for patients with cerebral palsy: systematic review
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39615 | 2.23 MB | Adobe PDF |
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Abstract(s)
Uma rotina clara e correta de cuidados de saúde oral em pacientes com paralisia cerebral, e uma correta instrução dos pais/cuidadores, é fundamental para garantir boa saúde oral. O objetivo da presente revisão sistemática é produzir uma recomendação baseada na evidência científica atual sobre qual é o método mais eficaz para o controlo da higiene oral em indivíduos com paralisia cerebral (PC). Realizou-se uma pesquisa bibliográfica em bases de dados eletrónicas: PubMed, EBSCO, B-ON e Web of Science. A identificação e seleção dos artigos foi realizada através da aplicação de critérios previamente selecionados de inclusão e exclusão. A triagem dos artigos encontrados foi realizada pelo método PRISMA. A avaliação da qualidade metodológica foi realizada por meio do uso da ferramenta do Instituto Joanna Briggs para Estudos Transversais Analíticos, Ensaios Controlados Randomizados e Estudos Quase-Experimentais. Foram identificados 487 artigos. A partir da aplicação dos critérios de inclusão e exclusão, 9 artigos foram incluídos nesta revisão: 3 estudos transversais analíticos, 5 estudos de ensaios controlados randomizados e 1 estudo quase-experimental. O protocolo mais adequado para manter uma boa saúde oral em indivíduos com paralisia cerebral é realizar a técnica de escovagem com esfregaço horizontal duas vezes por dia, durante dois minutos, com o uso de um dentífrico contendo flúor com concentrações de 1000 ppm, ajustadas com base na idade do paciente. O controlo químico do biofilme é realizado usando clorohexidina (0,12% - 0,2%) duas vezes por dia, durante apenas uma semana. Para a realização da escovagem dentária, dependendo do nível de limitação motora dos pacientes com paralisia cerebral, propõe-se a utilização de uma escova de dentes motorizada ou o uso de escovas manuais de tripla cabeça se for realizada pelos pais/cuidadores, ou escovas de dentes personalizadas se for realizada pelo próprio indivíduo.
A clear and correct oral health care routine in patients with cerebral palsy, and proper instruction for parents/caregivers, is essential to ensure good oral health. The objective of this systematic review is to produce a recommendation based on current scientific evidence regarding the most effective method for oral hygiene control in individuals with cerebral palsy (CP). A bibliographic search was conducted in electronic databases: PubMed, EBSCO, B-ON, and Web of Science. The identification and selection of articles were performed using previously selected inclusion and exclusion criteria. The screening of the identified articles was conducted using the PRISMA method. The evaluation of methodological quality was carried out using the Joanna Briggs Institute tool for Analytical Cross-Sectional Studies, Randomized Controlled Trials, and Quasi-Experimental Studies. A total of 487 articles were identified. After applying inclusion and exclusion criteria, 9 articles were included in this review: 3 analytical cross-sectional studies, 5 randomized controlled trials, and 1 quasi-experimental study. The most appropriate protocol for maintaining good oral health in individuals with cerebral palsy is to perform the horizontal smear brushing technique twice a day, for two minutes, using a fluoride-containing toothpaste with concentrations of 1000 ppm, adjusted according to the patient’s age. Chemical plaque control is achieved using chlorhexidine (0.12% - 0.2%) twice a day for only one week. To perform tooth brushing, depending on the level of motor impairment in cerebral palsy patients, the use of a motorized toothbrush or a triple-headed manual toothbrush is recommended if performed by parents/caregivers, or personalized toothbrushes if performed by the individual.
A clear and correct oral health care routine in patients with cerebral palsy, and proper instruction for parents/caregivers, is essential to ensure good oral health. The objective of this systematic review is to produce a recommendation based on current scientific evidence regarding the most effective method for oral hygiene control in individuals with cerebral palsy (CP). A bibliographic search was conducted in electronic databases: PubMed, EBSCO, B-ON, and Web of Science. The identification and selection of articles were performed using previously selected inclusion and exclusion criteria. The screening of the identified articles was conducted using the PRISMA method. The evaluation of methodological quality was carried out using the Joanna Briggs Institute tool for Analytical Cross-Sectional Studies, Randomized Controlled Trials, and Quasi-Experimental Studies. A total of 487 articles were identified. After applying inclusion and exclusion criteria, 9 articles were included in this review: 3 analytical cross-sectional studies, 5 randomized controlled trials, and 1 quasi-experimental study. The most appropriate protocol for maintaining good oral health in individuals with cerebral palsy is to perform the horizontal smear brushing technique twice a day, for two minutes, using a fluoride-containing toothpaste with concentrations of 1000 ppm, adjusted according to the patient’s age. Chemical plaque control is achieved using chlorhexidine (0.12% - 0.2%) twice a day for only one week. To perform tooth brushing, depending on the level of motor impairment in cerebral palsy patients, the use of a motorized toothbrush or a triple-headed manual toothbrush is recommended if performed by parents/caregivers, or personalized toothbrushes if performed by the individual.
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Keywords
Paralisia cerebral Saúde oral Cuidados Cerebral palsy Oral health Care