Bruxism has a negative impact on the quality of life of chidlren with developmental disabilities.
I have had success treating bruxism and excess salivation with botox. Bruxism is a Major Problem in kids with CP. - JR
Factors associated with bruxism in children with developmental disabilities
Valeska Aparecida Fernandes SOUZA a , Mauro Henrique Nogueira Guimarães ABREU b , Vera Lúcia Silva RESENDE a , Lia Silva CASTILHO a
aUniversidade Federal de Minas Gerais – UFMG, School of Dentistry, Department of Operative Dentistry, Belo Horizonte, MG, Brazil.
bUniversidade Federal de Minas Gerais – UFMG, School of Dentistry, Department of Community and Preventive Dentistry, Belo Horizonte, MG, Brazil.
The aim of the present study was to investigate factors associated with bruxism in children aged from 1 to 13 years with developmental disabilities. A total of 389 dental records were examined. The bruxism analyzed was determined based on parental reports. The following variables were also analyzed: gender, age, International Code of Diseases (ICD), mouth breathing, history of gastroesophageal reflux, use of psychotropic drugs, gingival status, reports of xerostomia, hyperkinesis, pacifier use, thumb sucking and involuntary movements. For the purposes of analysis, the individuals were categorized as being with and without bruxism. Variables with a p-value < 0.25 in the bivariate analysis were incorporated into the logistic regression models. Females had a 0.44-fold (95%CI: 0.25 to 0.78) greater chance of exhibiting bruxism than males. Individuals with gastroesophageal reflux had a 2.28-fold (95%CI: 1.03 to 5.02) greater chance of exhibiting bruxism. Individuals with reported involuntary movements had a 2.24-fold (95%CI: 1.19 to 4.24) greater chance of exhibiting bruxism than those without such movements. Exhibiting involuntary movements, the male gender and gastroesophageal reflux are factors associated with bruxism in children with developmental disabilities.
Key words: Dental Care for Disabled; Developmental Disabilities; Bruxism; Cerebral Palsy
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