Overweight/obese children are associated with lower caries experience than normal-weight children/adolescents.

AIM: To compare (a) enamel carious (EC) and dentin carious (DC) lesions and (b) caries risk, between normal-weight (NW) and overweight/obese (OW) children/adolescents. DESIGN: In this cross-sectional study, 91 participants aged 6-12 years were classified according to the body mass index (BMI): NW (n = 50) and OW (n = 41). Caries experience was evaluated using the International Caries Detection and Assessment System (ICDAS) with two thresholds: "EC/DC" (ICDAS 1-3/4-6) and "DC" (ICDAS 4-6). Caries risk was determined by the Caries Management by Risk Assessment (CAMBRA) system. A logistic regression analysis was performed to determine the association among OW, caries thresholds, and caries risk. RESULTS: Caries experience was similar for both groups at the "EC/DC" threshold (P = .477) and higher for the NW group at the "DC" threshold (P = .009). For CAMBRA, caries risk classification was similar for both groups (P = .082). The logistic regression showed the OW group was less likely to exhibit radiographically visible proximal carious lesions (odds ratio [OR] of 0.330, P = .019), thick biofilm visible on the tooth surface (OR = 0.360, P = .019), high caries risk (OR = 0.367, P = .039), and moderate-to-high caries levels (OR = 0.190, P = .022). CONCLUSION: OW children/adolescents had lower caries experience, at both ICDAS thresholds, and lower caries risk, compared to NW children/adolescents.

Health and oral health-related quality of life of children and adolescents with chronic kidney disease: a cross-sectional study.

PURPOSE: The aim of this study was to evaluate if health and oral health status of children and adolescents with different stages of CKD are associated with their health-related quality of life (HRQoL), oral health-related quality of life (OHRQoL) and socioeconomic and demographic conditions. METHODS: One hundred children and adolescents with CKD were age and gender matched to 100 individuals without CKD (mean age ± SD = 13.04 ± 2.57). Oral health was characterised by means of gingival bleeding index (GBI), plaque index (PI), the decayed, missing, and filled teeth (DMFT) index and the developmental enamel defect (DED) index. All children and adolescents answered two Peds QL® instruments (general and oral health scales). RESULTS: Comparing the mean scores of HRQoL and OHRQoL between groups, we observed that CKD group demonstrated worse perceptions when compared to non-CKD group. Multiple linear regression analysis with bootstrap estimation of variance (1000 replications) showed association between dental caries experience (p < 0.001), gingival inflammation (p < 0.001) and diagnosis of CKD (p = 0.027) with the OHRQoL and between physical and the emotional domain of HRQoL, when moderate/severe gingival inflammation and hypoplasia were present. CONCLUSION: The implementation of public policies that contemplate the early dental preventive intervention in CKD children and adolescents should occur aiming to improve their oral health, once oral manifestations can directly affect the aspects of the HRQoL and OHRQoL of these individuals.

Patterns of Internet and smartphone use by parents of children with chronic kidney disease.

BACKGROUND: Smartphones have become a part of universal technology by combining mobile and handheld functions, enabling expanded access to health information sources available on the Internet. The purpose of this study was to describe the pattern of smartphones and Internet use to search for health information by parents of children with chronic kidney disease (CKD). METHODS: In a cross-sectional study, a questionnaire was applied to 111 parents of patients in a Brazilian pediatric nephrology center. Descriptive assessments were performed on Internet use patterns, and associative analyses were made of the influence of the smartphone use pattern on the search for health information. RESULTS: Of the 111 participants, 91% (101/111) accessed the Internet, 88% (89/101) searched for health information, and 90% (80/89) searched for CKD information. Smartphones were the most commonly used devices to access the Internet. There was no significant difference between age groups, schooling levels, places of residence and smartphone use to search information about CKD. Physicians continue to be primary sources of information (87%, 88/101), but now they share space with the Internet, which surpassed traditional sources such as books and other health professionals. There seems to be some discomfort on the part of the parents in admitting their research habit to the physician, considering that 65% (52/80) said they did not discuss the fact that they had looked for information on the Internet with their doctor. Obtaining more information about the disease and gaining knowledge regarding its complications were the main reasons that led to performing a search on the Internet, whose results were considered useful by 93% (74/80). CONCLUSION: Parents of children with CKD have been using the Internet largely through smartphones to research about CKD, irrespective of age, schooling and place of residence. Given its wide use, the Internet can be an important vehicle for health education and contribute to providing the support needed by parents and patients to cope with the disease.

Correlation of salivary immunoglobulin A with Body Mass Index and fat percentage in overweight/obese children.

Obesity is considered a risk factor for periodontal health due to the low- grade inflammation promoted by the increased adipose tissue. OBJECTIVE: This study aimed to determine correlations and associations between gingival inflammation (Simplified Oral Hygiene Index, and Gingival Index), salivary immunoglobulin A (s-IgA), and salivary parameters (salivary flow and osmolality) in normal-weight and overweight/obese children. MATERIAL AND METHODS: Ninety-one children, aged 6 to 12 years old (8.6±1.9 years), were divided into two groups according to their body mass index (BMI), circumferences, skinfold measurements and body fat percentage: normal- weight group (NWG; n =50) and overweight/obese group (OG; n =41). A calibrated examiner performed the clinical examination using the Simplified Oral Hygiene Index, Gingival Index, and salivary collection. Data analysis included descriptive statistics and association tests ( p <0.05). RESULTS: OG presented statistically higher s-IgA values compared with NWG, especially among the obese children ( p <0.05). Significant positive correlations between s-IgA and salivary osmolality in OG ( p <0.05), and between s-IgA and BMI values ( p <0.05) and body fat percentage ( p <0.05) were observed among all the children. Effect size varied from moderate for s-IgA values ( d =0.57) to large for BMI ( d =2.60). CONCLUSION: Gingival inflammation and salivary parameters were similar for NWG and OG; however, s-IgA presented higher values in OG, with correlations between BMI and body fat percentage.

Determinant factors of malocclusion in children and adolescents with cerebral palsy.

INTRODUCTION: Cerebral palsy (CP) is an encephalic static lesion characterized as a nonprogressive disorder of movements and posture with functional deficits that may favor the occurrence of various malocclusions. We looked for a possible association between overall functional impairment and malocclusion in this population. METHODS: Seventy patients from the Center of Attendance for Special Needs Patients, ages 6 to 18 years and with a CP diagnosis, were involved in the research. The overall degree of functional impairment was assessed with the Gross Motor Function Classification System, and malocclusion was evaluated with the criteria established by the World Health Organization and selected occlusion characteristics. To test the associations, univariate and multiple logistic Poisson regression analyses were used, and prevalence ratio values were calculated. RESULTS: Patients with limited or severely limited mobility (Gross Motor Function Classification of 4 or 5) (P = 0.003), parafunctional habits (P = 0.001), and a caregiver who was not the mother had 3 to 4 times more risk for open bite. Patients with dyskinetic CP are 4 times more likely to develop deepbite (P = 0.005). CONCLUSIONS: The results showed that the type of CP, the degree of motor involvement, and the presence of parafunctions are important factors to be considered to establish a correct diagnosis of malocclusion in persons with CP.

The nutritional state of children and adolescents with cerebral palsy is associated with oral motor dysfunction and social conditions: a cross sectional study.

BACKGROUND: Cerebral palsy (CP) is the main cause of severe physical impairment during childhood and has commonly shown oral motor association. It has been considered as the main cause of the high prevalence of problems in children's nutrition. Respiration, chewing, swallowing, speaking and facial expressionare part of the orofacial motor functions and when affected they can interfere in children's well-being. The aim of this study was to correlate two methods of orofacial motor evaluation, analyze the influence of orofacial motor functional impairment on the nutritional status of children and adolescents with CP, and the association between socioeconomic factors. METHODS: Seventy children and adolescents with CP were selected, age range 6-16 years and following the exclusion criteria previously determined; 129 normoreactive children (control group), sex and age-matched to patients with CP. For the orofacial motor analysis two evaluation instruments were applied, the "Oral Motor Assessment Scale" (OMAS) and "Nordic Orofacial Test-Screening" (NOT-S). The anthropometric evaluation was based on the World Health Organization (WHO) and followed the criteria recommended by the Brazilian Ministry of Health. RESULTS: There was statistically significant correlation between the oral motor methods of evaluation (r = -0.439, p < 0.0001). Concerning the nutritional status evaluation, being overweight was associated with dystonic and mixed CP forms variables (p = 0.034), mother with no partnership (p = 0.045) and mild oral motor impairment (p = 0.028). CONCLUSION: It could be concluded that, the weight's gain by children and adolescents might be favored by a better functional oral motor performance and social factors.

Identification of microorganisms in biofluids of individuals with periodontitis and chronic kidney disease using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.

RATIONALE: Chronic kidney disease (CKD) and periodontitis (PD) are important health issues. There is a large variety of microorganisms related to the pathogenesis of periodontitis, and optimising the time and the cost of laboratory assays to detect these organisms is highly valuable in the medical field. METHODS: Bacteria were isolated from saliva and oral biofilm of 30 adolescents and young adults with definite medical and dental diagnosis of CKD and PD, respectively, and proteins were extracted for microorganism identification by means of the matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOFMS) technique. RESULTS: The results showed that the most incident microorganisms were Actinomyces dentalis (43%), Acinetobacter ursingi (60%), Aggregatibacter actinomycetencomitans (60%), Corynebacterium argentoctens (63%), Staphylococcus aureus (93%), Streptococcus salivarius (97%) and Tannerella forsythensis (43%). The analysis of oral biofilm showed higher incidences for Actinomyces dentalis (33%), Acinetobacter ursingi (50%), Aggregatibacter actinomycetencomitans (50%), Corynebacterium argentoctens (70%), Pseudomonas aeruginosa (40%), Staphylococcus aureus (73%) and Streptococcus salivarius (87%). CONCLUSIONS: Based on these results, we concluded that the MALDI Biotyper protocol proves useful as a rapid and reliable assay for distinguishing different microorganisms possibly related to CKD and PD. Copyright © 2016 John Wiley & Sons, Ltd.

Dental considerations on the management of Idiopathic Thrombocytopenic Purpura in children: case report / Considerações odontológicas no atendimento de crianças com Púrpura Trombocitopênica idiopática: relato de caso

Idiopathic Thrombocytopenic Purpura (ITP) is a hematological disease characterized by decreased number of blood platelets. Clinically, children with ITP may present petechiae, ecchymoses, haematuria, epistaxis and occasionally hemorrhage. Oral manifestations include spontaneous gingival bleeding, petechiae or hematomas of the mucosa, palate and tongue. It is important for dentists to be aware of ITP in order to properly recognize this condition and offer the adequate treatment to the patient. The aim of this report was, therefore, to relate the case of a 4-year-old patient with acute ITP, to review its main clinical signs in children and describe the management of these patients at the dental office.

Dentre as hemopatias a púrpura trombocitopênica idiopática (PTI) se enquadra no grupo de doenças com alterações plaquetárias e se caracteriza pela diminuição no número de plaquetas do sangue. Clinicamente, crianças com PTI podem apresentar petéquias, equimose, hematúria, epistaxe e ocasionalmente hemorragias teciduais. As manifestações bucais, quando presentes, se caracterizam pelo sangramento gengival espontâneo e petéquias ou hematomas na mucosa, palato e língua. Portanto, é fundamental que o cirurgião-dentista tenha conhecimento sobre a patologia e terapêutica necessária e assim possa determinar o tratamento ideal para estes pacientes. O objetivo do trabalho é relatar o caso de um paciente de 4 anos de idade com PTI aguda, discutir as principais manifestações clínicas em crianças e orientar o cirurgião-dentista para o correto manejo destes pacientes.

Effects of sandblasting before orthophosphoric acid etching on lingual enamel: in-vitro roughness assessment.

INTRODUCTION: In this study, we evaluated changes in lingual enamel roughness due to sandblasting with 27-, 50-, and 90-µm aluminum oxide particles followed by 37% orthophosphoric acid etching. METHODS: Twenty-four maxillary premolars were included in the study. The lingual enamel roughness of 20 teeth was evaluated using a laser confocal microscope before and after enamel conditioning. Group 1 (control) was etched with 37% orthophosphoric acid; groups 2, 3, and 4 were sandblasted with 27-, 50-, and 90-µm aluminum oxide particles, respectively, before acid etching. The lingual surfaces of the other 4 teeth were evaluated using scanning electron microscopy after they had received one of the conditioning methods under study. Paired t tests were used to compare the roughness parameters obtained before and after conditioning in each group, and 1-way analysis of variance was used to compare the surface roughness between groups. The significance level was set at 5% for all statistical analyses. RESULTS: The 4 conditioning methods significantly increased the roughness of the lingual enamel. However, the roughness increases in the groups that were sandblasted with 27-, 50-, and 90-µm aluminum oxide particles before orthophosphoric acid etching were statistically greater than was the increase in the group conditioned only with orthophosphoric acid. Scanning electron microscopy showed different conditioning patterns among specimens that were conditioned only with orthophosphoric acid and those sandblasted with aluminum oxide before acid etching. CONCLUSIONS: Lingual enamel conditioning with aluminum oxide sandblasting before acid etching results in greater roughness and produces a conditioning pattern different from that of acid etching alone.

Effect of lingual enamel sandblasting with aluminum oxide of different particle sizes in combination with phosphoric acid etching on indirect bonding of lingual brackets.

OBJECTIVE: To compare bond strength and bond failure location of lingual brackets indirectly bonded after lingual enamel sandblasting with 27-, 50-, and 90-µm aluminum oxide particles followed by 37% phosphoric acid etching. MATERIAL AND METHODS: Eighty maxillary premolars were randomly divided into four equal groups according to the method of lingual enamel surface conditioning: Group 1 (control) was etched with 37% phosphoric acid, and group 2, group 3, and group 4 were sandblasted with 27-, 50-, and 90-µm aluminum oxide particles, respectively, prior to acid etching. Lingual brackets were indirectly bonded using the same protocol and adhesive (Sondhi) in all groups. The maximum shear bond strength required to debond the brackets was measured using a testing machine, and the bond failure location was classified according to the adhesive remnant index (ARI). Analysis of variance was used to compare the mean bond strength between groups. The differences between ARI scores were evaluated using the Kruskal-Wallis test. RESULTS: There were no statistically significant differences in mean shear bond strength or ARI scores between the four enamel-conditioning procedures. CONCLUSION: Lingual enamel sandblasting using different particle sizes of aluminum oxide prior to phosphoric acid etching did not increase the shear bond strength of indirectly bonded brackets and did not affect the amount of adhesive remnant on the enamel.

Associated factors to erosive tooth wear and its impact on quality of life in children with cerebral palsy.

To evaluate the presence and associated factors of erosive tooth wear (ETW) in children with cerebral palsy (CP), as well as its impact on the oral health-related quality of life (OHRQoL). Parents of 60 CP children, between 6 and 14 years of age, answered the Brazilian version of the parental-caregivers perception questionnaire (P-CPQ). The ETW diagnosis was performed by a single calibrated examiner according to the O'Brien´s modified index. Associated factors such as family income, behavioral factors, and type of CP were also collected. OHRQoL was measured through P-CPQ domains and total score, and Poisson regression was used to correlate ETW to associated factors and to the scores. ETW was present in 48.3% of the children. The multivariate adjusted model showed that the presence of ETW was associated with more than 2 days of soft drink intake per week (p = 0.003), daily intake of powdered juice (p = 0.002) and reported gastroesophageal reflux (p = 0.016). The family income higher than one Brazilian minimum wage showed a positive impact on the CP children's OHRQoL (RR = 0.53; p ≤ 0.001). ETW in CP children is associated to frequent consumption of soft drinks, powdered juices, and reported gastroesophageal reflux; however, ETW has not a negative impact on the OHRQoL.

Impact of oral diseases and disorders on oral-health-related quality of life of children with cerebral palsy.

The aim of this study was to investigate the impact of oral diseases and disorders on the oral-health-related quality of life (OHRQoL) of children with CP, adjusting this impact by socioeconomic factors. Data were collected from 60 pairs of parents-children with CP. Parents answered the child oral health quality of life questionnaire (parental-caregivers perception questionnaire and family impact scale) and a socioeconomic questionnaire. Dental caries experience, traumatic dental injuries, malocclusions, bruxism, and dental fluorosis were also evaluated. The multivariate adjusted model showed that dental caries experience (p < 0.001) and the presence of bruxism had a negative impact (p = 0.046) on the OHRQoL. A greater family income had a positive impact on it (p < 0.001). Dental caries experience and bruxism are conditions strongly associated with a negative impact on OHRQoL of children with CP and their parents, but a higher family income can improve this negative impact.

Effect of adhesion boosters on indirect bracket bonding.

OBJECTIVE: To determine the influence of two adhesion boosters on shear bond strength and on the bond failure location of indirectly bonded brackets. MATERIALS AND METHODS: Sixty bovine incisors were randomly divided into three groups (n = 20), and their buccal faces were etched using 37% phosphoric acid. In group 1 (control), brackets were indirectly bonded using only Sondhi adhesive. In groups 2 and 3, the adhesion boosters Enhance Adhesion Booster and Assure Universal Bonding Resin, respectively, were applied before bonding with Sondhi. Maximum bond strength was measured with a universal testing machine, and the location of bond failure was evaluated using the Adhesive Remnant Index (ARI). One-way analysis of variance followed by the Tukey test (P < .05) was used to compare the shear bond strength among groups, and the differences in ARI scores were evaluated using the Kruskal-Wallis test (P < .05). The Pearson correlation coefficient was calculated to determine whether there was any correlation between bond strength and ARI scores. RESULTS: The mean shear bond strength in group 3 was significantly higher (P < .01) than in the other groups. Evaluation of the locations of bond failure revealed differences (P < .05) among the three groups. There was a moderate correlation between bond strength and ARI scores within group 3 (r  =  0.5860, P < .01). CONCLUSION: In vitro shear bond strength was acceptable in all groups. The use of the Assure adhesion booster significantly increased both the shear bond strength of indirectly bonded brackets and the amount of adhesive that remained on the enamel after bracket debonding.

Medical problems and oral care of patients with Down syndrome: a literature review.

When planning the dental treatment of patients with Down syndrome (DS), dental practitioners should always consider their general health, in order to achieve a holistic and interdisciplinary approach. This article presents a literature review of the primary medical conditions in patients with DS that may affect their general health care and the appropriate clinical delivery of oral health care.

Prevalence of Supernumerary Teeth in Orthodontic Patients from Southwestern Brazil / Prevalencia de Dientes Supernumerarios en Pacientes de Ortodoncia del Suroeste de Brasil

The aim of this study was to investigate the prevalence of supernumerary teeth in a Brazilian pediatric population. One examiner evaluated the presence of supernumerary teeth in panoramic radiographs of 1719 subjects (762 male and 957 female), with ages ranging from 4 to 14.5 years (mean 8.4 years old), from the archive of the Preventive Orthodontic Course of the Rehabilitation Hospital of Bauru, São Paulo. Supernumerary teeth were present in thirty subjects (1.7 percent, 16 males and 14 females). Difference between sexes was not statistically significant. Twenty-nine supernumerary teeth (96.7 percent) were located in the maxilla, and only 1 (3.3 percent) located in mandible. Seventeen supernumerary teeth (56.7 percent) located in maxilla were mesiodens. The early diagnosis of supernumerary teeth is essential to prevent malocclusion and malposition of permanent teeth demonstrating the importance of panoramic radiographs in their detection.

El objetivo de este estudio fue investigar la prevalencia de dientes supernumerarios en una población pediátrica de Brasil. Un examinador evaluó la presencia de dientes supernumerarios en radiografías panorámicas de 1719 sujetos (762 hombres y 957 mujeres), con edades comprendidas entre 4 y 14,5 años (media 8,4 años de edad), del archivo del Curso de Ortodoncia Preventiva del Hospital de Rehabilitación de Bauru, São Paulo. Los dientes supernumerarios se presentaron en treinta sujetos (1,7 por ciento, 16 hombres y 14 mujeres). La diferencia entre sexos no fue estadísticamente significativa. Veintinueve dientes supernumerarios (96,7 por ciento) se ubicaron en el maxilar, y sólo 1 (3,3 por ciento) se ubicó en la mandíbula. Diecisiete dientes supernumerarios (56,7 por ciento) ubicados en el maxilar eran mesiodens. El diagnóstico precoz de los dientes supernumerarios es esencial para prevenir la maloclusión y malposición de los dientes permanentes, lo que demuestra la importancia de la radiografía panorámica en su detección.

Focal dermal hypoplasia: a case report and literature review.

Focal dermal hypoplasia (FDH), also known as Goltz-Gorlin syndrome, is an autosomal dominant disease affecting tissues derived from the ectoderm and mesoderm. Knowledge and early diagnosis of the craniofacial alterations commonly found in patients with FDH provide oral health care professionals with effective preventive and therapeutic tools. This article aims to review the craniofacial characteristics present in FDH and the main systemic manifestations that have implications for dental management, while presenting a new case of the syndrome with novel oral findings.

Avaliação radiográfica das anomalias dentais de número e tamanho em pacientes ortodônticos / Radiographic evaluation of number and size dental anomalies in orthodontic patients

O objetivo deste estudo foi investigar a prevalência de tamanho e número, mediante exame em radiografia panorãmica de pacientes ortodônticos. Foram avaliadas 1719 radiografias panorãmicas dos prontuários do arquivo dos pacientes do Curso de Aperfeiçoamento de Ortodontia Preventiva e Interceptativa do Hospital de Reabilitação de Bauru...

The aim of this study was to investigate the prevalence of size and number abnormalities in panoramic radiographis of orthodontic patients. 1719 panoramic radiographs of orthodontic patients of the Preventive and Interceptive Orthodontics Course of the Rehabilitation Hospital of Bauru were used...

Resistance to degradation of bonded restorations to simulated caries-affected primary dentin.

PURPOSE: To investigate the resistance to degradation of resin modified glass-ionomer cement (RMGIC) and adhesive/composite restorations in sound and simulated caries-affected dentin of primary teeth subjected to carious challenge using a pH-cycling model and load-cycling, by means of a microtensile test. METHODS: Occlusal cavities were prepared in 60 sound exfoliated primary second molars. Half the specimens were submitted to pH-cycling to induce simulated caries lesion. The teeth were randomly restored with one of the two materials: (1) a RMGIC (Vitremer) and (2) a total-etch adhesive system (Adper Single Bond 2) followed by resin composite (Filtek Z100). After storage in distilled water at 37 degrees C for 24 hours, control group specimens were subjected to test procedures while the specimens in the experimental groups were subjected to two different aging methods: load-cycling (50,000 cycles, 90N, 3Hz) or carious challenge (pH-cycling: alternately 8 hours in demineralizing and 16 hours in remineralizing solutions, for 10 days). Teeth were sectioned into 1 mm2 beams and tested to failure under tension. ANOVA and multiple-comparisons tests were used (P<0.05). RESULTS: Vitremer bond strength was not altered by the condition of dentin. Conversely, Adper Single Bond 2 showed significantly lower bond strength values when bonded to simulated caries-affected dentin. Load-cycling did not influence bond strength for any of the tested materials, while carious challenge resulted in a significant decrease in microtensile bond strengths of Adper Single Bond 2, but not of Vitremer restorations.

Oral and dental findings in a child with growth hormone insensitivity syndrome.

Growth hormone insensitivity syndrome, also known as Laron syndrome, is an autosomal recessive disorder caused by defects the of growth hormone receptor gene and may lead to increased growth hormone levels. This syndrome's main clinical features are: dwarfism; acromicria; organomicria; cervical spinal stenosis; early osteoarthritic changes of the atlantoaxial joint; small oropharynx; decreased growth velocity; insulin resistance; hypoglycemia; delayed skeletal maturation and osteoporosis; and muscular and central nervous tissue underdevelopment. The facial bones, especially sphenoid and mandibular, are also underdeveloped. No reports of the incidence of growth hormone insensitivity syndrome in the population are available in the literature. The purpose this case report was to describe oral findings and particularities of dental treatment in a child with growth hormone insensitivity syndrome.

Saúde oral: impacto da qualidade de vida relacionada à saúde de crianças e adolescentes com paralisia cerebral e da qualidade de vida dos respectivos cuidadores primários / Oral health: impact of health related quality of life of children and adolescents with cerebral palsy and quality of life of primary caregivers

A Organização Mundial da Saúde (OMS) conceitua qualidade de vida (QV) como "uma percepção individual de sua posição n a vida, no contexto cultural e sistemas de valores no qual se viva e a relação com seus objetivos, expectativas, padrões e preocupações". A paralisia Cerebral (PC) pode ser destinada como um grupo de desordens do desenvolvimento do movimento e da postura, e é atribuída a distúrbios não progressivos que ocorreram no cérebro durante o período fetal e no bebê, resultando em dificuldades nas habilidades funcionais. Estes déficits funcionais provocam repercussões em outras áreas da vida, como relações sociais, funcionamento escolar e atividades com familiares. Os objetivos da presente investigação foram avaliar a relação entre saúde oral, qualidade de vida relacionada à saúde (QVRS) de crianças e adolescentes com paralisia cerebral e qualidade de vida dos respectivos cuidadores primários. Os resultados da análise multinível (Poisson) da associação entre as variáveis independentes e a presença de cárie e doença gengival mostraram que a idade a própria percepção dos cuidadores sobre QV e a QVRS das crianças com PC tiveram associação com a presença de cárie dentária. Já para a gengivite, as variáveis que mostraram ter associação com a doença foram renda familiar, percepção dos cuidadores sobre sua própria saúde e domínio físico da QVRS das crianças com PC. A análise dos resultados nos permitiu concluir, que o domínio mais comprometido da QVRS nas crianças e adolescentes com PC avaliadas foi o físico, seguido pelo escolar, social e emocional; houve impacto negativo da QVRS de crianças e adolescentes com PC sobre a presença de cáries e gengivite; os cuidadores primários das crianças e adolescentes com PC avaliados apresentaram maior comprometimento da QV no domínio ambiental, seguido pelos domínios psicológico, social e físico e a percepção que os tiveram de sua própria QV influenciaram negativamente na presença de cárie e gengivite.

The World Health Organization has defined quality of life (QL) as "person's perception of their position in life in the context of culture and value systems in which they live, and in relation to their goals, expectations, standards and concems". Cerebral palsy is defined as a group of permanent disorders of the development of movement and posture, causing activity limitations, that are attibuted to nomprogressive disturbances that occured in the developing fetal or infant brain. Such functional deficts may affect other aspects of their lifes, such as social and school functioning and family relationship. The aim of this research was to establish a possible relation among oral health, health related quality of life (HRQL) of cerebral palsied children and adolescents and QL of their primary caregivers. The Poisson's statistics analysis showed that age of children, caregivers' perception of their quality of life and HRQL were associated with dental caries. Financial stability, caregirer's perceptions of their health and physical health of cerebral palsied children and adolescents wire associated with gengivites. Such results demonstrated that physical domain was the most compromised, followed by the school, social and emotional functioning. There were a negative impact of HRQL of cerebral palsied children and adolescents on caries and gengivite, the most compromised construct of primary caregiver's QL was the envirommental domain, followed by the psychological, social and physical domain; caregivers' perception of their own QL had an impact on dental caries and gengivites.