Orofacial accidents in folks with cerebral palsy


Cerebral palsy is group of issues that affecting individual’s skill to maneuver and preserve steadiness and posture and is the most typical bodily incapacity in childhood with 2.1 instances per 1000 stay births. Cerebral palsy is assessed into 4 sorts primarily based on the principle varieties of motion dysfunction concerned, spastic (85%–91% of instances), dyskinetic (4%– 7%), ataxic (4%–6%), and hypotonic (2%). Due to their situation sufferers with cerebral palsy are at better threat of trauma.

The intention of this assessment was to evaluate the prevalence of orofacial accidents in sufferers with cerebral palsy (CP).


A protocol was registered with the PROSPERO database. Searches had been carried out within the Embase, Latin American and Caribbean Literature on Well being Sciences (LILACS), PubMed/Medline, Scopus, Internet of Science, Google Scholar, Open Grey, and ProQuest Dissertation and Thesis databases. Cross-sectional research investigating the prevalence or orofacial accidents had been thought-about. Two reviewers independently chosen research, extracted information and assessed threat of bias utilizing the Joanna Briggs Institute’s Vital Appraisal Instrument for cross-sectional research, disagreements had been resolved with a 3rd reviewer. A random results meta-analysis was carried out.


  • 12 research printed between 2005 – 2017 had been included.
  • 9 research had been thought-about to be at low threat of bias and three at average threat.
  • All 12 research reported a better prevalence of dental trauma in these with CP.
  • Meta-analysis (10 research, 1323 sufferers) discovered a prevalence of orofacial trauma in sufferers with CP = 34% (95percentCI; 18 – 25%).
  • Prevalence of several types of orofacial harm is proven within the desk beneath: –
Sort of harm No of research (sufferers) Prevalence (95percentCI)
Enamel and dentine fracture 4 (949) 23% (4 – 52%)
Dental avulsion 3 (668) 1% (0 – 4%)
Lateral luxation 2 (600) 1% (0 – 3%)
Intrusive luxation 2 (600) 1% (0 – 2%)
  • The knowledge of proof was assessed as very low.


The authors concluded: –

Roughly one in three sufferers with cerebral palsy confirmed not less than one kind of orofacial harm involving dental trauma. There’s a lack of literature assessing the prevalence of those traumas in mushy tissues and the proof for this final result stays unsure.


The authors registered their protocol with the PROSPERO database and searched a superb vary of related databases. Twelve research had been included with pattern sizes starting from 16 for 500. Ten of the research had been included within the meta-analysis and whereas the authors rated none of them to be at excessive threat of bias 8 out of 10 had been rated at excessive threat of bias for a number of of the domains assessed. An total prevalence for orofacial harm on sufferers with CP of 34% (95percentCI; 18 – 25%) was discovered which is greater than the reported normal prevalence in everlasting tooth of twenty-two%. Nonetheless the cross-sectional nature of the included research and potential biases within the included research imply that the out there proof is of very low certainty so needs to be interpreted cautiously.


Main Paper

Heiden GS, Andrade RVS, de Mattos de Araujo BM, da Silva-Neto UX, Baratto-Filho F, Zeigelboim BS, de Castro Corrêa C, Taveira KVM, de Araujo CM. Prevalence of orofacial accidents ensuing from trauma in people with cerebral palsy: A scientific assessment and meta-analysis. Dent Traumatol. 2023 Aug 21. doi: 10.1111/edt.12879. Epub forward of print. PMID: 37605544.

Evaluate protocol in PROSPERO

Different references

Dental Elf – 7th Could 2021

Traumatic dental accidents in main tooth

Dental Elf – 9th Oct 2020

Dental trauma, associations and threat components

Dental Elf – 15th Could 2018

Traumatic dental accidents have an effect on round 1 billion folks




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