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Original Research

Open Access

Relation of Salivary Risk Factors to Dental Caries in Children with Cerebral Palsy

  • Priya Subramaniam1,*,
  • KL Girish Babu1
  • Anil Rodriguez1

1Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Hospital and Research Centre

DOI: 10.17796/jcpd.34.4.5750n50504180j6l Vol.34,Issue 4,July 2010 pp.355-360

Published: 01 July 2010

*Corresponding Author(s): Priya Subramaniam E-mail:


One of the primary handicapping conditions of childhood is cerebral palsy (CP). Controversy exists about the incidence of dental caries and its associated salivary risk factors in cerebral palsied children. Thus the present study evaluated the correlation between dental caries and certain salivary risk factors in these children. One hundred non-institutionalized children in the age group of 5-12 years having cerebral palsy were selected. The W.H.O. criteria was used for diagnosis and recording of dental caries. Determination of the unstimulated salivary pH, buffering capacity and flow rate of stimulated saliva was carried out. The mean deft and DMFT values were 2.51 and 0.73, respectively. Salivary pH was 6.83, buffering capacity 10.84 and salivary flow rate 1.08ml/per min. A significant correlation was observed only between salivary pH and dental caries in the primary dentition of CP children.


cerebral palsy, salivary pH, buffering capacity, flow rate

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Priya Subramaniam,KL Girish Babu,Anil Rodriguez. Relation of Salivary Risk Factors to Dental Caries in Children with Cerebral Palsy. Journal of Clinical Pediatric Dentistry. 2010. 34(4);355-360.


1. Guare RO, Ciamponi AL. Dental caries prevalence in the primary den-tition of cerebral-palsied children. J Clin Pediatr Dent, 27(3): 287–92, 2003.

2. Pope JE, Curzon ME. The dental status of cerebral palsied children. Ped Dent, 13(3): 156–62,1991

3. Singh P. The child with cerebral palsy - clinical considerations and management. Indian Jou Pediatrics. 68, 2001.

4. dos Santos MT, Masiero D, Novo NF, Simionato MR. Oral conditions in children with cerebral palsy. J Dent Child, 70(1): 40–6, 2003.

5. Edgar WM and Higham SM. Role of saliva in caries models. Advances in Dental Research, 9: 235–238, 1995.

6. WHO: Oral Health Surveys–Basic methods. Geneva: 4th Edition, 1997.

7. Kakotkar P, Kumar A, Ankola A: Association of salivary flow rate, buffering capacity, Streptococcus mutans and Lactobacilli counts with dental caries experience among 13- year – old school children in Bel-gaum city (Karnataka). JIAPHD, 643, 2006.

8. McDonald R, Avery DR, Dean JA. Dentistry for the child and adoles-cent. 8th edition. Mosby; 2004.

9. Alamoudi N, Farsi N, Faris J, Masoud I, Merdad K, Meisha D. Salivary characteristics of children and its relation to oral microorganism and lip mucosa dryness. J Clin Pediatr Dent, 28(3): 239–48, 2004.

10. Brown JP, Schodel DR. A review of controlled surveys of dental disease in handicapped persons. ASDC. 43(5): 313–20,1976.

11. Russell GM, Kinirons MJ. A study of the barriers to dental care in a sample of patients with cerebral palsy. Community Dent Health, 10(1): 57–64. 1993.

12. Gimenez-Prats MJ, Lopez-Jimenez J, Boj-Quesada JR. An epidemio-logical study of caries in a group of children with cerebral palsy. Med Oral, 8(1): 45–50, 2003.

13. Bhat M, Nelson KB, Swango PA: Lack of stability in enamel defects in primary teeth of children with cerebral palsy or mental retardation. Pediatr Dent, 11(2): 118–20, 1989.

14. Nielsen LA. Caries among children with cerebral palsy: relation to CP-diagnosis, mental and motor handicap. ASDC, 57(4): 267–73, 1990.

15. Parameswaran A Rajan BP: Salivary flow and dental caries in handi-capped Indian children. J Indian Soc Pedod Prev Dent, 2: 8, 2005.

16. Tukia-Kulmala H, Tenovuo J: Intra- and inter-individual variation in salivary flow rate, buffer effect, lactobacilli, and mutans streptococci among 11- to 12-year-old schoolchildren. Acta Odontol Scand, 51(1): 31–7, 1993.

17. dos Santos MT, Masiero D, Simionato MR: Risk factors for dental caries in children with cerebral palsy. Spec Care Dentist, 22(3): 103–7, 2002.

18. Leone CW and Oppenheim FG: Physical and chemical aspects of saliva as indicators of risk for dental caries in humans. J Dent Educ, 65(10): 1054–1062, 2001.

19. Tahmassebi JF, Curzon MEJ, The cause of drooling in children with cerebral palsy – hypersalivation or swallowing defect? Int J Paediatr Dent, 13(2): 106–111(6), 2003.

20. Hussein I, Kershaw AE, Tahmassebi JF, Fayle SA.The management of drooling In children and patients with mental and physical disabilities: a literature review. Int J Paediatr Dent, 8(1): 3–11, 1998.

21. Lenander-Lumikari M and Loimaranta V. Saliva and dental caries: Advances in Dental Research. 14(1): 40–47, 2000.

22. Larmas M. Saliva and dental caries: diagnostic tests for normal dental practice. Int Dent J.; 42(4):199-208 1992.

23. Nikiforuk G. Understanding Dental Caries. Karger. Sydney, pp. 239–247, 1985.

24. Dowd FJ. Saliva and dental caries. Dent Clin North Am, 43(4): 579–97, 1999.

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