PREVALENSI DROOLING, DISFAGIA DAN MANIFESTASI ORAL PADA ANAK DENGAN CEREBRAL PALSY (Penelitian Pendahuluan di Jakarta, Indonesia)

Manuel Dwiyanto H Lugito

Abstract


Latar belakang: Cerebral palsy(CP) merupakan kelainan neurologis permanen yang mempengaruhi fungsi sistem pergerakan motorik dan postur tubuh sehingga mengakibatkan permasalahan rongga mulut. Tujuan: mengetahui prevalensi drooling, disfagia dan manifestasi oral dari populasi anak penderita CP di Jakarta. Metode: jenis penelitian ini kuantitatif non eksperimental, dengan pendekatan potong lintang. Subjek penelitian merupakan anak-anak penderita CP yang tergabung dalam Yayasan Diffable Action Indonesia, Jakarta. Pengambilan data menggunakan kuesioner tentang drooling dan disfagia dengan hasil uji validitas dan reliabilitasyaitu 0.709 dan 0.049. Analisis data yang digunakan adalah univariat. Pemeriksaan intraoral dilakukan untuk mengetahui derajat keasaman saliva dan manifestasi oral anak penderita CP. Hasil: total 56 anak dengan rerata usia 9.192+4.019 tahun, 9 anak (16.1%) mengalami drooling yang parah hingga membasahi tangan, nampan, objek lainnya sedangkan 17 anak (30.4%) tidak pernah mengalami drooling. 29 anak (51.8%) sering mengalami disfagia yaitu sulit mengigit dan mengunyah. Nilai rerata derajat keasaman saliva anak CP adalah 6.26. Manifestasi oral yaitu karies gigi diderita 37 anak CP (66.1%),
sedangkan kelainan periodontal diderita 17 anak (30.4%). Kesimpulan: prevalensi keparahan dan frekuensi drooling, disfagia dan manifestasi oral tersering anak-anak CP berupa karies pada penelitian ini tinggi. Pengetahuan orangtua dan pengasuh dan perawatan drooling, disfagia serta karies gigi sejak usia dini harus ditingkatkan.


Keywords


Cerebral palsy, drooling, disfagia, karies gigi

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References


Renee S, Cordier R, Kim JH, Cocks N, Michou E,

Wilkes-Gillan S. Prevalence of drooling, swallowing, and

feeding problems in cerebral palsy across the lifespan:

a systematic review and metaanalyses. Developmental

Medicine & Child Neurology. 2019; 61: 1249–1258

Wasnik M, Chandak S, Kumar S, George M, Gahold N,

Bhattad D. Dental management of children with cerebral

palsy – a review. J Oral Res Rev. 2020;12: 52-8.

Cui S, Akhter R, Yao D, PengXY, Feghali MA, ChenW,

Blackburn E, Martin, EF,Khandaker G. Risk Factors for

Dental Caries Experience in Children and Adolescents

with Cerebral Palsy—A Scoping Review. Int. J.

Environ. Res. Public Health. 2022; 19: 8024. https:// doi.

org/10.3390/ijerph19138024

Sedky NA. Assessment of Oral and Dental Health Status

in Children with Cerebral Palsy: An Exploratory Study. J

Contemp Dent. 2017;7(1):1-11.

Akhter R, Hassan NMM, Martin EF, Muhit M, Smitherssheedy

H,

Badawi N et al.

Caries

experience

and

oral

health-related

quality

of

life (OHRQoL)

of children and

adolescents

with

cerebral palsy

in a lowresource setting.

BMC

Oral Health (2019);19: 15

Anjugam P, Mahesh Mathian V, Gawthaman M, Vinod

S, Yamuna Devi E. Salivary Biomarker Levels and

Oral Health Status of Children with Cerebral Palsy and

Their Healthy Siblings: A Comparative Study. Rambam

Maimonides Med J 2021;12 (2):e0015. doi:10.5041/

RMMJ.10437

Gültekin İM, Tekçiçek M, Demir N, Arslan SS, Ölmez S.

Oral Health Status of Children with Cerebral Palsy who

Have Dysphagia: A Comparative Study. Meandros Med

Dent J 2021;22 (Suppl):24-34

Silvestre-Rangil J, Silvestre FJ, Puente-Sandoval A,

Requeni-Bernal J, Simó-Ruiz JM. Clinical-therapeutic

management of drooling: Review and update. Med Oral

Patol Oral Cir Bucal. 2011 Sep 1;16 (6): e763-6.

Rahena Akhter R, Hassan NMM, Nadkarni M, Elizabeth

F. Martin EF, Khandaker G. Chapter 5 Cerebral Palsy -

Clinical and Therapeutic Aspects Oral Health in Children

with Cerebral Palsy. InTech; 2016: 2-32

Azni BDH, Handajani NI, Ranuh IGMRG. Clinical

Profile of Drooling in Cerebral Palsy Patients at Physical

Medicine and Rehabilitation Department Dr. Soetomo

General Hospital Surabaya Period January 1st, 2016

– December 31st, 2017. Jurnal Ilmiah Mahasiswa

Kedokteran Universitas Airlangga. 2020; XI (02): 56-60

Erasmus CE. Clinical aspects of drooling in children

with Cerebral Palsy. Radboud University Nijmegen

Medical Centre. Nederland.2011; 19-40

Scofano Dias BL, Fernandes AR, Maia Filho HS.

Sialorrhea in children with cerebral palsy. J Pediatr (Rio

J).2016;92:549-58.

The Importance of Saliva Total Protein and a-amylase

on Cerebral Palsy Children. Puteri MM, Nelwan SC,

Maulani B, Bonardo B, Naomi N, Estu AR, Nowwarote

N. J Int Dent Med Res 2022; 15(1): 323-329

Çaltepe G, Yüce Ö, Comba A, Özyürek H, Kalaycı

AG, Taşdemir HA. Detection of gastroesophageal

reflux in children with cerebral palsy using combined

multichannel intraluminal impedance–pH procedure.

The Turkish Journal of Pediatrics 2016; 58: 524-531

Biria M, Amini M, Babaei M, Ahmady AE, Lando

HA, Amirabadi GE. Dietary Habits and Caries

Experience Among 9-year-old School Children, JMED

Research.2015; 2015:1-5

Dalvand H, Dehghan L, Dadgar H, Maroufizadeh S,

Sarmadi S. Periodontal Diseases and Dental Caries in

Children with Cerebral Palsy. Iranian Rehabilitation

Journal. 2021; 19 (3):289-296.

Kolawole, Adebanke K, Folayan MO. Association

between malocclusion, caries and oral hygiene in

children 6 to 12 years old resident in suburban Nigeria.

BMC oral health.2019;19(1): 262.

Martínez-Mihi V, Paredes-Gallardo V, Silvestre, FJ,

Silvestre-Rangil J. Comparison of Malocclusion

Prevalence, Type and Severity between Cerebral Palsy

and Healthy Subjects: A Prospective Case-Control

Study. J. Clin. Med. 2022;11: 3711.




DOI: https://doi.org/10.32509/jitekgi.v19i1.2439

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