Caries prevalence using ICDAS visual criteria and risk assessment in children and adolescents with cerebral palsy: A comparative study.

AIMS: To compare the dental caries prevalence using the International Caries Detection and Assessment System (ICDAS) and the caries risk by Caries Management by Risk Assessment (CAMBRA) in individuals with cerebral palsy (CP) and normoactives (NAs). METHODS AND RESULTS: Sixty children and adolescents aged 6-12 years (30 CP/30 NA) were clinically evaluated by one calibrated examiner using two-digit ICDAS criteria and converted into components of dmf/DMF indices: d2mf2/D2MF2 (enamel and dentin lesions) and d3mf3/D3MF3 (dentin lesions). An adapted CAMBRA was used for risk classification. The mean d2mf2s/d2mf2t and D2MF2S/D2MF2T for CP were 17.0 +/- 16.8/7.5 +/- 4.3 and 10.7 +/- 17.6/5.3 +/- 5.8, respectively, and for NA were 17.2 +/- 16.9 /6.9 +/- 4.8 and 11.1 +/- 11.7/5.5 +/- 4.7, respectively. The mean d3mf3s/d3mf3t and D3MF3S/D3MF3T for CP were 10.1 +/- 16.7/3.0 +/- 4.1 and 4.9 +/- 15.6/0.2 +/- 0.4, respectively, while for NA the mean values were 9.8 +/- 13.0/3.5 +/- 3.8 and 2.1 +/- 5.7/0.9 +/- 2.0, respectively. There were no statistically differences for caries prevalence and risk in both groups (p > 0.05). CONCLUSIONS: Dental caries was highly prevalent in CP and NA children and adolescents. Enamel and dentin lesions and high caries risk were the most common condition.