Title:Prevalence of Bruxism in Children and Adolescents with Cerebral Palsy: Systematic Review and Meta-analysis
Volume: 21
Issue: 2
Author(s): Nathalia Kanhouche, Gabriela Godoy Pizzi, Nathalia Araujo Bim, Rafael Celestino de Souza, Ana Flávia Bissoto Calvo, Isabela Floriano, Thais Gimenez, José Carlos Pettorossi Imparato and Tamara Kerber Tedesco*
Affiliation:
- Graduate Program in
Dentistry, Cruzeiro do Sul University, São Paulo (SP), Brazil
Keywords:
Bruxism, pediatric dentistry, primary tooth, cerebral palsy, sleep bruxism, disabled persons.
Abstract:
Aims: To perform a systematic review and meta-analysis compiling data on the prevalence
of bruxism in children and adolescents with cerebral palsy.
Methods and Results:: Searches were carried out in PubMed/Medline, Web of Science, and Scopus
databases to identify the articles published by February 2023. Two independent reviewers,
and in duplicate, employed a two-stage process to select publications. The same two reviewers performed
the data extraction. Studies were included when the following eligibility criteria were met:
performed in children and/or adolescents with cerebral palsy and reporting bruxism. Potentially eligible
studies were read in full and excluded that: not presented numerical data on the prevalence
of bruxism; not reported how the bruxism was assessed; not reported data about the cerebral palsy;
and not an observational study. The risk assessment of bias was assessed by the Newcastle-
Ottawa Scale. After reading the titles and abstracts of the 358 identified articles, eight articles
from 1966 to 2020 were included. The main reason for not including the studies was not to report
data about bruxism (59.3%), and 44.5% were excluded for not reporting data from patients
with cerebral palsy. The studies were carried out in schools, university hospitals, or centers for patients
with special needs (Brazil, the United States, and Egypt). The pooled prevalence of bruxism
in children and adolescents with cerebral palsy was 46% (95%CI: 0.38-0.55) after removing one
study.
Conclusion: The pooled prevalence of bruxism in children with cerebral palsy can be considered
high since almost half of the studied population is affected by this condition. PROSPERO
#CRD42021225781.
