Alteration of salivary components in patients with cerebral palsy associated with caries and periodontal disease: Integrative review
DOI:
https://doi.org/10.33448/rsd-v14i9.49596Keywords:
Cerebral palsy, Cytokines, Interleukins, Periodontal disease, Saliva, Dental caries.Abstract
The objective of this study was, through an integrative review, to assess whether changes in salivary components in patients with cerebral palsy can serve as predictive factors for the occurrence of dental caries and periodontal disease. Alterations in saliva components are common in individuals with cerebral palsy (CP) and may increase the risk of developing dental caries and periodontal disease. An integrative literature review was conducted following six methodological steps: defining the topic based on the established objectives, setting inclusion and exclusion criteria for articles, collecting and organizing data from the selected studies, evaluating the methodologies used in the research, interpreting and contextualizing the obtained results, and presenting, arguing, and reviewing the selected studies. From data analysis, it was observed that changes in salivary components, such as elevated salivary osmolarity values, negatively affect saliva's buffering capacity, favoring dental caries. Increased cytokine concentration is associated with the progression of periodontal disease, indicating a relationship between salivary inflammatory responses and the severity of oral diseases.
References
Alamoudi, A., Alamoudi, R., Gazzaz, Y. & Alqahtani, A. M. (2022). Role of Salivary Biomarkers in Diagnosis and Detection of Dental Caries: A Systematic Review. Diagnostics (Basel). 12(12), 3080. doi: 10.3390/diagnostics12123080. PMID: 36553087; PMCID: PMC9777252.
Castelo Branco, C. M. C., Cabral, G. M. P., Castro, A. M. G. S., Ferreira, A. C. F. M., Bonacina, C. F., Lussi, A., Santos, M. T. B. R. & Diniz, M. B. (2021). Caries prevalence using ICDAS visual criteria and risk assessment in children and adolescents with cerebral palsy: A comparative study. Spec Care Dentist. 41(6), 688-699. doi: 10.1111/scd.12621. Epub 2021 Jun 25. PMID: 34171134.
Feijo, J. D. S., Pontes, A. F. L., da Silveira, T. M., Pola, N. M. & Muniz, F. W. M. G. (2024). Inflammatory profile of patients with different weight diagnoses and similar periodontal condition: A systematic review. J Indian Soc Periodontol. 28(1), 32-42. doi: 10.4103/jisp.jisp_511_23. Epub 2024 Jun 4. PMID: 38988953; PMCID: PMC11232808.
Ferreira, A. C. F. M., Eveloff, R. J., Freire, M. & Santos, M. T. B. R. (2021). The Impact of Oral-Gut Inflammation in Cerebral Palsy. Front Immunol. 12:619262. doi: 10.3389/fimmu.2021.619262. PMID: 33717115; PMCID: PMC7953843.
Li, X., Einfeld, S., Stancliffe, R. & Hodge, A. (2025). Executive function is associated with behaviour problems in children and adolescents with cerebral palsy and intellectual disability. J Intellect Dev Disabil. 50(3), 316-329. doi: 10.3109/13668250.2024.2446215. Epub 2025 Jan 17. PMID: 39819150.
Malta, C. P., Barcelos, R. C. S., Rosa, H. Z., Bürger, M. E. & Bento, L. W. (2021). Effect of cerebral palsy and dental caries on dental plaque index, salivary parameters and oxidative stress in children and adolescents. Eur Arch Paediatr Dent. 22(1), 21-28. doi: 10.1007/s40368-020-00509-x. Epub 2020 Feb 1. PMID: 32008171.
Mendes, K. D. S. et al. (2008). Revisão integrativa: Método de Pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & contexto- enfermagem, 17(4), 758-64.
Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. [e-book]. Editora da UAB/NTE/UFSM.
Riquelme, I., Hatem, S. M. & Sabater-Gárriz, Á., Martín-Jiménez, E. & Montoya, P. (2024). Proprioception, Emotion and Social Responsiveness in Children with Developmental Disorders: An Exploratory Study in Autism Spectrum Disorder, Cerebral Palsy and Different Neurodevelopmental Situations. Children (Basel). 11(6), 719. doi: 10.3390/children11060719. PMID: 38929298; PMCID: PMC11202221.
Rodrigues dos Santos, M. T., Masiero, D., Novo, N. F. & Simionato, M. R. (2003). Oral conditions in children with cerebral palsy. J Dent Child (Chic). 70(1), 40-6. PMID: 12762607.
Santos, M. T., Ferreira, M. C., Mendes, F. M. & de Oliveira Guaré, R. (2014). Assessing salivary osmolality as a caries risk indicator in cerebral palsy children. Int J Paediatr Dent. 24(2):84-9. doi: 10.1111/ipd.12030. Epub 2013 Apr 4. PMID: 23551764.
Santos, M. T., Ferreira, M. C., Guaré, R. O., Diniz, M. B., Rösing, C. K., Rodrigues, J. A. & Duarte, D. A. (2016). Gingivitis and salivary osmolality in children with cerebral palsy. Int J Paediatr Dent. 26(6), 463-70. doi: 10.1111/ipd.12220. Epub 2016 Jan 4. PMID: 26726753.
Santos, M. T. B. R., Diniz, M. B., Guaré, R. O., Ferreira, M. C. D., Gutierrez, G. M. & Gorjão, R. (2017). Inflammatory markers in saliva as indicators of gingival inflammation in cerebral palsy children with and without cervical motor control. Int J Paediatr Dent. 27(5), 364-71. doi: 10.1111/ipd.12270. Epub 2016 Oct 26. PMID: 27785840.
Snyder, H. (2019). Literature Review as a Research Methodology: An Overview and Guidelines. Journal of Business Research, 104, 333-339. https://doi.org/10.1016/j.jbusres.2019.07.039.
Yoshida, R. A., Gorjão, R., Mayer, M. P. A., Corazza, P. F. L., Guare, R. O., Ferreira, A. C. F. M. & Santos, M. T. B. R.. (2019). Inflammatory markers in the saliva of cerebral palsy individuals with gingivitis after periodontal treatment. Braz Oral Res. 33, e033. doi: 10.1590/1807-3107bor-2019.vol33.0033. PMID: 31269113.
Yoshida, R. A., Lobato, T. B., Gorjão, R., França, L. S., Alves, L. A. & Santos, M. T. B. R. (2023). Detection and quantification of pathogens in saliva of adolescents with cerebral palsy: a cross-sectional study. Front Dent Med. 4, 1208243. doi: 10.3389/fdmed.2023.1208243. PMID: 39935548; PMCID: PMC11811777.
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Copyright (c) 2025 Marcello Henrique de Souza Santos, Paola Fernanda Leal Corazza, Gabriela Traldi Zaffalon, José Cássio de Almeida Magalhaes, Ricardo dos Santos Baptista, Fernando Martins Baeder

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