{"id":16398,"date":"2025-10-05T10:39:22","date_gmt":"2025-10-05T03:39:22","guid":{"rendered":"https:\/\/fkg.ugm.ac.id\/?p=16398"},"modified":"2025-11-28T10:47:24","modified_gmt":"2025-11-28T03:47:24","slug":"perawatan-gigi-anak-dengan-cerebral-palsy","status":"publish","type":"post","link":"https:\/\/fkg.ugm.ac.id\/en\/perawatan-gigi-anak-dengan-cerebral-palsy\/","title":{"rendered":"Dental Care for Children with Cerebral Palsy"},"content":{"rendered":"<p>Cerebral palsy (CP) is a neurological condition that affects muscle control and movement coordination, often accompanied by muscle stiffness and limited mobility. Children with moderate CP belong to a high-risk group for oral and dental problems, including caries. Limited mobility, difficulties in independent oral care, dietary patterns, salivation issues, and impaired oral hygiene are predisposing factors.<\/p>\n\n\n\n<p>A study conducted by FKG UGM student Dear Patrisia Sinaga under the supervision of Dr. drg. Indah Titien, S., SU., Sp.KGA(K) and Prof. Dr. drg. Al. Supartinah, SU., Sp.KGA(K), titled \u201cPencegahan Terjadinya Karies Berdasarkan Kariogram pada Anak Cerebral Palsy Derajat Sedang (Kajian pada Anak Usia 6\u201312 Tahun di SLB Negeri 1, Bantul, Daerah Istimewa Yogyakarta)\u201d, examined 11 children with moderate CP aged 6\u201312 years at SLB Negeri 1 Bantul. The study evaluated caries risk factors using the Cariogram before and after preventive interventions.\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>UGM Research Findings<\/strong><\/h2>\n\n\n\n<p>Based on this research:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Before preventive intervention, the average percentage of caries risk factors was:<br>\u2022 Diet \u2248 <strong>24,45 %<\/strong><br>\u2022 Susceptibility \u2248 <strong>20,27 %<\/strong><br>\u2022 Bacteria \u2248 <strong>18,82 %<\/strong><br>\u2022  \u201cOther\u201d factors \u2248 <strong>11,64 %<\/strong>\u00a0<\/li>\n\n\n\n<li>After caries prevention measures based on the main risks, there was a decrease in the percentage of:<br>\u2022 Diet to \u2248 <strong>19,09 %<\/strong><br>\u2022 Susceptibility to \u2248 <strong>13,45 %<\/strong><br>\u2022 Bacteria to \u2248 <strong>5,73 %<\/strong><br>\u2022 Other factors to \u2248 <strong>10,09 %<\/strong>\u00a0<\/li>\n\n\n\n<li>Conclusion: There was a reduction in the probability of caries after preventive interventions tailored to the Cariogram results.\u00a0<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Dental Care and Prevention Strategies<\/strong><\/h2>\n\n\n\n<p>Based on the condition of children with moderate CP and the UGM research findings, the following approaches are effective:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Identification of Individual Risk Factors (Using Tools such as the Cariogram)<\/strong><br>The Cariogram helps map dominant factors (diet, bacteria, susceptibility, and other oral conditions) so interventions can be tailored.<\/li>\n\n\n\n<li><strong>Diet Programs that Support Oral Health<\/strong><br>Reduce the frequency of sugary or sticky foods.<br>Promote nutritious solid foods that can be safely chewed by children with moderate CP.<br>Ensure sugar-free intervals (e.g., after sweet snacks) to prevent continuous acid production by bacteria.<\/li>\n\n\n\n<li><strong>Assisted and Intensive Oral Hygiene Management<\/strong><br>Parents, teachers, or caregivers should assist with regular tooth brushing (at least twice daily) due to motor difficulties.<br>Use adaptive oral hygiene tools (special-handled toothbrushes, electric toothbrushes if possible) and fluoride toothpaste.<\/li>\n\n\n\n<li><strong>Fluoride Intervention and Antibacterial Products<\/strong><br>Based on the study, after preventive programs including fluoridation, the bacterial factor dropped significantly (from ~18.82% to ~5.73%).<br>Topical fluoridation and, where appropriate and safe, the use of antiseptic mouth rinses.<\/li>\n\n\n\n<li><strong>Continuous Monitoring and Adjustment<\/strong><br>Regular check-ups (e.g., every 3\u20136 months) to monitor plaque scores, <em>S. mutans<\/em>activity, salivary pH, and overall oral condition.<br>Continue preventive measures after improvement to maintain low caries risk.<\/li>\n\n\n\n<li><strong>Multidisciplinary Collaboration<\/strong><br>Involvement of pediatric dentists, parents, and special education teachers helps adapt care to the child\u2019s needs.<br>Training caregivers in oral habits and maintaining hygiene routines.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Benefits of Proper Dental Care<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Reduced risk of dental infections and severe tooth damage.<\/li>\n\n\n\n<li>Improved comfort during eating and overall quality of life.<\/li>\n\n\n\n<li>Reduced pain, eating difficulties, and potential complications from damaged teeth.<\/li>\n\n\n\n<li>Potential reduction in future treatment costs due to milder and more manageable conditions.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-center\"><strong>*<\/strong>**<\/p>\n\n\n\n<p>Children with moderate cerebral palsy require special and more intensive dental care compared to children with normal motor abilities. UGM research shows that risk-based interventions (via the Cariogram) can reduce the likelihood of caries, particularly in bacterial and susceptibility factors. Care involving improved diet, assisted oral hygiene, fluoridation, and routine monitoring is key to achieving better oral health outcomes for children with CP.<\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>References<\/strong><br><strong>DEAR PATRISIA SINAGA, Dr. drg. Indah Titien, S., SU., Sp.KGA(K), Prof. Dr. drg. Al. SUpartinah, SU., Sp.KGA(K)<\/strong>, pencegahan terjadinya karies berdasarkan kariogram pada anak cerebral palsy derajat sedang (kajian pada anak usia 6-12 tahun di SLB Negeri 1, Bantul, Daerah Istimewa Yogyakarta), <a href=\"https:\/\/etd.repository.ugm.ac.id\/penelitian\/detail\/103582\">https:\/\/etd.repository.ugm.ac.id\/penelitian\/detail\/103582<\/a><br><br><strong>Author: Rizky B. Hendrawan | Photo: Freepik<\/strong><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Cerebral palsy (CP) adalah kondisi neurologis yang memengaruhi kontrol otot dan koordinasi gerak, sering disertai kekakuan otot dan keterbatasan mobilitas. Anak dengan CP derajat sedang berada pada kelompok yang memiliki risiko tinggi terkena masalah gigi dan mulut, termasuk karies. Keterbatasan mobilitas, kendala dalam merawat gigi secara mandiri, pola makan, salivasi, dan faktor kebersihan mulut yang [&hellip;]<\/p>\n","protected":false},"author":417,"featured_media":16399,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[359,136],"tags":[298,307,289,291,312],"class_list":["post-16398","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artikel","category-berita-terbaru","tag-sdg-10-mengurangi-ketidaksetaraan","tag-sdg-17-kemitraan-untuk-mencapai-tujuan","tag-sdg-3-kesehatan-dan-kesejahteraan-yang-baik","tag-sdg-4-pendidikan-berkualitas","tag-sdgs"],"gutentor_comment":0,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Perawatan Gigi Anak dengan Cerebral Palsy - Fakultas Kedokteran Gigi<\/title>\n<meta name=\"description\" content=\"Cerebral palsy (CP) adalah kondisi neurologis yang memengaruhi kontrol otot dan koordinasi gerak, sering disertai kekakuan otot dan keterbatasan mobilitas.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fkg.ugm.ac.id\/en\/perawatan-gigi-anak-dengan-cerebral-palsy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Perawatan Gigi Anak dengan Cerebral Palsy - 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