Control of salivary flow in individuals with neuromotor disabilities: an interprofessional work
DOI:
https://doi.org/10.5007/1807-0221.2022.e80359Keywords:
Drooling, Cerebral Palsy, Dental Care for Disabled, SalivaryglandsAbstract
Sialorrhea (involuntary salivary escape from the mouth) is common in individuals with neuromotor disabilities, which can cause a decrease in self-esteem and social isolation. Its control involves behavioral and speech therapy, use of medication, application of botox and surgery. The students of the extension project “Dental Care for Patients with Developmental Disabilities” at the Faculty of Dentistry of UFMG and the Minas Gerais Rehabilitation Association carried out a literature review until 2022, with the objective or proposing a questionnaire to guide decisions on intervention in the control of salivary flow. The dental and speech therapy teams discussed the importance of considering oral health, the psychological aspects involved and the social context in which the patient lives before opting for radical and definitive approaches. The questionnaire serves as a guide for making intervention decisions before radical and definitive approaches are taken.
References
ARNRUP, K.; CROSSNER, C.G. Caries prevalence after submandibular duct retroposition in drooling children with neurological disorders. PediatricDentistry, v.12, n.2, p. 98-101, Aril/May, 1990. Disponível em: https://pubmed.ncbi.nlm.nih.gov/2151958/
BEGLEY, K.A., BRASHWELL, L.E., NORITZ, G.H., MURAKAMI, J.M. Salivary gland ablation: introducing an interventional radiology treatment alternative in the management of sialorrhea. Pediatric Radiology, v. 50, n.6, p.869–876. March 2020. Disponível em: https://doi.org/10.1007/s00247-020-04649-6
BECMEUR, F.; SCHNEIDER, A.; FLAUM, V.; KLIPFEL, C.; PIERREL, C.; LACREUSE, I. Which surgery for drooling in patients with cerebral palsy? Journal of Pediatric Surgery, v. 48, p.2171–2174, Oct. 2013. Disponível em: http://dx.doi.org/10.1016/j.jpedsurg.2013.06.017
BEKKERS, S., LEOW T.Y.S., Van HULST, K., DELSING, C.P., ORRIENS L.B., SCHEFFER A.R.T., Van den HOOGEN, F.J.A. Repeated onabotulinum neurotoxin A injections for drooling in children with neurodisability. Developmental Medicine & Child Neurology, v. 63, n.8, p. 991-997, March 2021a. Disponível em: doi: 10.1111/dmcn.14872
BEKKERS, S., PRUIJN, I.M.J., Van DERBURG, KOK, S.E., DELSING, C.P., SCHEFFER A.R.T., Van den HOOGEN, F.J.A Surgery versus botulinum neurotoxin A to reduce drooling and improve daily life for children with neurodevelopmental disabilities: a randomized controlled Trial. Developmental Medicine & Child Neurology, v. 63, n.11, p. 1351-1359. May 2021b. doi: 10.1111/dmcn.14924
BEKKERS, S., PRUIJN, I.M.J., Van HULST, K., DELSING, C.P., ERASMUS, C.E., SCHEFFER A.R.T., Van den HOOGEN, F.J.A. Submandibular duct ligation after botulin neurotoxin A treatment of drooling. Developmental Medicine & Child Neurology, v. 62, n.7, p. 861-867, July 2020a. doi: 10.1111/dmcn.14510
BEKKERS, S., Van ULSEN, K.J. ADANG, E.M.M., SCHEFFER A.R.T., Van den HOOGEN, F.J.A. Cost-effectiveness of botulinum neurotoxin A versus surgery for drooling: a randomized clinical Trial. . Developmental Medicine & Child Neurology, v. 62, n.11, p1302-1308, Nov. 2020b. doi: 10.1111/dmcn.14636
BRAÚNA, A.P.V.S.; ABREU, M.H.N.G.; RESENDE, V.L.S.; CASTILHO, L.S. Risk factors for dental caries in children with developmental disabilities. Braz. Oral Res., v.30, n.1, e79, Jan.2016. Disponível em: https://doi.org/10.1590/1807-3107BOR-2016.vol30.0079
DIAS, B.L.S.; FERNANDESB, A.R.; MAIA FILHO, H.S. Sialorrhea in children with cerebralpalsy. J Pediatr., v.92, n.6, p.549-558, Dec. 2016. Disponível em: http://dx.doi.org/10.1016/j.jped.2016.03.006
GALILI, E.; ZEHAVI, E.A.; ZADIK, Y.; CASPI, T., MELTZER, L.; MERDLER, I.; KUTEN, J., TAL, D. Long-term scopolamine treatment and dental caries. Clinical Oral Investigations, v. 23, n.5, p.2339–2344, May, 2019. Disponível em: https://doi.org/10.1007/s00784-018-2688-3
GREENSMITH, A.L.; JOHNSTONE, B.R.; REID, S.M.; HAZARD, C.J.; JOHNSON, H.M.; REDDIHOUGH, D. Prospective Analysis of the Outcome of Surgical Management of Drooling in the Pediatric Population: A 10-Year Experience. Plast Reconstr Surg., v. 116, n.5, p.1233-42, Oct. 2005. Disponível em: 10.1097/01.prs.0000182221.11733.
GUTIERREZ, G.M.; SIQUEIRA, V.L.; LOYOLA-RODRIGUEZ, J.P.; DINIZ, M.B.;GUARÉ, R.O.; FERREIRA, A.C.F.M.; SANTOS, M.T.B.R. Effects of treatments for drooling on caries risk in children and adolescents with cerebral palsy. Med Oral Patol Oral CirBucal ,v. 24, n.2, p.e204-10, Mar 2019. Disponível em: doi:10.4317/medoral.22729
HALLETT, K.B.; LUCAS, J.O.; JOHNSTON, T.; REDDIHOUGH, D.S.; HALL, K.R. Dental health of children with cerebral palsy following sialodochoplasty. SCD Special Care in Dentistry, 115, n.6, p. 234-238, Nov-Dec. 1995.Disponívelem:https://pubmed.ncbi.nlm.nih.gov/9002925/
HERNÁNDEZ-PALESTINA, M.S.; CISNERO-LESSER, J.C.; ARELLANO-SALDANHA, M.L.; PLASCENCIA-NIETO, S.E. Resección de glándulas submandibulares para manejo de sialorreaen pacientes pediátricos com parálisis cerebral y poça respuesta a la toxina botulínica tipo A. Estudio piloto. Cirugía y Cirujanos, v.84, n.6, p. 459-468, Nov-Dec. 2016. Disponível em: http://dx.doi.org/10.1016/j.circir.2016.03.007
HUSSEIN, I.; KERSHAW, A. E.; TAHMASSEBI, J. F.; FAYLE, S. A. The management of drooling in children and patients with mental and physical disabilities: a literature review. International Journal of Paediatric Dentistry, v. 8, n. 1, p. 3-11, Jan. 1998.Disponível em:10.1046/j.1365-263x.1998.00055.x
INAL, O.; ARSLAN, S.S.; DEMIR, N.; TUNCA YILMAZ O.; KARADUMAN. A. A. Effect of Functional Chewing Training on tongue thrust and drooling in children with cerebral palsy: a randomized controlled trial. Journal of Oral Rehabilitation, v. 44, n.11, p.843–849, Nov. 2017.Disponível em: 10.1111/joor.12544
KOK, S.E.; VAN DER BURG, J.J.W.; VAN HULST, K.; ERASMUS, C. E.; VAN DEN HOOGEN, F.J.A. The impact of submandibular duct relocation on drooling and the well-being of children with neurodevelopmental disabilities. International Journal of Pediatric Otorhinolaryngology, v.88, p. 173-178, Jun. 2016. Disponível em: http://dx.doi.org/10.1016/j.ijporl.2016.06.043
LAWRENCE, R.; BATEMAN, N. Surgical Management of the Drooling Child. CurrentOtorhinolaryngologyReports, v. 6, n.1, p.99–106, Mar. 2018. Disponível em: https://doi.org/10.1007/s40136-018-0188-2
LIMERES, J.; CARMONA, I.T.; DIOS, P.D. Control of drooling using transdermal scopolamine skin patches. A case report. Med Oral Patol Oral Cir Bucal. v.13, n.1, p. E27-30, Jan. 2008.Disponível em: https://pubmed.ncbi.nlm.nih.gov/18167476/
LITTLE, S.A.;KUBBA, H.; HUSSAIN, S.S. An evidence-based approach tothe child who drools saliva. Clin. Otolaryngol., v. 34, n.3, p.236-239, Jun.2009.Disponível em: https://doi.org/10.1111/j.1749-4486.2009.01917.x.
LOVARDI, E., De IORIS, M.A., LETTORI, D., GEREMIA, C., STACIOLLI, S., BELLA, G.D., SCROCCA, R., SCARSELLI, A., AVERSA, M., DePEPPO, F., CAMPANA, A., CASTELLI. E. Glycopyrrolate for drooling in children with medical complexity under three yars of age. Italian Journal of Pediatrics, v. 48, n.2, Jan 2022. Disponível em: https://doi.org/10.1186/s13052-021-01195-1
LUNGREN, M.P., HALULA, S., COYNE, S., SIDELL, D., RACADIO, J.M., PATEL, M.N. Ultrasound-Guided Botulinum Toxin Type A Salivary Gland Injection in Children for Refractory Sialorrhea: 10-Year Experience at a Large Tertiary Children’s Hospital. Pediatric Neurology, v. 54, p.70-75, Sept. 2016. Disponívelem:10.1016/j.pediatrneurol.2015.09.014
MCINERNEY, M.S.; REDDIHOUGH, D.S.; CARDING, P.N., SWANTON, R.; WALTON, C.M., IMMS, C. Behavioural interventions to treat drooling in children with neurodisability: a systematic review. Developmental Medicine & Child Neurology, v.61, n.1, p. 39–48, Jan. 2019. Disponível em: DOI: 10.1111/dmcn.14048
MONTGOMERY, J. A.; MCCUSKER, S. A.; LANG, K. A.; GROSSE, S. B.;MACE, A. A.; LUMLEY, R.A.; KUBBA, H. Managing children with sialorrhoea (drooling): Experience from the first 301 children in our saliva control clinic. International Journal of Pediatric Otorhinolaryngology, v.85, n.1, p.33–39, Jan.2016. Disponível em: http://dx.doi.org/10.1016/j.ijporl.2016.03.010
PEDERSEN, A.M.L.; BELSTRØM, D. The role of natural salivary defences in maintaining a healthy oral microbiota. J Dent., v.80 Suppl 1:S3-S12, Jan. 2019. Disponível em: https://doi.org/10.1016/j.jdent.2018.08.010
REED, J.; MANS, C.K.;BRIETZKE, S.E.Surgical management of drooling: a meta-analysis. Arch Otolaryngol Head Neck Surg., v. 135, n. 9, p.924–31, Sept. 2009. Disponível em:10.1001/archoto.2009.110
REID, S.M.;WESTBURY, C.;CHONG, D.;JOHNSTONE, B.R.;GUZYS, A.;REDDIHOUGH, D. Long-term impact of saliva control surgeryin children with disability. Journal of Plastic, Reconstructive & Aesthetic Surgery, v.6, n.2, p. 1193-1197, March 2019. Disponível em: https://doi.org/10.1016/j.bjps.2019.02.020
ROBERTO, L. L.; MACHADO, M. G.; RESENDE, V. L. S.; CASTILHO, L. S., ABREU, M. H. N. G. Factors associated with dental caries in the primary dentition of children with cerebral palsy. Brazilian Oral Research, v. 26, n.5, p. 471-477, Sept/Oct.2012. Disponível em:https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242012000500015
SAGAR, P.; HANDA, K.K.; GULATI, S.; KUMAR, R. Submandibular Duct Re-routing for Drooling in Neurologically Impaired Children. Indian J Otolaryngol Head Neck Surg , v. 68, n.1, p.75-79, Jan. 2016. Disponível em: DOI 10.1007/s12070-015-0926-4
SANTOS, B.F.; DABBAGH, B.; DANIEL, S.J.; SCHWARTZ, S. Association of onabotulinum toxin A treatment with salivary pH and dental caries of neurologically impaired children with sialorrhea. International Journal of Paediatric Dentistry, v. 26, n.1, p. 45–51, Jan. 2016. Disponível em: DOI: 10.1111/ipd.12156
SHEIHAM, A.; JAMES, W.P.T. A reappraisal of the quantitative relationship between sugar intake and dental caries: the need for new criteria for developing goals for sugar intake. BMC Public Health, v. 14, p. 863, Sept,.2014. Disponível em: DOI: 10.1186/1471-2458-14-863.
STERN, Y.; FEINMESSER, R.; COLLINS, M.; SHOT, S.R.; COTTON, R.T. Bilateral submandibular gland excision with parotid duct ligation for treatment of sialorrhea in children. Arch Othoryngol Head Neck Surg., v.128, n.7, p.801-803, July, 2002. Disponível em:https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/482946
TIIGIMÄE-SAAR, J.; TABA, P.; TAMME, T. Does Botulinum neurotoxin type A treatment for sialorrhea change oral health? Clin Oral Investig, v.21, n.3, p.795-800, April2017. Disponível em: doi: 10.1007/s00784-016-1826-z.
TIIGIMÄE-SAAR, J.; LEIBUR, E.;KOLK, A.;TALVIK, I.TAMME, T. Use of botulinumneurotoxin A in uncontrolled salivation in children with cerebral palsy:a pilot study. Int. J. Oral Maxillofac. Surg., v. 41, n. 12, p. 1540–1545, Dec. 2012. Disponível em: 10.1016/j.ijom.2012.09.015
Downloads
Published
Issue
Section
License
De acordo com a lei n° 9.610, de 19 de fevereiro de 1998, o(s) autor(es) da OBRA encaminhada, doravante designado(s) CEDENTE, declara(m) tê-la lido e a aprovado na sua totalidade e concorda(m) em submetê-la à Extensio: Revista Eletrônica de Extensão, doravante designada CESSIONÁRIA, para avaliação e possível publicação como resultados originais. Esta declaração implica que a OBRA, independente do idioma, não foi submetida a outros periódicos ou revistas com a mesma finalidade.
O CEDENTE declara que a OBRA não infringe direitos autorais e/ou outros direitos de propriedade de terceiros, que a divulgação de imagens (caso existam) foi autorizada e que assume integral responsabilidade moral e/ou patrimonial pelo seu conteúdo perante terceiros.
O CEDENTE, por meio desta, cede e transfere, de forma gratuita, o direito de reprodução gráfica, divulgação e indexação da OBRA em bases de dados nacionais e internacionais à CESSIONÁRIA, tenha a OBRA o título descrito acima ou o título que posteriormente venha a ser adotado, para atender às sugestões de editores e revisores.
O CEDENTE compromete-se em anexar, como Documento Suplementar, nesta plataforma, a fotocópia do Termo de concordância e cessão de direitos de reprodução assinado pelo(s) autor(es), que pode ser obtido neste link.
O CEDENTE está ciente de que esta obra será licenciada, através do Creative Commons , para Extensio: R. Eletr. de Extensão, ISSN: 1807-0221, do DPE/PRPE/UFSC.