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Pediatric dentists can determine chewing performance level in children
Selen Serel Arslan1, Cansu Özşin Özler2, Numan Demir3
1Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey. selen.serel@hacettepe.edu.tr.
Clinical Oral Investigations
|February 2, 2021
Summary
Pediatric dentists can reliably use the Karaduman Chewing Performance Scale (KCPS) to assess children's chewing ability. This scale demonstrates excellent agreement with physical therapists, supporting its clinical use.
Area of Science:
- Pediatric Dentistry
- Rehabilitation Medicine
- Clinical Assessment Tools
Background:
- Chewing performance is crucial for child development and nutrition.
- Objective assessment of chewing function in children can be challenging.
- The Karaduman Chewing Performance Scale (KCPS) was developed to evaluate chewing ability.
Purpose of the Study:
- To determine if pediatric dentists can reliably use the KCPS to assess chewing performance in children.
- To evaluate the consistency of KCPS scoring between pediatric dentists and a physical therapist.
Main Methods:
- Children aged over 2 years, including typically developing and those with cerebral palsy (CP), were assessed.
- Chewing performance was scored using the KCPS based on video recordings.
- Three pediatric dentists and one physical therapist independently scored the children's chewing function.
- Inter-rater reliability was assessed using correlation and Fleiss kappa statistics.
Main Results:
- A strong positive correlation (r=0.911-0.939) was found between KCPS scores assigned by the physical therapist and pediatric dentists.
- Excellent agreement (κ=0.754-0.763) was observed between the physical therapist and two of the dentists.
- Good agreement (κ=0.687) was noted with the third dentist.
Conclusions:
- The Karaduman Chewing Performance Scale (KCPS) is a reliable tool for pediatric dentists to assess chewing performance in children.
- Pediatric dentists can confidently utilize the KCPS in clinical practice and research.
- The findings support the clinical utility of the KCPS for evaluating children with chewing difficulties.
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