The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 15 , ISSUE 4 ( July-August, 2014 ) > List of Articles

CASE REPORT

Orthodontic Management of a Patient with Cerebral Palsy: Six Years Follow-up

Fidan Alakus Sabuncuoglu, Erkan Özcan

Citation Information : Sabuncuoglu FA, Özcan E. Orthodontic Management of a Patient with Cerebral Palsy: Six Years Follow-up. J Contemp Dent Pract 2014; 15 (4):491-495.

DOI: 10.5005/jp-journals-10024-1567

Published Online: 01-08-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

Cerebral palsy (CP) is a disorder that affects muscle tone, movement and motor skills. CP can also lead to other health issues, including vision, hearing and speech problems, as well as learning disabilities and dental problems. A case report describing the successful orthodontic treatment of a 10-year-old boy with the dyskinesia type of CP and severe malocclusion is presented.

Materials and methods

A 10-year and 2-month old boy was presented by his parents for orthodontic treatment, complaining of his unsatisfactory occlusion and poor chewing efficacy. An extraoral examination showed a convex profile. An intraoral examination showed the patient to be in mixed dentition with a class II molar relationship, 10 mm overjet and 4 mm overbite. In addition, his maxillary and mandibular arches were severely crowded. Cephalometric analysis indicated a severe skeletal class II discrepancy, which was confirmed by an ANB of 12°. The first phase of treatment involved the use of twin blocks with a headgear tube to attempt some growth modification and reduce the overjet. Once it was clear that the appliance was being well tolerated and the oral hygiene was satisfactory, the fixed appliance was used.

Results

Because of the good participation of the patient and his parents, orthodontic treatment was successful in the patient, achieving a normal overjet in combination with successful orofacial therapy.

Conclusion

As demonstrated in our case report, the success of the treatment was dependent on the cooperation of the patient and his parents. Furthermore, this case illustrates the importance of the treatment by a dental team in patients with CP.

How to cite this article

Sabuncuoglu FA, Özcan E. Orthodontic Management of a Patient with Cerebral Palsy: Six Years Followup. J Contemp Dent Pract 2014;15(4):491-495.


PDF Share
  1. The prevalence of malocclusion in children with cerebral palsy. Eur J Orthod 1996 Dec;18(6):637-643.
  2. Integrated approach to outpatient dental treatment of a patient with cerebral palsy: a case report. Spec Care Dentist 2012 Sep-Oct;32(5):210-217.
  3. Parotid salivary secretion and composition in cerebral palsy. J Dent Res 1979 Aug;58(8):1808.
  4. Dental health and dental care in children with cerebral palsy. Coll Antropol 2011 Sep;35(3):761-764.
  5. Parental reports of the oral health-related quality of life of children with cerebral palsy. BMC Oral Health 2012 Jun 18;12:15.
  6. Oral conditions in cerebral palsy. Dent Clinics of North America 1960;4:455-468.
  7. The dental health of handicapped children in Newcastle and Northumberland. British Dent J 1987;162:9-14.
  8. The dental status of cerebral palsied children. Pediatric Dentistry 1991 May-Jun;13(3):156-162.
  9. Oral conditions in children with cerebral palsy. J Dent Child (Chic) 2003;70(1):40-46.
  10. Does intellectual disability affect the development of dental caries in patients with cerebral palsy? Res Dev Disabil 2012 Sep-Oct;33(5):1503-1507.
  11. Factors associated with dental caries in the primary dentition of children with cerebral palsy. Braz Oral Res 2012 Sep-Oct;26(5):471-477. Epub 2012 Aug 14.
  12. Risk factors for dental caries in children with cerebral palsy. Spec Care Dentist 2002;22(3):103-107.
  13. The dental treatment of the cerebral palsied patient. J Dent Que 1982 Mar;82(19):47-52.
  14. A roentgenographic cephalometric survey of the skeletal and dental patterns of the celepral palsied. Am J Orthodont 1962;48:66-67.
  15. Bruxism control in a child with cerebral palsy. ISRN Dent. 2011;2011:146915. doi: 10.5402/2011/146915. Epub 2010 Dec 1.
  16. The related factors of bruxism in children. Zhonghua Kou Qiang Yi Xue Za Zhi 2009;44(1):15-18.
  17. General anaesthesia and children's dental health: present trends and future needs. Anaesth Pain Control Dent 1993 Fall;2(4):209-216.
  18. Sedation for patients with movement disorders. Dent Update 2012 Jan-Feb;39(1):45-48.
  19. Orthodontic treatment for disabled children: motivation, expectation and satisfaction. Eur J Orthod 2000 Apr;22(2):151-158.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.