Bruxism Control in a Child with Cerebral Palsy

Abstract

Cerebral palsy (CP) is one of the most severe childhood disabilities due to a lesion in the developing brain. Oral conditions often observed in this pathogenic are a tendency for the delayed eruption of permanent molars, higher percentages of malocclusion and parafunctional habits, including bruxism. The significance of oral conditions observed in CP patients demonstrates the need for intensive home and professional care for these individuals. This paper presents a 7-year-old boy, with cerebral palsy, severe mental retardation, who had high abrasion wear of the primary teeth related to bruxism. Dental care was carried out under oxide-induced sedation, and management of the bruxism was achieved after the use of a resin acrylic protective appliance fixed on both sides of the mandibula. The treatment performed offered efficiency advantages, was clinically viable, and should be a valuable option to practitioners considering appliance therapy to control parafunctional behavior.

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

“…The severe wear seen in bruxism with many of these patients is apparent on the lingual cusps of the upper permanent molars and buccal cusps of the lower permanent molars, which leads to loss of vertical dimension and may contribute to problems in the temporomandibular joint. 15,16 However, no bruxism that cause severe wear tooth was diagnosed in the patient described in the present case.…”

Dental and medical management of children with cerebral palsy: Case series with literature review

“…Stainless steel crowns are one of the best restorative materials in pediatric dentistry. Children with CP have a higher incidence of bruxism and to provide stainless steel crowns in these patients is the best choice to withstand the heavy occlusal load (Oliveira et al, 2011). Complete oral prophylaxis and restorations of all carious teeth should also be done to reduce the colony forming units in the oral cavity.…”

Bruxism in children and adolescents with cerebral palsy

“…There is still no proven effective therapy for this parafunction in individuals with CP. Oliveira et al 33 reported the control of bruxism in a child through the use of an acrylic resin protective appliance fixed on both sides of the mandible. Giannasi et al 34 reported the beneficial effect of a hyperboloid chewing appliance for the treatment of severe sleep bruxism in a child.…”