Orthodontic treatment of an adolescent with cerebral palsy – A case report

Abstract

Cerebral palsy is a common cause of chronic motor neuron impairment. A constant prevalence of 2 to 3/1000 births in industrialized countries has been described. This case report describes the treatment of a 9 year old boy presenting this form of motor neuron impairment and class II malocclusion with an overjet of 14 mm, hyperdivergent growth pattern and various habits. Orthodontic treatment consisted mainly of a two‐phase treatment. The first phase was treated with removable appliances and followed by a phase with fixed appliances. Treatment duration with removable appliances was 4 years and 5 months and for the fixed appliance phase, 1 year and 7 months. A class I occlusion could be achieved in this case by removable and fixed orthodontic appliances combined with adjunctive treatment for the hypotonic orofacial musculature.

Rare Disorders: Diagnosis and Therapeutic Planning for Patients Seeking Orthodontic Treatment

“…Mixed appliances (fixed and removable) were used more frequently in the RDG than in the SHCG. In the patients with congenital syndromes, it is not uncommon to have to resort to orthodontic treatment in two phases, typically due to the complexity of the orthodontic diagnosis [ 45 , 46 , 47 ]. In overall terms, the treatment duration was similar for the RDG and SHCG, as has previously been reported in children with craniofacial malformations [ 48 ] and in patients with special healthcare needs [ 49 ].…”

Maloklusi pada Penderita Cerebral Palsy

“…Keadaan rongga mulut pada penderita CP umumnya terdapat maloklusi kelas II, gigi insisivus yang mengalami proklinasi disertai dengan peningkatan overjet dan hipotonia otot orofasial. 22 Maloklusi kelas II pada penderita CP selain terjadi akibat hipotonia otot orofasial, dapat juga diakibatkan tongue thrust. 21 Tongue thrust juga dapat menyebabkan terjadinya protrusi pada gigi depan disertai dengan apertognathia (open bite).…”