Abstract
Abstract
Background
Cerebral palsy (CP) represents for children an important problem of health and affects roughly 2 per 1000 live births and is the most common pediatric developmental motor disability. Therefore, the purpose of this study was to determine the prevalence, type and severity of malocclusion and oral habits in children with Cerebral Palsy (CP) and to compare them with a control group of healthy children in Sana’a city.
Material and Methods
A prospective, case–control study was made of two groups, a cerebral palsy and a control group. The study population consisted of 60 children who had CP, and a control group of 60 matched children who had no known physical or mental handicap. Data were collected using a questionnaire and assessment for malocclusion was done clinically. The patients were compared with equal number of age-matched controls. The inclusion criteria were individuals aged over 6 years; absence of previous orthodontic treatment; no missing permanent first molars
Results
Results showed an increased prevalence of malocclusion in children with cerebral palsy. Molar class II relationship was statistically higher in cerebral palsy children than healthy control (P = 0.001). Cerebral palsied children are likely to have a significantly increased protrusion of the anterior teeth (P < 0.001) when compared with normal children. Mouth breathing and Tongue thrust. Habits were significantly higher in the CP group (p = 0.0001) when compared with normal children.
Conclusion
The prevalence of malocclusion was higher in children with Cerebral palsy than in normal children, and the present study concludes that in children with Cerebral Palsy, more oral Habits problems due to oral motor dysfunctions are common and problems of mouth breathing and Tongue thrust produce different malocclusion and poor oral hygiene complications in these children.
Publisher
Research Square Platform LLC
Reference23 articles.
1. Eicher PS, Batshaw ML. Cerebral palsy. Pediatr Clin North Am. 1993 Jun;40(3):537 – 51. doi: 10.1016/s0031-3955(16)38549-2. PMID: 8493064.
2. Houston WJB, Stephens CD, Tulley WJ. 1992 A textbook of orthodontics. 2nd edn. Butterworth-Heinemann Ltd, Oxford, pp. 44–5, 119–140,224.
3. A systematic analysis and classification of the dentofacial abnormalities shown in cerebral palsy;Jackson GE;Am J Orthod,1956
4. An evaluation of the effects of cerebral palsy on dentofacial development, especially occlusion of the teeth;Lyons DC;J Pediatr,1956
5. An evaluation of the dental profile of neuromuscular deficit patients: a pilot study;Album MM;J Dent Child,1964