Features of the dental status in children with spastic form of cerebral palsy

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Authors

  • Yu.A. Makedonova 1, 2, Grand PhD in Medical Sciences, associate professor and head of the Dentistry Department; senior researcher at the Innovative methods of rehabilitation and habilitation Laboratory
    ORCID ID: 0000-0002-5546-8570
  • A.A. Vorobyov 1, 2, PhD in Medical Sciences, full professor of the Operative surgery and topographic anatomy Department; head of the Innovative methods of rehabilitation and habilitation Laboratory
    ORCID ID: 0000-0001-8378-0505
  • A.N. Osyko 1, assistant at the Dentistry Department
    ORCID ID: 0000-0002-4648-7569
  • A.V. Alexandrov 1, postgraduate at the Dentistry Department
    ORCID ID: 0000-0002-1905-7723
  • A.G. Pavlova-Adamovich 1, postgraduate at the Dentistry Department
    ORCID ID: 0000-0002-0643-6863
  • 1 Volgograd State Medical University, 400131, Volgograd, Russia
  • 2 Volgograd Medical Research Center, 400131, Volgograd, Russia

Abstract

Infantile cerebral palsy refers to a neurological pathology that leads to disability in this category of patients. Spastic diplegia is one of the most common forms that attracts special attention of dentists, since this form is marked by hypertonus of the masticatory muscles, which is one of the leading factors contributing to the deterioration of the dental status. This paper provides data on the prevalence of cerebral palsy in the world, the country and the Volgograd region, modern methods and methods of treatment of children with cerebral palsy. However, along with the variety of programs for the prevention and treatment of children with cerebral palsy, the problem of providing dental care is urgent. The aim of the study was to analyze the dental status of children with spastic cerebral palsy living in the Volgograd region.
Materials and methods.
73 children with spastic cerebral palsy were examined. A full-fledged diagnosis was performed in three stages: at the first stage, screening diagnostics was performed, reflecting the difficulties of providing medical care to dentists, at the second stage-a comprehensive examination of the oral cavity, indicating the burdened dental status of this category of patients, using functional methods (stage III), an assessment of the work of the masticatory muscles was made according to eletromyography and vasomotor activity of blood vessels during the study using Laser Doppler Flowmetry.
Results.
The results obtained indicate the burdened dental status of children with spastic cerebral palsy.
Conclusions.
To improve the dental status, it is necessary to improve the methods of providing dental care aimed at relieving or reducing the spasticity of the masticatory muscles, which will contribute to improving the effectiveness of the quality of oral treatment in children with cerebral palsy. An important task of doctors is to increase the effectiveness of pathogenetic dental treatment aimed at improving the dental status of children suffering from cerebral palsy.

Key words:

cerebral palsy, dental status, masticatory muscle hypertonus, bruxism

For Citation

[1]
Makedonova Yu.A., Vorobyov A.A., Osyko A.N., Alexandrov A.V., Pavlova-Adamovich A.G. Features of the dental status in children with spastic form of cerebral palsy. Clinical Dentistry (Russia).  2021; 24 (2): 44—50

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Received

April 8, 2021

Accepted

May 18, 2021

Published on

June 1, 2021