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

Downloads

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: 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: 0000-0001-8378-0505
  • A.N. Osyko 1, assistant at the Dentistry Department
    ORCID: 0000-0002-4648-7569
  • A.V. Alexandrov 1, postgraduate at the Dentistry Department
    ORCID: 0000-0002-1905-7723
  • A.G. Pavlova-Adamovich 1, postgraduate at the Dentistry Department
    ORCID: 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

References

  1. Tkachenko E.S., Goleva O.P., Sherbakov D.V., Halikova A.R. Cerebral palsy: the state of knowledge of the problem (review). Mother and baby in Kuzbass. 2019; 2: 4—9 (In Russ.). eLIBRARY ID: 38567706.
  2. Klochkova O.A., Kurenkov A.L., Kenis V.M. Development of contractures in spastic forms of cerebral palsy: pathogenesis and prevention. Pediatric traumatology, orthopaedics and reconstructive surgery. 2018; 6 (1): 58—66 (In Russ.). eLIBRARY ID: 32652346.
  3. Klitochenko G.V., Tonkonozhenko N.L., Guivan O.I., Dolzhenko T.S. Features of development and dynamics of cerebral palsy in children of the city of Volgograd. Actual problems of the humanities and natural sciences. 2014; 8—1): 317—21 (In Russ.). eLIBRARY ID: 22284310.
  4. Alajbeg I., Živković K., Gikić M. [The role of stabilization splint in the treatment of temporomandibular disorders]. Acta Med Croatica. 2015; 69 (1): 33—43. PMID: 26606783.
  5. Sukhumanphaibun P., Sangouam S. Oral health status and oral dryness of elderly dementia patients. Journal of International Dental and Medical Research. 2020; 13 (3): 1059—64.
  6. Children‘s cerebral palsy in children. Clinical recommendations of the Ministry of Health of the Russian Federation, 2016 (In Russ).
  7. Nikonov N.B., Nikonova L.A. Pathology of the muscle fibers spastic form of cerebral palsy. Modern Science: Actual Problems of Theory and Practice. Series: Natural and Technical Sciences. 2018; 12: 165—9 (In Russ.). eLIBRARY ID: 36724196.
  8. Soykher M.I., Orlova O.R., Mingazova L.R. Comparative prospective study of the effectiveness and safety of russian of the russian botulinum toxin-A Relatox® in order to correct the of masticatory muscles hypertone patients with myofascial pain syndrome. Russian Journal of Dentistry. 2019; 23 (3—4): 180—4 (In Russ.). eLIBRARY ID: 41857076.
  9. Lee S.J., Jr W.D.M.C., Kim Y.K., Chung S.C., Chung J.W. Effect of botulinum toxin injection on nocturnal bruxism: a randomized controlled trial. Am J Phys Med Rehabil. 2010; 89 (1): 16—23. PMID: 19855255.
  10. Paesani D.A., Lobbezoo F., Gelos C., Guarda-Nardini L., Ahlberg J., Manfredini D. Correlation between self-reported and clinically based diagnoses of bruxism in temporomandibular disorders patients. J Oral Rehabil. 2013; 40 (11): 803—9. PMID: 24112029.
  11. Danilova M.A., Bronnikov V.A., Zalazaeva E.A. Functional disorders of maxillofacial region in children with cerebral paralysis. Perm Medical Journal. 2018; 2: 26—31 (In Russ.). eLIBRARY ID: 34941350.
  12. Yararbaş K., Ilgin-Ruhi H. Prenatal diagnosis: medical education. Turkiye Klinikleri Journal of Medical Sciences. 2006; 26 (6): 666—74.
  13. Kuznetsov E.Yu., Saleeva L.R. Types of myorelaxing splints and the relevance of their application. Proceedings of the “Topical issues of dentistry” conference. Kazan, 2020. Pp. 228—233 (In Russ.). eLIBRARY ID: 42707706.
  14. Klochkova O.A., Kurenkov A.L., Namazova-Baranova L.S., Mamedyarov A.M., Karimova Kh.M., Kuznetsova M.A. The concept of “key muscles” and the early onset of botulinum therapy in spastic forms of cerebral palsy. Current Pediatrics (Moscow). 2017; 1: 39—48 (In Russ.). eLIBRARY ID: 28864713.
  15. Can Ö.D., Öztürk Y., Demir Özkay Ü.A. Natural antidepressant: hypericum perforatum l.: review. Turkiye Klinikleri Journal of Medical Sciences. 2009; 29 (3): 708—15.
  16. Eckl P., Bojaxhi E., Vogl C., Martano G., Stutz H., Bresgen N., Alija A., Siems W. Beta-carotene, aging & degenerative disease. Turkiye Klinikleri Journal of Medical Sciences. 2009; 29: 29—31. https: //www.researchgate.net/publication/282024554.
  17. Makedonova Yu.A., Vorobev A.A., Osyko A.N., Stavskaya S.V., Afanaseva O.Yu., Pavlova-Adamovich A.G. Analysis of the prevalence of dental complications in patients with masticatory muscle spasm. Journal of International Dental and Medical Research. 2021; 1 (14): 209—15.
  18. Stuginski-Barbosa J., Porporatti A.L., Costa Y.M., Svensson P., Conti P.C.R. Agreement of the International Classification of Sleep Disorders Criteria with polysomnography for sleep bruxism diagnosis: A preliminary study. J Prosthet Dent. 2017; 117 (1): 61—66. PMID: 27460312.
  19. Iordanishvili A.K., Ovchinnikov K.A., Soldatova L.N. Optimization of diagnosis and assessment of effective treatment of diseases of the temporomandibular joint and masticatory muscles in dental practice. Herald of north-western state medical university named after I.I. Mechnikov. 2015; 4: 31—7 (In Russ.). eLIBRARY ID: 25377712.
  20. Soyer S.M., Kudryashova V.A., Oganesyan M.V. Chewing muscle dysfunction: anatomical basics in etiopathogenesis. Proceedings of “Morphology to science and practical medicine” conference. Voronezh: Science Book, 2018. Pp. 331—336 (In Russ.).
  21. Bergmann A., Edelhoff D., Schubert O., Erdelt K.-J., Duc J.-M.P. Effect of treatment with a full-occlusion biofeedback splint on sleep bruxism and TMD pain: a randomized controlled clinical trial. Clin Oral Investig. 2020; 24 (11): 4005—18. PMID: 32430774.
  22. Castroflorio T., Bargellini A., Rossini G., Cugliari G., Deregibus A. Sleep bruxism and related risk factors in adults: A systematic literature review. Arch Oral Biol. 2017; 83: 25—32. PMID: 28692828.
  23. Lobbezoo F., Ahlberg J., Raphael K.G., Wetselaar P., Glaros A.G., Kato T., Santiago V., Winocur E., De Laat A., De Leeuw R., Koyano K., Lavigne G.J., Svensson P., Manfredini D. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil. 2018; 45 (11): 837—844. PMID: 29926505.
  24. Makedonova Yu.A., Naumova V.N., Mikhalchenko D.V. Indicators of microcirculation of the oral cavity in normal and pathological conditions in residents of the Volgograd region. Registered database (cert. no.2021620278, effective from 02.2021 (In Russ.).

Downloads

Received

April 8, 2021

Accepted

May 18, 2021

Published on

June 1, 2021