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KMID : 1144020140100010043
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Journal of Korean Association for Disability and Oral Health
2014 Volume.10 No. 1 p.43 ~ p.46
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ORTHODONTIC APPROACH TO THE CEREBRAL PALSY PATIENT WITH MAXILLARY PROTRUSION IN THE MIXED DENTITION : A CASE
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Kim Jong-Soo
Jo An-Na
Kim Ji-Yeon
Jeong Sung-Hee
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Abstract
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Cerebral Palsy is a genetic term referring to abnormalities of motor control caused by damage to a child’s brain early in the course of development. Due to the impairment of balanced perioral muscle development, the prevalence of malocclusions in patients with cerebral palsy such as maxillary protrusion is high. But most clinicians may feel uncomfortable to treatment of these problems. Here a case report about mitigation of maxillary anterior teeth protruded in patient with cerebral palsy. 8y 4m old boy who have cerebral palsy visited our dental hospital. He showed severely protrusive maxillary anterior teeth with mouth breathing and could not close his mouth. He and his mother wanted to improve dental and facial esthetic problem. Specially designed or modified intraoral fixed appliance and rubber elastic chain was used in the therapy. Treatment carried out for 8 months and we could observe maxillary incisor angle was improved and mouth breathing habit was stopped. In conclusion, modified fixed appliance therapy for the patients with cerebral palsy might be useful. Continuous rehabilitation training of lips should be followed after treatment to correct imbalance of muscle tone.
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KEYWORD
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Cerebral palsy, Orthodontic treatment, Maxillary protrusion, Mixed dentition
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