3.4 CP - oral health and hygiene

how can we help dental care in CP pts

- OHI - diet modifications - oral hygiene aids (grip/extension modifiers, electric toothbrushes, bite blocks/mouth rests)

what are some tx to help with oral hygiene in CP pts

- sealants - topical F - antibacterial mouthwash/chlorhexidine rinse (maybe not bc dysphagia) - ScRP - gingival hyperplasia management (surgery if severe)

dysphagia and CP

50.4% prevalence. - prolonged exposure to acidic/sugary environments can promote caries - also makes teeth brushing/rinsing more difficult

malocclusion and CP

class 2 and anterior open bite - inc risk of trauma and perioral dryness

what is CP

developmental disability encompassing a group of neurological disorders affecting regions of the brain involved in voluntary muscle movements - permanent, non-progressive, non-hereditary

PD and CP

inc risk and prevalence - 3x more prevalent - OH limitations - gingival hyperplasia

dental caries and CP

inc risk and prevalence - OH limitations - enamel hypoplasia - dec salivary flow rate due to anticholinergic meds - dysphagia

bruxism and CP

increased prevalence - 58% - directly proportional to the severity of CP and ID

seizures (CP) lead to what dental implications

phenytoin/dilantin (drug used in tonic-clonic seizures, blocks Na channels). causes gingival hyperplasia - makes OH more difficult and may lead to gingivitis or PD

GERD and CP

up to 77% prevalence (due to transient LES relaxation) - dental erosion