Functional and fixed orthodontic treatment in a child with cerebral palsy.
Cerebral palsy is a permanent neuromuscular motor disorder that results from injury in the developing brain during the prenatal or postnatal period. Common functional and craniofacial problems related to cerebral palsy include impaired swallowing, chewing, and speech; maxillary transverse deficiency; excessive anterior facial height; and Class II malocclusion. This article reports the treatment of a 12-year-old girl with ataxic cerebral palsy; she had a dental and skeletal Class II malocclusion, maxillary transverse deficiency, and severe crowding in both arches. Treatment included rapid maxillary expansion with simultaneous functional therapy and fixed orthodontic extraction therapy in a period of 2 years 3 months. Vertical control was maintained by a vertical chincap. An acceptable occlusion and improvements in facial esthetics, speech, and oral function were achieved.
Lecturer, Department of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.
Hakan Necip
HN
İşcan
Research assistant, Department of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey. Electronic address: gamgursoy@gmail.com.
Gamze
G
Metin-Gürsoy
Associate professor, Department of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.
Selin
S
Kale-Varlik
D001259:Ataxia / Q000150:complications*; D002508:Cephalometry / Q000379:methods; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D005115:Extraoral Traction Appliances; D005260:Female; D030342:Genetic Diseases, Inborn / Q000150:complications*; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000002:abnormalities; D016382:Orthodontic Appliance Design; D017289:Orthodontic Appliances, Functional; D018704:Orthodontic Retainers; D019516:Orthodontic Space Closure; D010155:Palatal Expansion Technique / Q000295:instrumentation*; D010347:Patient Care Planning; D014087:Tooth Movement Techniques / Q000295:instrumentation*; D016896:Treatment Outcome