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Non-progressive disorder caused by brain
damage
Characterized by motor
dysfunction
Patient may also
experience:
-
Learning
disabilities
-
Psychological
problems
-
Sensory
deficits
-
Seizure
disorders
|
Greater prevalence of gingival and
periodontal disease due to lack of control of oral
muscles and inability to perform daily oral hygiene
regimen
Malocclusion
Grinding/attrition
Drooling
Enamel hypoplasia of primary
teeth
Hyperactive gag
reflex
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Strict daily oral hygiene regimen starting
at an early age
Toothbrushing skills should be adapted to
the individual’s abilities and strengths
Routine exams and
prophylaxis
Modification of toothbrush
handles
Use of mechanical
toothbrushes
Use of oral antimicrobial
agents
Fluoride
therapy
Sealant
application
Nutrition
counseling
Possible candidate for drooling
device |
Seizure medication such as phenytoin (Dilantin) may cause
gingival hyperplasia
Anticholinergic drugs used to control
drooling may cause increased susceptibility to dental caries
Sucrose based medications may cause
increased susceptibility to dental caries due to the patient inability
to self cleanse
Psychotropic drugs should be monitored for
xerostomia which may increase susceptibility to dental
caries
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