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Authors: John Morgan, Bonnie F. Zimble

Spina Bifida:

Summary

Special Care in Dentistry
John Morgan, DDS
Tufts University School of Dental Medicine, 2008

Table: Spina Bifida 



DEFINITIONS AND SYMPTOMS

MAJOR ORAL CONDITIONS WHICH MAY OR MAY NOT BE PRESENT



PREVENTION AND TREATMENT




MEDICATIONS

Neural tube disorder caused by the failure of the fetus’s spine to close properly during the first month of pregnancy

 Patient may need braces, crutches or a wheelchair to be ambulatory 

 Patient may also experience: 

·        Learning disabilities

·        Lack  of bowel and bladder control

·        Hydrocephalus

·        Latex Allergy

Increased risk of dental disease when learning disability is present

Strict daily oral hygiene regimen starting at an early age

Tooth brushing skills should be adapted to the individual’s abilities and strengths

Routine exams and prophylaxis

Tooth brushing skills should be adapted to the individual’s abilities and strengths

Use of mechanical toothbrushes

Use of antimicrobial agents

Fluoride therapy

Sealant application

 Nutrition counseling

Use of latex free products

Positive reinforcement when apathy towards oral hygiene exists

 

Sucrose based medications may increase susceptibility to dental caries

Source:

http://www.ninds.nih.gov/health_and_medical/disorders/spina_bifida.htm