Effect of spastic cerebral palsy on jaw-closing muscles during clenching.

The motor effort of jaw-closing muscles during maximal voluntary clenching (MVC) was compared between individuals with spastic cerebral palsy (CP) and nondisabled control subjects (CG). Bilateral electromyographic (EMG) activity of the anterior temporalis (AT) and masseter (MS) muscles was obtained during MVC in 22 subjects with CP and 29 nondisabled subjects. The oral functional status of the group with CP was evaluated using the Orofacial Motor Function Assessment Scale.

Different approaches to dental management of self-inflicted oral trauma: oral shield, botulinum toxin type A neuromuscular block, and oral surgery.

Objective: To assess different approaches to the dental management of lip injuries caused by self-inflicted oral trauma in 7 patients.

Method And Materials: The patients were grouped based on 3 treatment approaches: group 1, placement of an oral appliance; group 2, botulinum toxin type A neuromuscular block; and group 3, oral surgery.

Results And Conclusion: Neuromuscular block can be the first choice of treatment for patients with self-injurious behavior since botulinum toxin A injection is a well-tolerated, safe, and effective procedure, permitting improvement in muscle spasticity, bruxism, range of mouth opening, oral hygiene, and lip trauma.

Assistive stabilization based on the neurodevelopmental treatment approach for dental care in individuals with cerebral palsy.

Objective: To study the effects of positioning individuals with cerebral palsy (CP) on a dental chair according to the neurodevelopmental treatment (NDT) approach, to establish the best position to perform dental care in the safest and most efficient manner in such individuals.

Method And Materials: A group of 158 noninstitutionalized patients (78 males and 80 females) with CP (mean age 10.5 [SD +/- 4.

Oculocerebrorenal Lowe syndrome: a literature review and two case reports.

The present paper reviews the dental findings in oculocerebrorenal Lowe syndrome and presents two case histories. Reports of different patients are useful in order to enhance knowledge about the syndrome, because there are so many different oral manifestations.

Development of a novel orofacial motor function assessment scale for children with cerebral palsy.

Purpose: The aim of this study was to develop the orofacial motor function assessment scale (OFMFAS) and appraise its performance in terms of validity and reliability in a cohort of 116 cerebral palsy patients.

Methods: The scale was developed according to a process derived from the theory of measurement and scale development previously described in the dental literature. The final version of the OFMFAS comprises 13 items that have 30 subitems.

Treatment of muscle spasticity in patients with cerebral palsy using BTX-A: a pilot study.

This study was designed to verify the safety and efficacy of botulinum toxin type A (BTX-A) used as a neuromuscular block on spastic masticatory musculature of children with cerebral palsy. Six patients who had spastic-tetraplegic cerebral-palsy, aged 5 to 20 years were selected. All patients had spasticity of the jaw muscles, bruxism, lower lip trauma, limited mouth opening, and difficulties in cleaning the oral cavity.