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应对痉挛型脑瘫患者的口腔卫生挑战:关于优化牙科护理管理策略的叙述性综述

Navigating Oral Hygiene Challenges in Spastic Cerebral Palsy Patients: A Narrative Review for Management Strategies for Optimal Dental Care.

作者信息

Palanisamy Sucharitha, Cholan Priyanka, Ramachandran Lakshmi, Tadepalli Anupama, Parthasarsthy Harinath, Umesh Santo G

机构信息

Periodontics & Oral Implantology, SRM Dental College & Hospital, Chennai, IND.

出版信息

Cureus. 2023 Dec 9;15(12):e50246. doi: 10.7759/cureus.50246. eCollection 2023 Dec.

Abstract

In the realm of well-being, the essence of maintaining optimal oral health is gaining more recognition. This quantifying quotient is being compromised in cerebral palsy (CP) patients due to multitude variations. Spastic CP predominantly impacts bodily motions, muscle synchronization, command, muscle tone, reflexes, stance, equilibrium, and can additionally influence both delicate and large-scale motor abilities. For individuals with spastic CP, the rigidity extends its influence over both their upper and lower limbs. When this stiffness takes hold in the upper limb, it poses significant challenges in executing everyday activities, causing issues with precise grasping and coordination of muscle movements. Consequently, using a toothbrush effectively becomes a formidable task resulting in widespread caries and periodontal diseases in spastic CP patients. The central focus of this review is to explore the oral health challenges of spastic cerebral palsy patients and mapping out a path towards the most efficient time-tested and innovative dental management approaches for preserving oral health in these patients.

摘要

在健康领域,维持最佳口腔健康的重要性正得到越来越多的认可。由于多种因素,这一量化指标在脑瘫(CP)患者中受到损害。痉挛型脑瘫主要影响身体运动、肌肉同步性、指令、肌张力、反射、姿势、平衡,还会影响精细和大规模运动能力。对于痉挛型脑瘫患者,肢体僵硬会影响上下肢。当这种僵硬出现在上肢时,执行日常活动会面临重大挑战,导致精确抓握和肌肉运动协调出现问题。因此,有效使用牙刷成为一项艰巨任务,导致痉挛型脑瘫患者普遍出现龋齿和牙周疾病。本综述的核心重点是探讨痉挛型脑瘫患者的口腔健康挑战,并规划出一条通往最有效、经过时间考验且创新的牙齿管理方法的道路,以维护这些患者的口腔健康。

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