Dental care for cerebral palsy patients using auxiliary resources to inhibit pathological tonic reflexes
Resumo
Cerebral paralysis is a chronic illness that affects the central nervous system. In this article the author describes the techniques used at CAOE (Odontological Center for Assistance to patients with special needs) to restraint CP patients during dental treatment, because they present some pathological reflexes which interfere in their odontological assistance. Also it shows how to perform a special physical restraint and how to keep the mouth open by using simple tools including a homemade one. All the devices used during the dental treatment in cerebral palsy patients, such as the physical restraint with bands or sheet to wrap them up, cylindrical pad or cushion made of a soft material, or simple tools including a homemade one to keep the mouth open are usually and safely used in CAOE. All these simple devices are necessary, because there are no available funds for the acquisition of expensive material or equipment. Despite of a shortage of resources we can easily and efficiently assist these patients.Keywords: Cerebral Palsy; Patient Care; Restraint, Physical; Reflex
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Referências
Bobath K. Uma base neurofisiológica para o tratamento da paralisia cerebral. 2. ed. São Paulo: Manole; 1984.
Bobath K. Atividade reflexa anormal causada por lesões cerebrais. 2. ed. São Paulo: Manole; 1978.
Finnie NA. Manuseio em casa da criança com paralisia cerebral. 2. ed. São Paulo: Manole; 1980.
Shmarak KL, Bernstein JE. Caries incidence among cerebral palsy children: a preliminary study. J Dent Child. 1961; 28:154-6.
Lianza S. Medicina de reabilitação. Rio de Janeiro: Guanabara Koogan; 1985. 471.
Moraes S AV. O tratamento dentário da criança acometida de paralisia cerebral. Temas sobre Desenvolvimento. 1995; 1: 6-10.
Schwartzman JS. Considerações sobre paralisia cerebral e estimulação da linguagem. Temas sobre Desenvolvimento. 1992; 8: 16-8.
Sedlacek P. Manual sobre paralisia cerebral. Araçatuba: CAOE/ UNESP; 1991.
Aguiar SA. Manual: condicionamento do paciente especial para o tratamento odontológico em nível ambulatorial. Araçatuba: CAOE / UNESP; 1991.
Isshiki Y. Occlusion of cerebral palsied children. Bull Tokyo Dent Coll. 1968; 9: 29-40.
Nielsen LA. Caries among children with cerebral palsy: relation to CP - diagnosis, mental and motor handicap. J Dent Child. 1990; 57: 267-73.
Rosenbaum CH, Mcdonald RE, Levitt EE. Occlusion of cerebral palsied children. J Dent Res. 1966; 4: 1696-700.
Strodel BJ. The effects of spastic cerebral palsy on occlusion. J Dent Child. 1987; 54: 255-60.
Aguiar SA, Vila,LP, Santos-Pinto R. Prevalência de cárie dental em pacientes com retardo mental por lesão anóxica cerebral. Amb. Odont. 1991; 1: 124-7.
Herman SC, Mcdonald RE. Enamel hypoplasia in cerebral palsied children. J Dent Child. 1963; 3: 46-9.
Aguiar SMHCA, Alves Rezende MCR Reflex postural control of patients with cerebral palsy for odontological assistance. Arch Health Invest. 2013; 2: 29-32.
