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Oral Health and Cerebral Palsy

 
Cerebral palsy (CP) is a neuromuscular disorder often accompanied by disturbances in movement, sensation, communication, and behavior. These problems can include changes in orofacial structure, problems with eating and swallowing, and oral self-care. Children and adults with CP have increased incidence of periodontal disease, dental caries, malocclusion, tongue thrust, drooling, gastrointestinal reflux, bruxism, hyperactive bite and gag reflex. Maintaining oral hygiene and accessing appropriate dental care, all of which affect oral health, can represent a health equity challenge.

Oral Health and Cerebral Palsy

Learning Objectives

Students will:

  1. Discuss the oral health needs of patient with CP.
  2. Describe barriers to oral care for patients with CP.
  3. Identify four questions to ask patient/parent about oral hygiene practices.
  4. Analyze modifications needed for patient with CP in dental office.

Learner Pre-Work

Have students read the following:

  1. Cerebral Palsy and Oral Health Issues

    https://www.cerebralpalsyguidance.com/cerebral-palsy/associated-disorders/oral-health-issues/

  2. Practical Oral Care for People with Cerebral Palsy

    https://www.nidcr.nih.gov/sites/default/files/2017-09/practical-oral-care-cerebral-palsy.pdf

  3. Successful Management of Adult Patients with Cerebral Palsy

    https://dimensionsofdentalhygiene.com/article/successful-management-adult-cerebral-palsy/

  4. Dougherty, N.J. (2009). A review of cerebral palsy for the oral health professional. Dental Clinics of North America, 53(2):329-338. doi: 10.1016/j.cden.2008.12.001
  5. US Department of Health and Human Services, National Institutes of Health, National Institute of Dental and Craniofacial Research. Dental care everyday: A caregiver’s guide. https://www.nidcr.nih.gov/sites/default/files/2018-10/dental-care-everyday.pdf

Suggested Learning Activities

  1. Using the Dougherty article (2009), have students implement an oral health literacy discussion with a patient with CP, explaining three reasons CP affects oral health.

     

  2. Using Successful Management of Adult Patients with Cerebral Palsy, have students draw a diagram of the barriers a patient with CP encounters in a dental office and the modifications needed.

     

  3. Using Dental Care Everyday: A Caregivers Guide, have students describe four questions to ask a caregiver about the oral hygiene practices of a patient with CP.

     

  4. Have each student choose one oral health problem from the Oral Health and Cerebral Palsy Nursing Interventions activity and plan nursing interventions for a patient with CP.

Suggested Reading

Bensi, C., Costacurta, M., & Docimo, R. (2020). Oral health in children with cerebral palsy: Asystematic review and meta-analysis. Special Care in Dentistry, 40(5), 401-411. doi: 10.1111/scd.12506 

Author Information

Erin Hartnett, DNP, PPCNP-BC, CPNP, FAAN
Former Program Director
Oral Health Nursing Education and Practice (OHNEP)
NYU Rory Meyers College of Nursing

Judith Haber, PhD, APRN, FAAN
The Ursula Springer Leadership Professor in Nursing
Executive Director, Oral Health Nursing Education and Practice (OHNEP)
NYU Rory Meyers College of Nursing

Jessamin Elizabeth Cipollina, MA
Program Manager
Oral Health Nursing Education and Practice (OHNEP)
NYU Rory Meyers College of Nursing