Dental Management in Children with Cerebral Palsy Type Spastic Quadriplegia: A Case Report

Cerebral palsy is a group of permanent movement disorders that appear in early childhood with a vary signs and symptoms include poor coordination, stiff muscles, weak muscles, and tremors. This case report aims to provide clinicians with general description of dental and oral health care for children with cerebral palsy under general anesthesia. A 3.5-year-old boy came with his parents to Al Ihsan General Hospital, complaining of many cavities in their child�s teeth. The patient has been diagnosed by a pediatrician with cerebral palsy type spastic quadriplegia. Intra-oral examination showed multiple caries with pulp involvement. The treatment plan was mouth preparation under general anesthesia, consists of scaling, dental restorations, extractions, and topical fluoride application. The patient with cerebral palsy type spastic cannot control the desired movement, has a hyperactive reflex, and often had seizures. These conditions will make the dental treatment being so difficult. Dental treatment with general anesthesia can be used as the last solution for providing dental and oral health care for the patient with cerebral palsy. Management of dental and oral health care in cerebral palsy patients should be done with a multidisciplinary and comprehensive manner for the optimum treatment results.