You can read the details below. eCollection 2022. den Hartog D, van der Krogt MM, van der Burg S, Aleo I, Gijsbers J, Bonouvri LA, Harlaar J, Buizer AI, Haberfehlner H. Sensors (Basel). An official website of the United States government. The SlideShare family just got bigger. Bekteshi S, Konings M, Vanmechelen I, Deklerck J, Ortibus E, Aerts JM, Hallez H, Karlsson P, Dan B, Monbaliu E. Dev Neurorehabil. With over 800 pediatric physicians on staff, were dedicated to helping you connect with the right specialist for your needs. See this image and copyright information in PMC, Dermatoglyphics as a Noninvasive Tool for Predicting Dental Caries in Cerebral Palsy and Healthy Children: An. 0000004903 00000 n Dyment, H.A., Casas, M.J. 1999 Dental care for children fed by tube: a critical review. Use a soft/foam mouth prop to assist the patient in keeping the mouth open. Now customize the name of a clipboard to store your clips. 0000000016 00000 n Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. 0000004110 00000 n Trained professionals accommodate treatment in the wheelchair or better understand how to transfer the patient to the dental chair while accounting for the individuals physical requirements. 0000006550 00000 n I understand and agree to the "Terms & Conditions. 2020 May-Jun;13(3):240-245. doi: 10.5005/jp-journals-10005-1777. Assesses the patient's medical history. How to cite this article: Sehrawat N, Marwaha M, Bansal K, Chopra R. Cerebral Palsy: A Dental Update. According to the American Academy of Pediatric Dentistry, a population with special health care needs includes "any physical, developmental, sensory, behavioral, cognitive, or emotional impairment that requires medical management, health care intervention, and/or utilization of specialized services." 1 Cerebral palsy (CP), also known as static You do not need to make an appointment for this service, Dental Health in Children with Cerebral Palsy. Cerebral palsy (CP) is a chronic neuromuscular condition characterised by motor abnormalities and functional impairments [1]. Neurology. Assessment of oral and dental health status in children with cerebral palsy: An exploratory study. Tap here to review the details. FOIA 0000004689 00000 n The patient should be placed in the middle of the dental chair with arms and legs as close to the body as possible. Prior results do not guarantee a similar outcome. Parents should monitor dietary habits (i.e. M Baeder F, F Silva D, Cl de Albuquerque A, Tbr Santos M. Int J Clin Pediatr Dent. https://www.nidcr.nih.gov/OralHealth/Topics/DevelopmentalDisabilities/PracticalOralCarePeopleCerebralPalsy.htm#1. Pediatr Health Care. 2022 Sep 23;17(9):e0266294. 0000052024 00000 n A child who experiences frequent seizures, for example, is more prone to head and mouth trauma, grinding of the teeth, and biting of the lips or cheeks. 0000003650 00000 n The Appointment - a film to support working towards dementia friendly dental Radiography for special patient/endodontic courses, School Oral Health Programmes (Middle East and Asia), Jc: barriers to dental care for children with special health care needs, Oral Healthcare for Children with Special Needs, Diagnosis and treatment planning of Removable Partial Denture. Introduce intra-oral stimuli and instruments slowly to minimize patients gag reflex. Kimberly Tran, DDS - Nicklaus Children's Pediatric Dentistry Residency Program, Casamassimo,PS, Fields, HW, McTigue, DJ, Nowak. * Coughing, gagging, choking, and aspiration contribute to bacteria build-up. 1618 0 obj <> endobj xref 0000010195 00000 n (2014, May). 0000008037 00000 n Before Dept. Epub 2017 Dec 14. 0000015412 00000 n 2009;53:207219. Posted 5:38:25 PM. government site. Prevention is essential in managing the dental health of the child with CP. Cerebral Palsy is one such condition with high prevalence in India. Additional Resources NIH Institute for Cerebral Palsy Special Care: an Oral Health Professionals Guide to Serving Young Children with Special Health Care Needs 0000039610 00000 n 0000004791 00000 n Safety precautions require training in CPR, clearing breathing pathways, supporting involuntary body movements, controlling shakes and seizures, and reducing the risk of aspiration. -, Jones MW, Morgan E, Shelton JE. H\n0E|";D5H ,T${x5a{,73Gx3-]zH%}LAhuc^n^gsOU7h#xoMYD,EGg[^DdCgDBXr3ujZ2PS>e@+WclQbW 8zN'>8we5}Navy5 Obtains oral hygiene assessment data and records patient-hygienist transactions in the patient's dental record, ensuring that the dental record accurately reflects the nature of the contact and the care/treatment provided. Epub 2020 Jun 4. 0000014851 00000 n cerebral palsy is the paralysis of brain this video covers the easy explanation of dental management of cerebral palsy child patient ..there are 3 types of cerebral palsyspastic - most commondyskineticataxicwatch the complete video to know dental management of cerebral palsy patient.. learn pediatric dentistry lectures with dr sangeeta on @dental pathshalaconnect with us https://extooth.com/if you enjoy watching our videos and if you want to support us, you can paytm us at https://extooth.com/donate/or you can also paypal us at https://www.paypal.me/dentalpathshala Peto. (2009). It appears that you have an ad-blocker running. Both parents of children with cerebral palsy, as well as parents with children without the disorder, had the same general attitude and knowledge regarding oral care and dentists. . The Reference Manual of Pediatric Dentistry. 0000003077 00000 n official website and that any information you provide is encrypted Do not sell or share my personal information. -, Sankar C, Mundkur N. Cerebral palsy-definition, classification, etiology and early diagnosis. Click here to review the details. Clipboard, Search History, and several other advanced features are temporarily unavailable. 0000043531 00000 n Oral care practitioners will likely consult with the childs primary care physician to coordinate primary care treatment. 0000001729 00000 n Nickel, RE and Desch, LW. and transmitted securely. Epub 2017 Feb 27. 0000019264 00000 n We use cookies to personalize content and ads, to provide social media features, and to analyze our traffic. Home - American Dental Association. 0000015580 00000 n <<2A672B2A491C344A8B21BE0E6A929A42>]>> 0000039896 00000 n Assists in the oral health management of health center patients. Through videoconferencing, David's IPP team discussed the concerns of tooth pain, and the need to conduct an oral health assessment for David. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Augmentative and Alternative Communication (AAC), Page Medically Reviewed and Edited by Sarah Schulze, RN, CPNP, How Cerebral Palsy Affects the Brain and Body Parts, Acquired Brain Injuries and Cerebral Palsy, Cerebral Palsy and Post-Impairment Syndrome, Cerebral Palsy Gross Motor Classification System, Cerebral Palsy Support Groups and Organizations, https://www.nidcr.nih.gov/sites/default/files/2017-09/practical-oral-care-cerebral-palsy.pdf, https://www.ada.org/~/media/ADA/Publications/Files/ForthePatient-0514.ashx, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5224428/, Lack of control when using a toothbrush and floss, Malalignment of the upper and lower teeth, Having food in the mouth for long periods, Ability to establish a trusting relationship with the child, Ability to give commands in a friendly yet understandable manner, Ability to effectively communicate non-verbally (if needed), Purchase toothbrushes and floss that is easier to use, such as an electric toothbrush and toothpick floss sticks, Buy toothpaste made for children with sensitive teeth and gums, Make teeth-cleaning time a fun activity with various child-friendly games and positive reinforcement, Oral care should be done at a time when the child isnt tired or angry, If your child refuses to use a toothbrush, consider using a cotton swab or a warm cloth (consult with your childs dentist first). 0000012279 00000 n 0000019644 00000 n 0000014035 00000 n These can include: Vision and hearing problems. 0000012890 00000 n Doman-Delacato. Safety is a primary concern of those with special needs training. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Bethesda, MD: NIH Publication No. 2023 Jan 1;12(1):346. doi: 10.3390/jcm12010346. Dental health of children with cerebral palsy. National Institute of Dental and Craniofacial Research. Medication is often sugary and attaches to tooth enamel. 0000015697 00000 n In addition, children with Cerebral Palsy may take longer than normal to consume a meal, causing food to stay in the mouth longer and thereby increasing the potential for cavities. Please enable it to take advantage of the complete set of features! 121, Novi, Michigan 48375 (USA). CP is characterized by a group of disorders affecting the development of movement and posture. The focus of everyday care, as well as long-term care, will help optimize functionality and thwart bacterial build-up and infections. [Article in Spanish] Authors J F Gutirrez Ulibarri, M A Escobar Zamora PMID: 2978671 No abstract available Characteristics and Challenges of Epilepsy in Children with Cerebral Palsy-A Population-Based Study. Careers. With diligence and regular dental checkups, however, your child can maintain healthy teeth and gums. Special needs of anxious and phobic dental patients. 0000015852 00000 n 2018 Mar;22(2):308-315. doi: 10.1016/j.ejpn.2017.12.002. 2017 Oct-Dec;10(4):384-390. doi: 10.5005/jp-journals-10005-1470. sharing sensitive information, make sure youre on a federal official website and that any information you provide is encrypted 2022 Apr 27;19(9):5333. doi: 10.3390/ijerph19095333. 0000015524 00000 n 0000035316 00000 n trailer Spec Care Dentist, 19(5):220-4. Review. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 0000002584 00000 n J Dent Child, 70(1): 40-46. And, there are co-mitigating factors that co-exist with Cerebral Palsy, but are unrelated to it. Would you like email updates of new search results? It appears that you have an ad-blocker running. Epub 2019 Jan 8. Clinical patterns of dystonia and choreoathetosis in participants with dyskinetic cerebral palsy. Cerebral palsy makes dental health management particularly difficult. 0000042239 00000 n Increased susceptibility to dental trauma is seen in these children due to the excessive overjet (flaring) of front top teeth and increased tendency to fall, caused by poor muscle coordination. Early diagnosis and therapy can improve outcomes, but early identification of infants at risk remains challenging. Scheduling the child for early professional dental examinations as well as following a more frequent dental recall schedule is recommended. The site is secure. Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature. Epub 2022 Jun 17. Neurosciences (Riyadh). 0000042136 00000 n 0000007300 00000 n In DCP, two major movement disorders, dystonia and choreoathetosis, are present together most of the time. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. According to the CDC, cerebral palsy affects between 1 and 4 out of every 1,000 children worldwide, and its the most common motor disability among children. 0000002090 00000 n These circumstances, if not properly maintained or prevented, may lead to tooth decay. This site needs JavaScript to work properly. Dent Clin N Am. National Library of Medicine Associative Conditions. It is a neuromotor disorder affecting muscle tonicity and posture. 0000007232 00000 n Dental caries Orthopaedic complications Financial Mental health of patients and carers CEREBRAL PALSY August 2004 Vol.22 No.8 CME 435. Indian J Pediatr. When patients with cerebral palsy attempt to move in order to help, their muscles often tense, increasing uncontrolled movements. This article is to review various dental considerations and management of a CP patient. Quritum SM, Ali AM, Raouf MM, Omar TEI, Dowidar KML. 0000032664 00000 n Eur J Paediatr Neurol. 3. Poor dental health, however, can lead to a multitude of health issues that range from annoying to serious. 0000001316 00000 n 0000015949 00000 n Assessment of Dentist's Perception of the Oral Health Care toward Child with Special Healthcare Needs: A Cross-sectional Study. 214 0 obj <> endobj xref 214 51 0000000016 00000 n The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 0000009346 00000 n Hugar SM, Soneta SP, Gokhale N, Badakar C, Joshi RS, Davalbhakta R. Int J Clin Pediatr Dent. 0000001770 00000 n 0000067529 00000 n 0000038592 00000 n In particular, a childs teeth may look crowded, vary in size and shape, and be misaligned (malocclusion), and the child may incur damage from grinding his or her teeth (bruxism). Do not sell or share my personal information, 1. 0000003832 00000 n 0000008702 00000 n 0000009407 00000 n Looks like youve clipped this slide to already. Practical oral care for people with cerebral palsy. Hyperbilirubinemia and Asphyxia in Children With Dyskinetic Cerebral Palsy. 2019 May-Jun;12(3):237-242. doi: 10.5005/jp-journals-10005-1630. Community Support: The Role of the Federal Government, Community Support and Funding: The Role of State and Local Government, Terms of Use, Privacy Policy and Disclaimer. 0000008998 00000 n The dental provider will recommend treatment depending on the severity of the childs condition and treatment necessity. Dental health of children with cerebral palsy. 0000012363 00000 n Clipboard, Search History, and several other advanced features are temporarily unavailable. avoid prolonged use of bottle, reduce amounts of sugar consumed, reduce frequency of sugar consumed). 0000038801 00000 n Understanding conditions commonly associated with Cerebral Palsy will enhance your ability to manage your childs unique health concerns. of Paediatric & Preventive Dentistry 4. 0000019820 00000 n Slovin M, Falagario-Wasserman J. Bacterial plaque can form on teeth exposed to a considerable amount of acid, particularly in those who have gastroesophageal reflux; those who aspirate, vomit, or drool; and those with trouble swallowing and chewing. 382 0 obj <> endobj The site is secure. 0000031346 00000 n AJ Pediatric Dentistry: Infancy Through Adolescence. Tooth decay can be avoided with proper oral hygiene. Activate your 30 day free trialto unlock unlimited reading. 0000027266 00000 n Vanmechelen I, Bekteshi S, Bossier K, Feys H, Deklerck J, Monbaliu E. Disabil Rehabil. 0000045696 00000 n 0000010902 00000 n Activate your 30 day free trialto continue reading. (2001). While 40% of the participants children without the disorder had regular dental visits, only 23.6% of the children with cerebral palsy had seen a dentist. In addition, the uncoordinated movements of their facial muscles makes good dental care hard to maintain. 0000017477 00000 n sharing sensitive information, make sure youre on a federal 0000028411 00000 n Objective To develop a CP prognostic tool that can be applied to all term neonates to identify those at increased risk of developing CP. An 8-year-old boy with mild to moderate quadriplegic spastic cerebral palsy began to complain of a toothache. Home-Based Measurements of Dystonia in Cerebral Palsy Using Smartphone-Coupled Inertial Sensor Technology and Machine Learning: A Proof-of-Concept Study. Walk-in urgent care with no appointment needed. Periodontal disease can lead to loss of teeth. 0000047641 00000 n This mobile dental unit is equipped with two dental operatory suites as well as state-of-the-art telehealth equipment that enables communication between the unit-based providers and dental colleagues at Nicklaus Childrens Hospital to support patient care. Please enable it to take advantage of the complete set of features! 0000005691 00000 n Dental caries incidence may be higher among institutionalized patients. Disclaimer. Providing oral care to people with cerebral palsy (CP) requires adaptation of the skills we use everyday. Relation between objectively measured feeding competence and nutrition in children with cerebral palsy. 0000045833 00000 n located at 41850 West Eleven Mile Rd., Ste. Saini AG, Sankhyan N, Malhi P, Ahuja C, Khandelwal N, Singhi P. Pediatr Neurol. Options include medical, dental, and vision insurance, Flexible Spending Account (FSA), Term Life/AD&D insurance, long-term and short-term disability, and 401(k), as well as other elective programs. 0000014759 00000 n hb```b``7e`c` @1v@]79o?km"*4|@%`c;Oyfyq(-1KJ#SO-K+yZ{,8~x27sn.U9a{K \qpqCC,?_;{wC_52q Privacy Statement. 0000003141 00000 n 0000004094 00000 n Cerebral Palsy (CP) is a neurological disorder caused by non-progressive disturbances in the Central Nervous System (CNS) of developing fetal/infant brain. Int J Health Sci (Qassim). Bethesda, MD 20894, Web Policies Disfunction of masticatory system, in children with CP, causes many problems with mastication. Congenital Heart Surgery Real Time Outcomes , Neuromuscular & Movement Disorders Program, Nicklaus Children's Pediatric Specialists, Nicklaus Children's Pediatric Virtual Care, Cerebral Palsy: The Importance of Early Detection, Nicklaus Childrens Launches State-of-the-Art Mobile Dental Unit to Provide Pediatric Dental Care in Underserved Communities, Orthopedics, Sports Medicine & Spine Institute. Evaluation of salivary parameters and Streptococcus' Mutans count in children with cerebral palsy in Egypt: a case control study. 0000038398 00000 n Activate your 30 day free trialto continue reading. At Upstate Cerebral Palsy, we provide innovative programs and services that support people andSee this and similar jobs on LinkedIn. Cerebral palsy (CP) is a group of disorders affecting the ability to move and maintain balance and posture. The MyChild call center representatives are not permitted to and do not provide any legal or medical advice. 0000003692 00000 n If legal services are sought, individuals will be directed to Stern Law, PLLC and ONLY when an attorney-client relationship has been established as explained below, will legal services be provided by Stern Law, PLLC, and/or other law firms with which they may affiliate. Unable to load your collection due to an error, Unable to load your delegates due to an error. The childs registered dietician, dental practitioner, and speech and language pathologist may lend advice on how best to support the childs oral functioning, food intake, and oral hygiene to maintain oral health. 0000016185 00000 n Int J . Gilbert LA, Fehlings DL, Gross P, Kruer MC, Kwan W, Mink JW, Shusterman M, Aravamuthan BR; Cerebral Palsy Research Network Dystonia Study Group. Unauthorized use of these marks is strictly prohibited. The https:// ensures that you are connecting to the Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Epub 2015 Jul 15. By accepting, you agree to the updated privacy policy. Presence and severity of dystonia and choreoathetosis overflow movements in participants with dyskinetic cerebral palsy and their relation with functional classification scales. 0000009170 00000 n 0000015299 00000 n startxref 0000015263 00000 n MeSH Patients with cerebral palsy are at a greater risk of dental issues. Free access to premium services like Tuneln, Mubi and more. The aim of this study was to determine a difference between children with cerebral palsy (CP) and healthy children, regarding health condition of teeth and oral tissuses. That is why people who suffer from it often need aid for moving, doing tasks or taking care of themselves. 0000029638 00000 n Children with cerebral palsy are at high risk in developing dental problems which . How to cite this article: Sehrawat N, Marwaha M, Bansal K, Chopra R. Cerebral Palsy: A Dental Update. 2007;21:226237. 14, 2013 913 likes 204,628 views Download Now Download to read offline Health & Medicine Technology neurological physiotherapy, cerebral palsy rehabilitation, APGAR Score Surbala devi Follow Academician Advertisement Advertisement Recommended M Gambino Cerebral Palsy guesteebe94 1.4k views MyChild does not provide legal services. Caregivers should also schedule regular check-ups for dental cleanings, fluoride treatments and sealants. Phys Med Rehabil Clin N Am. Xh+{x=qwnYIlo!tskz8 0 endstream endobj 218 0 obj <> endobj 219 0 obj <> endobj 220 0 obj <> endobj 221 0 obj <> endobj 222 0 obj [/Separation/PANTONE#20254#20U/DeviceCMYK<>] endobj 223 0 obj <> endobj 224 0 obj <>stream Frequently, the lower teeth rest outside the upper teeth, providing less protection for the jaw and tongue. Before Those who have athetoid cerebral palsy may suddenly open their mouths wide, causing dislocation of the jaw. 424 0 obj <>stream Healthy teeth and gums are an integral part of a child's overall health. Stern Law, PLLC. fy`$HQGzG1{"0{P}`s)H?FY$~ss_^ Any use of this website is subject to our Terms of Use, Privacy Policy and Disclaimer. 0000043130 00000 n pg 292-293. 0000008427 00000 n Affects body's ability to control muscle movement Results from an injury to the brain during development . Epub 2022 Dec 31. The Handbook of Pediatric Dentistry 4th edition: Cerebral Palsy. Educational Objectives. Conditions related to oral health include: Budgeting may be required, especially for those without dental health insurance coverage. Int J Clin Pediatr Dent 2014;7(2):109-118. 0000002205 00000 n We've updated our privacy policy. Trained individuals also provide a calm, relaxing and supportive atmosphere, allow extra time to explain procedures slowly, and provide repeated, simple instructions for short-term memory capacity. Misalignment of the bite (upper and lower teeth), referred to as malocclusion, is commonly found in children with Cerebral Palsy. 0000010754 00000 n 0000017176 00000 n An official website of the United States government. Cerebral Palsy is a condition that affects the part of the brain that controls the person's ability to move and balance. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. The practitioner trained in special needs is prepared for contingencies. 2.1.3 Dental management of patients with cerebral palsy Treatment sessions should be kept brief for patients with cerebral palsy. For those with communication challenges, trained professionals seek ways in which the patient is able to communicate discomfort or concerns. HVMo0W=4- !-[--(%Y6l}O/8y:|o=8 s0}k3Rzez_]ooqv>y**ue:tfW;h? 0000029898 00000 n Although cerebral palsy doesn't cause oral deformities or abnormalities, many of its symptoms lead to oral problems. Dental management of children 0000000016 00000 n 0000032998 00000 n hbbd`b``3 0 . endstream endobj 215 0 obj <>/Metadata 44 0 R/Pages 43 0 R/StructTreeRoot 46 0 R/Type/Catalog/ViewerPreferences<>>> endobj 216 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 217 0 obj <>stream Disclaimer. %PDF-1.7 % Assists in the oral health management of health center patients. A full range of comprehensive services all under one roof. 0000022962 00000 n 0000014886 00000 n Children with cerebral palsy tend to have difficulty performing routine activities (such as brushing teeth) due to the difficulty they experience in controlling and moving their limbs. Cerebral palsy (CP) is a disorder caused by encephalic damage that occurs during fetal development or infancy; it impairs motor coordination, cognitive function, sensation, perception, and communication abilities. Careers. BMC Oral Health. 0000020979 00000 n This site needs JavaScript to work properly. Cerebral Palsy: PT assessment and Management. The pathophysiology of both movement disorders is largely unknown. Nicklaus Childrens Hospital has several outpatient and urgent care centers throughout South Florida, including on-demand, virtual care. 0000016493 00000 n 0000021203 00000 n 0000013712 00000 n e}1=z 0000006945 00000 n Oral care management for children with special needs Dr. Rajat Sachdeva 1.7k views 11 slides Dental management of handicapped children Hermie Culeen Flores 12.2k views 12 slides Dental considerations of handicapped children Randa Youssef Abd Al Gawad 90 views 76 slides Oral Healthcare for Children with Special Needs Syafiq Ali 5k views Click on a condition listed below to learn more. Chicago, Ill.: American Academy of . Conscious Sedation with Nitrous Oxide to control Stress during Dental Treatment in Patients with Cerebral Palsy: An Experimental Clinical Trial. Unauthorized use of these marks is strictly prohibited. The information provided by CerebralPalsyGuidance.com is not a substitute for professional medical advice, diagnosis, or treatment. 0000002095 00000 n Parents or legal guardians may be reluctant to seek dental treatment if their child has problems in opening the mouth, swallowing, chewing, or biting. By contacting MyChild or Stern Law, PLLC in any way, including by a link from this website, you certify that you agree to our Terms of Use, Privacy Policy and Disclaimer and wish to be contacted regarding your inquiry. Brush teeth and gum tissue at least 2 times a day (in the morning and at night before bedtime). People with hypotonic cerebral palsy have reduced muscle tone, which weakens facial movements and causes the upper lip to be . This website has been created and is ATTORNEY ADVERTISING sponsored by Stern Law, PLLC. Children with CP can present weak muscles tone around the mouth which causes patients to have difficulties with sucking, chewing and swallowing. They are more prone to having malocclusion (abnormal alignment of the teeth). xb```b``ce`c`df@ aVv){'`c EHx}|^ cbz!4\YO!VolIQf%AjT %Gl=34:4-nIx(hpjTSdli=l|\xnL* \_ FAAA*::. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. 2016 Feb;58(2):138-44. doi: 10.1111/dmcn.12846. 2005;72(10):865868. 0000008683 00000 n By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. 0000010372 00000 n Dental visits and topical fluoride application every 6 months. A lifelong disability, CP increases the risk for oral health disparities and comorbidities in adulthood.

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