分阶段清创策略与脑瘫儿童咀嚼肌痉挛治疗的比较评估

Y. Makedonova, A. G. Pavlova-Adamovich, E. Yarygina, A. V. Aleksandrov, T. V. Chizhikova, L. A. Devyatchenko, L. D. Veisgeim
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摘要

相关性。被诊断为脑瘫(CP)的儿童的牙科治疗给牙科医生带来了巨大的挑战。这些儿童不仅需要个性化的护理策略,而且由于咀嚼肌痉挛而在张口方面面临挑战,这限制了治疗过程中的操作。本研究介绍了一种分阶段的清创方法,该方法与旨在通过适应性肌力锻炼和使用气动口腔扩张器缓解咀嚼肌张力过高的干预措施相结合。对 34 名年龄在 6-12 岁(平均年龄为 9.6±0.3 岁)的顺应性 CP 患者进行了口面部临床和功能评估。这些评估考虑了日常活动中的运动程度和运动限制。干预后六个月进行了随访评估。分阶段清创计划效果显著,根据患者的临床情况整合了诊断和治疗策略,并制定了量身定制的探视时间表。建议采用统一的诊断和治疗方案,以增强痉挛性脑瘫儿童的牙齿健康,降低牙科疾病的发病率。
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Comparative assessment of a phased debridement strategy amidst treatment for masticatory muscle spasticity in children with cerebral palsy
Relevance. Dental care for children diagnosed with cerebral palsy (CP) presents substantial challenges to dental practitioners. These children not only necessitate individualized care strategies but also face challenges in mouth opening due to masticatory muscle spasticity, which limits operational access during treatments. This study introduces a phased approach to debridement that is integrated with interventions aimed at alleviating hypertonia in the masticatory muscles through adaptive myogymnastics and the use of a pneumatic mouth expander.Materials and methods. A clinical and functional assessment of the orofacial region was conducted on 34 compliant CP patients aged 6-12 years, with the mean age being 9.6 ± 0.3 years. These assessments considered the extent of motor activity and movement limitations in daily activities. Follow-up evaluations were performed six months post-intervention.Results. The phased debridement plan demonstrated significant effectiveness, integrating diagnostic and therapeutic strategies with tailored visitation schedules based on the clinical conditions of the patients.Conclusion. Uniform diagnostic and therapeutic protocols are recommended to enhance dental health and restrain the prevalence of dental diseases among children with spastic cerebral palsy.
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