Maloklusi pada Penderita Cerebral Palsy

Authors

  • Virginia E. N. Abram Universitas Sam Ratulangi
  • Sherly M. Gosal Universitas Sam Ratulangi
  • Juliatri Juliatri Universitas Sam Ratulangi

DOI:

https://doi.org/10.35790/eg.v11i2.46372

Abstract

Cerebral palsy (CP) is a non-progressive disorder that affect the brain during the growth and development process. Various disorders in patients with cerebral palsy, such as dentocraniofacial and muscle abnormalities, can cause problems in dental and oral health, including malocclusion. The most common malocclusion described the patients with cerebral palsy is class II malocclusion with increased overjet and open bite. This literature review study aims to determine the classification and variation of malocclusion that occur in patients with cerebral palsy. This literature review research was conducted by searching for data using Google Scholar, Pubmed, and Science Direct databases. After being selected based on inclusion and exclusion criteria, a critical appraisal was carried out and 7 literatures were obtained. The result showed that Class II is the malocclusion that commonly occurs in patients with cerebral palsy, followed by Class I and Class III, with open bite as a common encounter malocclusion variant. In conclusion, the classification of malocclusion that occurs in patients with cerebral palsy is Class I, Class II and Class III. Generally, class II is the most common malocclusion in patients with cerebral palsy. Variations of malocclusion that occur in patients with cerebral palsy are open bite, crossbite, deep bite, crowding, spacing, a diastema, and increased overjet. The most prevalent variant is an open bite.

Keywords: cerebral palsy, malocclusion

 

Abstrak: Cerebral palsy (CP) adalah gangguan atau kerusakan non-progresif pada otak saat proses pertumbuhan dan perkembangan. Berbagai gangguan pada penderita cerebral palsy, seperti kelainan pada dentokraniofasial dan ototnya, dapat menimbulkan masalah dalam kesehatan gigi dan mulut termasuk menyebabkan maloklusi. Maloklusi kelas II dengan peningkatan overjet dan open bite merupakan maloklusi yang sering terjadi pada penderita cerebral palsy. Penelitian literature review ini bertujuan untuk mengetahui klasifikasi dan variasi maloklusi yang terjadi pada penderita cerebral palsy. Penelitian dilakukan dengan pencarian data menggunakan database Google Scholar, Pubmed, dan Science Direct. Setelah diseleksi berdasarkan kriteria inklusi dan eksklusi, dilakukan critical appraisal dan didapatkan 7 literatur. Hasil penelitian menunjukkan bahwa maloklusi kelas II merupakan maloklusi yang umumnya terjadi pada penderita cerebral palsy diikuti dengan kelas I dan kelas III, dengan variasi maloklusi yang sering ditemukan yakni open bite. Kesimpulan penelitian ini yakni klasifikasi maloklusi yang terjadi pada penderita cerebral palsy yaitu maloklusi kelas I, kelas II dan kelas III, dengan maloklusi kelas II merupakan maloklusi yang paling umum terjadi pada penderita cerebral palsy. Variasi maloklusi yang terjadi pada penderita cerebral palsy yaitu open bite, cross bite, deep bite, crowding, spacing, diastema dan peningkatan overjet. Variasi maloklusi yang paling umum ditemui pada penderita cerebral palsy merupakan open bite.

Kata kunci: cerebral palsy, maloklusi

Author Biographies

Virginia E. N. Abram, Universitas Sam Ratulangi

Program Studi Pendidikan Dokter Gigi Fakultas Kedokteran Universitas Sam Ratulangi, Manado, Indonesia

Sherly M. Gosal, Universitas Sam Ratulangi

Program Studi Pendidikan Dokter Gigi Fakultas Kedokteran Universitas Sam Ratulangi, Manado, Indonesia

Juliatri Juliatri, Universitas Sam Ratulangi

Program Studi Pendidikan Dokter Gigi Fakultas Kedokteran Universitas Sam Ratulangi, Manado, Indonesia

References

Desiningrum D. Psikologi Anak Berkebutuhan Khusus. Depdiknas. Psikosain; 2016. 1–149.

Kementerian Kesehatan RI. Situasi penyandang disabilitas [Internet]. 2014. Available from: https:/ /pusdatin.kemkes.go.id/resources/download/pusdatin/buletin/buletin-disabilitas.pdf

Levitt S. Treatment of Cerebral Palsy and Motor Delay. 5th ed. Wiley-Blackwell; 2010.

Selekta M. Cerebral palsy tipe spastik quadriplegi pada anak usia 5 tahun. Majority. 2018;7(3):186–90.

Achmad MH. Pengembalian fungsi pengunyahan pada anak dengan kelainan cerebral palsy dan mild mental retardation. Dentofasial. 2008;7(1):47–56.

At-Taufiq SD, Putih C, Wijayanti P, Ismah N. Gambaran Maloklusi dan kebutuhan perawatan ortodonti pada anak usia 9-11 tahun (Studi pendahuluan di SD At-Taufiq, Cempaka Putih, Jakarta). J PDGI. 2014;63(1):25–9.

Miamoto C, Ramos-Jorge M, Pereira L, Paiva S, Pordeus I, Marques L. Severity of malocclusion in patients with cerebral palsy: determinant factors. Am J Orthod Dentofac Orthop. 2010;138(4):1–5.

El Rouby SH, Dowidar K, Ahmed AM, Omar TEI. Occlusal characteristics in a group of children with cerebral palsy in Alexandria Egypt. Alexandria Dent J. 2019;44(1):7–12.

Garib BT, Ibraheem FB, Ahmed OD. Dental and maxillofacial findings in cerebral palsy children from Sulaimani City: assessment for unmet dental needs. Sulaimani Dent J. 2020;7(1):65–74.

Sinha N, Singh B, Chhabra KG, Patil S. Comparison of oral health status between children with cerebral palsy and normal children in India: a case-control study. J Indian Soc Periodontol. 2015;19(1):78–82.

Cuoghi OA, Faria LP, Micheletti KR, Miranda-Zamalloa YM, De Mendonça MR. Prevalence of malocclusion in people with disabilities. Brazilian Dent Sci. 2016;19(4):19–23.

Bakarčić D, Lajnert V, Maricic B, Jokic N, Vrancic Z, Grzic R, et al. The comparison of malocclusion prevalence between children with cerebral palsy and healthy children. Coll Antropol. 2015;39(3):663–6.

Mathur A, Aggarwal VP, Mathur A. Oral health status and treatment needs among differently abled children. RUHS J Heal Sci. 2017;2(1):24–8.

Al Hashmi H, Kowash M, Hassan A, Al Halabi M. Oral health status among children with cerebral palsy in Dubai, United Arab Emirates. J Int Soc Prev Community Dent. 2017;7(3):149–54.

Dubey A, Ghafoor P, Rafeeq M. Assessment of traumatic dental injuries in patients with cerebral palsy. J Indian Soc Pedod Prev Dent. 2015;33(1):25–7.

Rodríguez LJP, Ayala-Herrera JL, Muñoz-Gomez N, Martínez-Martínez RE, Santos-Díaz MA, Olvera-Delgado JH, et al. Dental decay and oral findings in children and adolescents affected by different types of cerebral palsy: a comparative study. J Clin Pediatr Dent. 2018;42(1):62–6.

Yogi H, Alves LAC, Guedes R, Ciamponi AL. Determinant factors of malocclusion in children and adolescents with cerebral palsy. Am J Orthod Dentofac Orthop. 2018;154(3):405–11.

Miller F, Bacharch S, Lennon N, O’Neil ME. Cerebral Palsy (2nd ed). Switzerland AG: Springer Nature; 2020.

Oliveira AC, Paiva SM, Martins MT, Torres CS, Pordeus IA. Prevalence and determinant factors of malocclusion in children with special needs. Eur J Orthod. 2011;33(4):413–8.

Carmagnani FG, de Mattos Gonçalves GK, Corrêa MSNP, dos Santos MTBR. Occlusal characteristics in cerebral palsy patients. J Dent Child (Chic). 2007;74(1):41–5.

Oredugba FA. Comparative oral health of children and adolescents with cerebral palsy and controls. J Disabil Oral Heal. 2011;12(2):81–7.

Chhatwani S, Johannsen E, Möhlhenrich SC, Schulte AG, Danesh G, Schmidt P. Orthodontic treatment of an adolescent with cerebral palsy – a case report. Spec Care Dent. 2021;42(4):421–31.

Martínez-Mihi V, Paredes-Gallardo V, Silvestre FJ, Silvestre-Rangil J. Comparison of malocclusion prevalence, type and severity between cerebral palsy and healthy subjects: a prospective case-control study. J Clin Med. 2022;11(13):1–12.

Martinez-Mihi V, Silvestre FJ, Orellana LM, Silvestre-Rangil J. Resting position of the head and malocclusion in a group of patients with cerebral palsy. J Clin Exp Dent. 2014;6(1):e1–6.

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Published

2023-05-04

How to Cite

Abram, V. E. N., Gosal, S. M., & Juliatri, J. (2023). Maloklusi pada Penderita Cerebral Palsy. E-GiGi, 11(2), 246–251. https://doi.org/10.35790/eg.v11i2.46372

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