Table of Contents
ISRN Dentistry
Volume 2011, Article ID 146915, 4 pages
Case Report

Bruxism Control in a Child with Cerebral Palsy

1Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, 21941-901/RJ, Brazil
2Department of Clinics and Pediatric Dentistry, Fluminense Federal University (UFF), Niterói, Brazil
3Caixa Postal 68066 Cidade Universitária (CCS), Rio de Janeiro RJ, CEP: 21941-971, Brazil

Received 22 September 2010; Accepted 4 November 2010

Academic Editors: J. H. Jeng and C. Robinson

Copyright © 2011 Cristiana Aroeira G. R. Oliveira et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cerebral palsy (CP) is one of the most severe childhood disabilities due to a lesion in the developing brain. Oral conditions often observed in this pathogenic are a tendency for the delayed eruption of permanent molars, higher percentages of malocclusion and parafunctional habits, including bruxism. The significance of oral conditions observed in CP patients demonstrates the need for intensive home and professional care for these individuals. This paper presents a 7-year-old boy, with cerebral palsy, severe mental retardation, who had high abrasion wear of the primary teeth related to bruxism. Dental care was carried out under oxide-induced sedation, and management of the bruxism was achieved after the use of a resin acrylic protective appliance fixed on both sides of the mandibula. The treatment performed offered efficiency advantages, was clinically viable, and should be a valuable option to practitioners considering appliance therapy to control parafunctional behavior.