Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.22
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2016, vol. 53, nr 3, July-September, p. 430–434

doi: 10.17219/dmp/63169

Publication type: clinical case

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Dental Management of a Child Patient with Facial Palsy: A Case Report

Postępowanie stomatologiczne u dziecka z porażeniem nerwu twarzowego – opis przypadku

Avani Jain1,B,D, Suprabha B.S.1,D,E,F, Arathi Rao1,E,F

1 Department of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Manipal University, Mangalore, India


Facial palsy refers to severe or complete loss/weakness of facial muscle motor function, which may result from central or peripheral lesions. It is characterized by a reduction or absence of tears, diminished blinking reflex, inability to blow or whistle and deviation of angle of mouth to unaffected side. Though facial paralysis in children has been reported earlier, scant attention has been paid to oral hygiene, dental care considerations, and difficulties encountered by dentist. Facial palsy accompanied by hemiparesis affects the dentofacial structure and results in the inadequate maintenance of oral hygiene due to compromised musculature of the face and the upper extremities. Various preventive strategies should be implemented to improve the oral hygiene and health of these patients. In addition, parents should be positively reinforced and encouraged to do the same. The purpose of this case report is to describe dental treatment, the difficulties and the preventive strategies of a case of right hemiparesis and left side facial paralysis.

Key words

child, dental care, facial paralysis

Słowa kluczowe

dziecko, opieka dentystyczna, stomatologiczne porażenie nerwu twarzowego

References (15)

  1. Ilea A., Cristea A., Tărmure V., Trombitaș V.E., Câmpian R.S., Albu S.: Management of patients with facial paralysis in the dental office: A brief review of the literature and case report. Quintessence Int. 2014, 45, 75–86.
  2. Kirkham F.J.: Stroke in childhood. Arch. Dis. Child. 1999, 81, 85–89.
  3. Keels M.A., Long L.M. Jr., Vann W.F. Jr.: Facial nerve paralysis: Report of two cases of Bell’s palsy. Pediatr. Dent. 1987, 9, 58–63.
  4. Mannen J.: Oral health and stroke. Dimens. Dent. Hyg. 2012, 10, 50–55.
  5. Greenwood M., Meechan J.G.: General medicine and surgery for dental practitioners. Part 4: Neurological disorders. Br. Dent. J. 2003, 195, 19–25.
  6. Kharbanda O., Wadhawan N.: Orthodontic Diagnosis and Treatment Planning: Collaborating with Medical and Other Dental Specialists. [In:] Eds.: Krishnan V., Davidovitch Z., Wiley-Blackwell Integrated Clinical Orthodontics., New Jersey 2012, 1st ed., 37–68.
  7. Carla A.: Orthodontic treatment for the medically compromised patient. [In:] Risk management in Orthodontics : Expert’s guide to Malpractice. Eds.: Eliades T., Athanasios E., Graber T., Quintessence Pub Co., Hanover Park, Illinois, 2004, 1st ed., 165–181.
  8. Ciorba A., Corazzi V., Conz V., Bianchini C., Aimoni C.: Facial nerve paralysis in children. World J. Clin. Cases, 2015, 3, 973–979.
  9. Reddy S., Redett R.: Facial paralysis in children. Facial Plast. Surg. 2015, 31, 117–122.
  10. Lee T.H., Hsu W.C., Chen C.J., Chen S.T.: Etiologic study of young ischemic stroke in Taiwan. Stroke, 2002, 33, 1950–1955.
  11. Lanfrled J., Lanfrled Ortho Technology, LLC assignee. Intra-oral appliance and methods of using same United States Patent US 8696352B2. 2014, Apr. 15
  12. Dougall A., Fiske J.: Access to special care dentistry, part 4. Education. Br. Dent. J. 2008, 205, 119–130.
  13. Stiefel D.J., Truelove E.L., Chin M.M., Zhu X.C., Leroux B.G.: Chlorhexidine swabbing applications under various conditions of use in preventive oral care for persons with disabilities. Spec. Care Dentist. 1995, 15, 159–165.
  14. American Academy of Pediatric Dentistry. Council on Clinical Affairs. Guideline on management of dental patients with special health care needs. Pediatr. Dent. 2012, 34, 160–165.
  15. Mann D.C.: Dentistry and the exceptional child. [In:] Encyclopedia of Special Education: A Reference for the Education of Children, Adolescents, and Adults with Disabilities and Other Exceptional Individuals. Eds.: Cecil R. Reynolds, Elaine Fletcher-Janzen, John Wiley & Sons, New Jersey 2007, 3rd ed., 682–684.