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Common Oral Conditions in Children with Special Needs

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Dental Care for Children with Special Needs

Abstract

Children and adolescents with special healthcare needs can present with oral conditions as a manifestation of their complex medical conditions and/or as undesirable effects of the therapies used in the treatment of those medical issues. The diagnosis and management of oral entities in medically complex pediatric patients can be challenging and must involve consultation with the patient’s healthcare providers. Dental professionals have a paramount role in enhancing the patient’s quality of life through management of the oral issues as well as in educating caretakers and allied health professionals. This chapter discusses some of the most common oral conditions encountered in children with special healthcare needs and provides general recommendations for care.

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References

  1. Cannavale R, Itro A, Campisi G, Compilato D, Colella G. Oral self-injuries: clinical findings in a series of 19 patients. Med Oral Patol Oral Cir Bucal. 2015;20:e123–9.

    Article  Google Scholar 

  2. Arron K, Oliver C, Moss J, Berg K, Burbidge C. The prevalence and phenomenology of self-injurious behavior and aggressive behavior in genetic syndromes. J Intellect Disabil Res. 2011;55(Part 2):109–20.

    Article  Google Scholar 

  3. Oliver C, Richards C. Practitioner Review: self-injurious behavior in children with developmental delay. J Child Psychol Psychiatry. 2015;56:1042–54.

    Article  Google Scholar 

  4. Oliver C, Licence L, Richards C. Self-injurious behavior in people with intellectual disability and autism spectrum disorder. Curr Opin Psychiatry. 2017;30:97–101.

    Article  Google Scholar 

  5. Soke GN, Rosenberg SA, Hamman RF, et al. Brief Report: prevalence of self-injurious behaviors among children with autism spectrum disorder—a population-based study. J Autism Dev Disord. 2016;46:3607–14.

    Article  Google Scholar 

  6. Hanson GE, Ogle RG, Giron L. A tongue stent for prevention of oral trauma in the comatose patient. Crit Care Med. 1975;3:200–3.

    Article  Google Scholar 

  7. Lobbezoo F, Ahlberg J, Glaros AG, et al. Bruxism defined and graded: an international consensus. J Oral Rehabil. 2013;40:2–4.

    Article  Google Scholar 

  8. Clark GT, Ram S. Orofacial movement disorders. Oral Maxillofac Surg Clin North Am. 2016;28:397–407.

    Article  Google Scholar 

  9. Castrillon EE, Ou K-L, Wang K, Zhang J, Zhou X, Svensson P. Sleep bruxism: an updated review of an old problem. Acta Odontol Scand. 2016;74:328–34.

    Article  Google Scholar 

  10. Goldstein RE, Clark WA. The clinical management of bruxism. J Am Dent Assoc. 2017;148:387–91.

    Article  Google Scholar 

  11. Machado E, Dal-Fabbro C, Cunali PA, Kaizer OB. Prevalence of sleep bruxism in children: a systematic review. Dental Press J Orthod. 2014;19(6):54–61. https://doi.org/10.1590/2176-9451.19.6.054-061.oar.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Castroflorio T, Bargellini A, Rossini G, Cugliari G, Rainoldi A, Deregibus A. Risk factors related to bruxism in children: a systematic literature review. Arch Oral Biol. 2015;60:1618–24.

    Article  Google Scholar 

  13. Macedo CR, Macedo EC, Torloni MR, Silva AB, Prado GF. Pharmacotherapy for sleep bruxism. Cochrane Database Syst Rev. 2014;23:CD005578. https://doi.org/10.1002/14651858.CD005578.pub2.

    Article  Google Scholar 

  14. Monroy PG, da Fonseca MA. The use of botulinum toxin-A in the treatment of severe bruxism in a patient with autism: a case report. Spec Care Dentist. 2006;26:37–9.

    Article  Google Scholar 

  15. Beaumont J, Chesterman J, Kellet M, Durey K. Gingival overgrowth: part 1: aetiology and clinical diagnosis. Br Dent J. 2017;222:85–91.

    Article  Google Scholar 

  16. Gawron K, Lazarz-Bartyzel K, Potempa J, Chomyszyn-Gajewska M. Gingival fibromatosis: clinical, molecular and therapeutic issues. Orphanet J Rare Dis. 2016;11:9.

    Article  Google Scholar 

  17. Telles DR, Karki N, Marshall MW. Oral fungal infections—diagnosis and management. Dent Clin N Am. 2017;61:319–49.

    Article  Google Scholar 

  18. Pinto A, Haberland CM, Baker S. Pediatric soft tissue oral lesions. Dent Clin N Am. 2014;58:437–53.

    Article  Google Scholar 

  19. Muzyka BC, Epifanio RN. Update on oral fungal infections. Dent Clin N Am. 2013;57:561–81.

    Article  Google Scholar 

  20. Lussi A, Carvalho TS. Erosive tooth wear: a multifactorial condition of growing concern and increasing knowledge. Monogr Oral Sci. 2014;25:1–15.

    Article  Google Scholar 

  21. Taji S, Seow WK. A literature review of dental erosion in children. Aust Dent J. 2010;55:358–67.

    Article  Google Scholar 

  22. Zawaideh FI, Owais AI, Mushtaha S. Effect of CPP-ACP or a potassium nitrate sodium fluoride dentifrice on enamel erosion prevention. J Clin Pediatr Dent. 2017;41(2):135–40. https://doi.org/10.17796/1053-4628-41.2.135.

    Article  PubMed  Google Scholar 

  23. Jaeggi T, Lussi A. Prevalence, incidence and distribution of erosion. Monogr Oral Sci. 2014;25:55–73.

    Article  Google Scholar 

  24. Carvalho TS, Lussi A, Jaeggi T, Gambon DL. Erosive tooth wear in children. Monogr Oral Sci. 2014;25:262–78.

    Article  Google Scholar 

  25. Shaw L, Weatherill S, Smith A. Tooth wear in children: an investigation of etiological factors in children with cerebral palsy and gastroesophageal reflux. J Dent Child. 1998;65:484–6.

    Google Scholar 

  26. Bell EJ, Kaidonis J, Townsend GC. Tooth wear in children with Down syndrome. Aust Dent J. 2002;47:30–5.

    Article  Google Scholar 

  27. Lussi A, Jaeggi T. Erosion—diagnosis and risk factors. Clin Oral Investig. 2008;12(Suppl 1):S5–S13.

    Article  Google Scholar 

  28. O’Sullivan E, Milosevic A. UK national clinical guidelines in paediatric dentistry: diagnosis, prevention and management of dental erosion. Int J Paediatr Dent. 2008;18(Suppl 1):29–38.

    Article  Google Scholar 

  29. Bartlett D. Intrinsic causes of erosion. Monogr Oral Sci. 2006;20:119–39.

    Article  Google Scholar 

  30. Lussi A, Jaeggi T, Zero D. The role of diet in the aetiology of dental erosion. Caries Res. 2004;38(Suppl 1):34–44.

    Article  Google Scholar 

  31. Seow WK, Thong KM. Erosive effects of common beverages on extracted premolar teeth. Aust Dent J. 2005;50:173–8.

    Article  Google Scholar 

  32. Hunter L, Patel S, Rees J. The in vitro erosive potential of a range of baby drinks. Int J Paediatr Dent. 2009;19:325–9.

    Article  Google Scholar 

  33. Dugmore CR, Rock WP. Asthma and tooth erosion: is there an association? Int J Paediatr Dent. 2003;13:417–24.

    Article  Google Scholar 

  34. Carpenter GH. The secretion, components, and properties of saliva. Annu Rev Food Sci Technol. 2013;4:267–76.

    Article  Google Scholar 

  35. Dawes C. How much saliva is enough for avoidance of xerostomia? Caries Res. 2004;38:236–40.

    Article  Google Scholar 

  36. Walsh LJ. Dry mouth: a clinical problem for children and young adults. Int Dent SA. 2007;9:48–58.

    Google Scholar 

  37. Murrah VA. Diabetes mellitus and associated oral manifestations: a review. J Oral Pathol. 1985;14:271–81.

    Article  Google Scholar 

  38. Guggenheimer J, Moore PA. Xerostomia: etiology, recognition and treatment. J Am Dent Assoc. 2003;134:61–9.

    Article  Google Scholar 

  39. Majorana A, Schubert MM, Porta F, Ugazio AG, Sapelli PL. Oral complications of pediatric hematopoietic cell transplantation: diagnosis and management. Support Care Cancer. 2000;8:353–65.

    Article  Google Scholar 

  40. Villa A, Connell CL, Abati S. Diagnosis and management of xerostomia and hyposalivation. Ther Clin Risk Manag. 2014;11:45–51.

    Article  Google Scholar 

  41. Osailan S, Pramanik R, Shirodaria S, Challacombe SJ, Proctor GB. Investigating the relationship between hyposalivation and mucosal wetness. Oral Dis. 2011;17:109–14.

    Article  Google Scholar 

  42. Visvanathan V, Nix P. Managing the patient presenting with xerostomia: a review. Int J Clin Pract. 2010;64:404–7.

    Article  Google Scholar 

  43. Lakraj AA, Moghimi N, Jabbari B. Sialorrhea: anatomy, pathophysiology and treatment with emphasis on the role of botulinum toxins. Toxins (Basel). 2013;5(5):1010–31.

    Article  Google Scholar 

  44. Hamdy S, Aziz Q, Rothwell JC, Hobson A, Barlow J, Thompson DG. Cranial nerve modulation of human cortical swallowing motor pathways. Am J Phys. 1997;272(4):G802–8.

    Google Scholar 

  45. Silvestre-Rangil J, Silvestre FJ, Puente-Sandoval A, Requeni-Bernal J, SimĂ³-Ruiz JM. Clinical-therapeutic management of drooling: review and update. Med Oral Patol Oral Cir Bucal. 2011;16(6):e763–6.

    Article  Google Scholar 

  46. Jestrović I, Coyle JL, Sejdić E. Decoding human swallowing via electroencephalography: a state-of-the-art review. J Neural Eng. 2015;12(5):051001. https://doi.org/10.1088/1741-2560/12/5/051001.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Meningaud JP, Pitak-Arnnop P, Chikhani L, Bertrand JC. Drooling of saliva: a review of the etiology and management options. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:48–57.

    Article  Google Scholar 

  48. Sullivan PB, Lambert B, Rose M, Ford-Adams M, Johnson A, Griffiths P. Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study. Dev Med Child Neurol. 2000;42:674–80.

    Article  Google Scholar 

  49. Tahmassebi JF, Curzon ME. The cause of drooling in children with cerebral palsy—hypersalivation or swallowing defect? Int J Paediatr Dent. 2003;13:106–11.

    Article  Google Scholar 

  50. Tahmassebi JF, Curzon ME. Prevalence of drooling in children with cerebral palsy attending special schools. Dev Med Child Neurol. 2003;45:613–7.

    Article  Google Scholar 

  51. Hyson HC, Johnson A, Jog MS. Survey of sialorrhea in parkinsonian patients in southwestern Ontario. Can J Neurol Sci. 2001;28:S46–7.

    Google Scholar 

  52. Hung CC, Fu PK, Wang HY, Chan CH, Lan TH. Treatment effects of traditional Chinese medicines suoquan pill and wuling powder on clozapine-induced hypersalivation in patients with schizophrenia: study protocol of a randomized, placebo-controlled trial. J Chin Integr Med. 2011;9:495–502.

    Article  Google Scholar 

  53. Nunn JH. Drooling: review of the literature and proposals for management. J Oral Rehabil. 2000;27(9):735–43.

    Article  Google Scholar 

  54. Poveda Roda R, Bagan JV, DĂ­az FernĂ¡ndez JM, HernĂ¡ndez BazĂ¡n S, JimĂ©nez Soriano Y. Review of temporomandibular joint pathology part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal. 2007;12:E292–8.

    PubMed  Google Scholar 

  55. Laskin DM. Temporomandibular disorders: a term past its time? J Am Dent Assoc. 2008;139:124–8.

    Article  Google Scholar 

  56. da Sena MF, Mesquita KS, Santos FR, Silva FW, Serrano KV. Prevalence of temporomandibular dysfunction in children and adolescents. Rev Paul Pediatr. 2013;31:538–45.

    Article  Google Scholar 

  57. Godoy F, Rosenblatt A, Godoy-Bezerra J. Temporomandibular disorders and associated factors in Brazilian teenagers: a cross-sectional study. Int J Prosthodont. 2007;20:599–604.

    PubMed  Google Scholar 

  58. Sönmez H, Sari S, Oksak Oray G, Camdeviren H. Prevalence of temporomandibular dysfunction in Turkish children with mixed and permanent dentition. J Oral Rehabil. 2001;28:280–5.

    Article  Google Scholar 

  59. Tanboga I, Durhan MA, Durmus B, Marks LA. Temporomandibular disorders in young people with an intellectual disability: prevalence of signs and symptoms. Eur J Paediatr Dent. 2014;15:349–54.

    PubMed  Google Scholar 

  60. American Academy of Pediatric Dentistry. Guideline on acquired temporomandibular disorders in infants, children, and adolescents. Pediatr Dent. 2016;38:308–14.

    Google Scholar 

  61. Thilander B, Rubio G, Pena L, De Mayorga C. Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development. Angle Orthod. 2002;72:146–54.

    PubMed  Google Scholar 

  62. American Academy of Orofacial Pain. Orofacial Pain. In: deLeeuw R, Klasser GD, editors. Guidelines for assessment, diagnosis, and management. Chicago: Quintessence Publishing; 2013. p. 5.

    Google Scholar 

  63. Howard JA. Temporomandibular joint disorders in children. Dent Clin N Am. 2013;57:99–127.

    Article  Google Scholar 

  64. Dym H, Israel H. Diagnosis and treatment of temporomandibular disorders. Dent Clin N Am. 2012;56:149–61.

    Article  Google Scholar 

  65. Klein OD, Oberoi S, Huysseune A, Hovorakova M, Peterka M, Peterkova R. Developmental disorders of the dentition: an update. Am J Med Genet C Semin Med Genet. 2013;163C:318–32.

    Article  Google Scholar 

  66. Fleming PS, Xavier GM, DiBiase AT, Cobourne MT. Revisiting the supernumerary: the epidemiological and molecular basis of extra teeth. Br Dent J. 2010;208:25–30.

    Article  Google Scholar 

  67. Rajab LD, Hamdan MAM. Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent. 2002;12:244–54.

    Article  Google Scholar 

  68. Shah A, Gill DS, Tredwin C, Naini FB. Diagnosis and management of supernumerary teeth. Dent Update. 2008;35:510–2, 514–6, 519–20.

    Article  Google Scholar 

  69. Hall A, Onn A. The development of supernumerary teeth in the mandible in cases with a history of supernumeraries in the pre-maxillary region. J Orthod. 2006;33:250–5.

    Article  Google Scholar 

  70. Brook AH, Elcock C, al-Sharood MH, McKeown HF, Khalaf K, Smith RN. Further studies of a model for the etiology of anomalies of tooth number and size in humans. Connect Tissue Res. 2002;43:289–95.

    Article  Google Scholar 

  71. Leyland L, Batra P, Wong F, Llewelyn R. A retrospective evaluation of the eruption of impacted permanent incisors after extraction of supernumerary teeth. J Clin Pediatr Dent. 2006;30:225–31.

    Article  Google Scholar 

  72. Omer RS, Anthonappa RP, King NM. Determination of the optimum time for surgical removal of unerupted anterior supernumerary teeth. Pediatr Dent. 2010;32:14–20.

    PubMed  Google Scholar 

  73. Rakhshan V. Congenitally missing teeth (hypodontia): a review of the literature concerning the etiology, prevalence, risk factors, patterns and treatment. Dent Res J (Isfahan). 2015;12(1):13.

    Article  Google Scholar 

  74. Larmour CJ, Mossey PA, Thind BS, Forgie AH, Stirrups DR. Hypodontia—a retrospective review of prevalence and etiology. Part I. Quintessence Int. 2005;36:263–70.

    PubMed  Google Scholar 

  75. AlShahrani I, Togoo RA, AlQarni MA. A review of hypodontia: classification, prevalence, etiology, associated anomalies, clinical implications and treatment options. World J Dent. 2013;4:117–25.

    Article  Google Scholar 

  76. Pirinen S, Arte S, Apajalahti S. Palatal displacement of canine is genetic and related to congenital absence of teeth. J Dent Res. 1996;75:1742–6.

    Article  Google Scholar 

  77. Nunn JH, Carter NE, Gillgrass TJ, Hobson RS, Jepson NJ, Meechan JG, Nohl FS. The interdisciplinary management of hypodontia: background and role of paediatric dentistry. Br Dent J. 2003;194:245–51.

    Article  Google Scholar 

  78. Seow WK. Developmental defects of enamel and dentine: challenges for basic science research and clinical management. Aust Dent J. 2014;59(Suppl 1):143–54.

    Article  Google Scholar 

  79. Brook AH. Multilevel complex interactions between genetic, epigenetic and environmental factors in the aetiology of anomalies of dental development. Arch Oral Biol. 2009;54S:S3–S17.

    Article  Google Scholar 

  80. Freiman A, Borsuk D, Barankin B, Sperber GH, Krafchik B. Dental manifestations of dermatologic conditions. J Am Acad Dermatol. 2009;60:289–98.

    Article  Google Scholar 

  81. Crawford PJ, Aldred M, Bloch-Zupan A. Amelogenesis imperfecta. Orphanet J Rare Dis. 2007;2:17.

    Article  Google Scholar 

  82. Saroglu I, Aras S, Oztas D. Effect of deproteinization on composite bond strength in hypocalcified amelogenesis imperfecta. Oral Dis. 2006;12:305–8.

    Article  Google Scholar 

  83. Silva DR, da Fonseca MA. Self-injurious behavior as a challenge for the dental practice: a case report. Pediatr Dent. 2003;25(1):62–6.

    PubMed  Google Scholar 

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Correspondence to Evelina Kratunova MDSc, DChDent .

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Kratunova, E., da Fonseca, M.A. (2019). Common Oral Conditions in Children with Special Needs. In: Nelson, T., Webb, J. (eds) Dental Care for Children with Special Needs. Springer, Cham. https://doi.org/10.1007/978-3-030-10483-2_8

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