Management of Skeletal Facial Deformation and Malocclusion in Cerebral Palsy

Abstract

Skeletal facial deformation and malocclusion are commonly found in children with cerebral palsy (CP). Skeletal facial deformations represent abnormalities in the position, size, and/or shape of the facial bones. Malocclusion represents disharmony in the relationship of upper and lower teeth. Malocclusions may be skeletal or dental in nature. Thus, the cause may be related to malposed teeth, a malposed or misshapen maxilla or mandible, or a combination thereof. These types of deformities may create functional impairment as well as problems with facial cosmetic appearance. The functional deficits can be debilitating, leading to issues with mastication, respiration, speech, and communication. They may also contribute to drooling and difficulty with oral hygiene.