تقييم فعالية الكبح الحركي و التركين بالميدازولام في معالجة أسنان مرضى الشلل الدماغي

الملخص EN

Background & Objective: Cerebral palsy (CP) is a non-progressive disease induced by CNS injury, which leads to patients' motor impairment.

AIM: To evaluate the efficiency of immobilization and midazolam sedation in cerebral palsy patients for teeth treatment in dental clinic with out of general anesthesia.

Methods & Materials: 240 behavior management techniques were used for 176 dental procedures in a group of 36 CP (21 males and 15 females) with CP (age: 3-20 year) were enrolled in the study.

These patients were treated at pediatric dentistry at Faculty of dentistry - Damascus University.

Wynn @Barr scale modified from Houpt were used for evaluated the efficiency during treatment, then the efficiency at the end.

Results: The immobilization and midazolam sedation technique were effective for 100%, midazolam sedation technique were effective for 40% and immobilization technique were effective for only 5% of the patients.

The majority of the individuals with Cerebral palsy CP required head and upper member stabilization and a mouth prop.

Among the dental care treatments performed, restorative dentistry on 61 (34.7%) patients, and dental extraction on 100 (56.8 %).

preventive care ( sealants, and fluoride application) was performed on 15 (8.5 %).

Conclusion: Present data suggest that the use of assistive stabilization and midazolam sedation was effective and permitted the dental care of individuals with CP at the dental clinic.