Tooth anomalies are variation in the number, size and shape of teeth.
Tooth eruption may be delayed, accelerated, or inconsistent
in children with growth disturbances. Gums may appear red or bluish-purple before
erupting teeth break through the mouth.
Malocclusion which is a poor fit between the upper and
lower teeth, and the crowding of teeth occur frequently in people with cerebral palsy.
Muscle dysfunction contributes to malocclusion. Teeth that are crowded
or out of alignment are more difficult to keep clean, contributing to periodontal disease and cavities.
Bruxism it the habitual
grinding of teeth and is a common occurrence in individuals with cerebral palsy. In
extreme cases, bruxism leads to tooth abrasion and flat biting surfaces.
Tooth decay may be linked to
frequent vomiting, GER, less than normal amounts of saliva, medication containing sugar and prolong bottle feeding or snacking. When oral hygiene is poor, the teeth are at an increased risk for decay.
(Inga, et. al, 2001).