Children with Cerebral palsy are susceptible to dental caries because of abnormal salivation, poor motion of tongue which fails to clear the debris and improper feeding habits. Hence oral hygiene should be started within the first year of life.
Start by simply using your fingers to clean the oral cavity and tongue. This will also help the child to learn to swallow. Later on a toothbrush can be used.
When brushing the upper jaw, brush the teeth from top to bottom, and from the back to the mouth to the front. When brushing the lower jaw, brush the teeth bottom to top, and again, from the back of the mouth to the front.
After each section, remove the brush, allowing the child enough time to spit out any excess water or toothpaste, and to do several relaxed breaths before beginning the next section.
Specially designed toothbrushes with long handles or Velcro straps are available so as to help the child grip the brush.
Good daily oral hygiene and appropriate dental care can help children with cerebral palsy maintain better oral health and support greater independence in everyday routines.