Bell’s Palsy (Facial Paralysis)
-Facial Paralysis described by Sir Charles Bell, Scottish Surgeon from 19-Th Century
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Author: Boban Fidanoski
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Bells palsy is paralysis of the
facial muscles caused by trauma to the 7th cranial nerve, and is not permanent.
Cranial nerve VII controls most facial muscles,
including those needed to smile, blink, and wrinkle the forehead. The nerve
also controls the function of certain salivary glands and the lacrimal (tear) glands as well as the tiny muscles inside
the ear that dampen loud noises.
Signs and Symptoms:
Intra Oral Symptoms:
- Loss of taste on the front portion of the tongue Etiology:
The cause of Bell's palsy
is still unclear. Possible agents: virus (HSV), trauma from extraction, surgery
of parotid gland, removal of tumor.
Prognosis:
The paralysis
is likely to become worse for the first couple of days, and then gradually get
better. In most cases, all symptoms are spontaneously gone within 2 months.
Treatment:
Dental hygiene
Interventions, OHI AND AIDS
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Frequent appointments for deplaquing
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Ask client to Brush after every meals or at least rinsing with water may
be necessary to remove food particles that remove food that may get stuck between
the gingiva and cheek.
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author:
Boban Fidanoski
© CCDH – December 2007 |