Journal of Clinical Advances in Dentistry Open Access HTTPS://WWW.HEIGHPUBS.ORG 021 ISSN 2640-2858 ABSTRACT The neuromuscular disorders may be hereditary, autoimmune, and in some cases with unknown etiology. These diseases are characterized by progressive course, muscle weakness, and in an advanced stage with binding the patient to a wheelchair. This group includes a number of diseases, but from the dental perspective, the most interesting are muscular dystrophy, multiple sclerosis and myasthenia gravis. Neuromuscular disorders affect the oral cavity and the impact on oral hygiene procedures should be monitored with great attention. Case Report The Neuromuscular diseases in Pediatric Dental Office Ambarkova Vesna* University St. Cyril and Methodius, Faculty of Dental Medicine, Department of Paediatric and Preventive Dentistry, Skopje, Republic of Macedonia *Address for Correspondence: Dr. Vesna Ambarkova, PhD,.MSc, DDS, University St. Cyril and Methodius, Faculty of Dental Medicine, Department of Paediatric and Preventive Dentistry, Mother Theresa 17 University Dental Clinic Center Sv.Pantelejmon Skopje 1000, Republic of Macedonia, Tel ++38970686333; Email: vesna.ambarkova@gmail.com Submitted: 24 May 2017 Approved: 06 June 2017 Published: 08 June 2017 Copyright: 2017 Vesna A. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited How to cite this article: Vesna A. The Neuromuscular diseases in Pediatric Dental Office. J Clin Adv Dent. 2017; 1: 021-025. https://doi.org/10.29328/journal.hjd.1001004 THE MUSCULAR DYSTROPHY Muscular dystrophy is an inherited disease of skeletal muscle which leads to pro- gressive degenerative changes. The incidence of the muscular dystrophy is 1, 4ː 10.000, usually occurs only in boys, and because of the mutant gene has a recessive inheritance by X chromosomes. Children normally develop in the ϐirst year, with the difference that a little later start to sit independently. Also children have difϐicult to climb on a chair, which often the earliest sign and never starts is walking before 18 months ago. The disease develops gradually and rapidly, so that by the end of the ϐirst decade, the muscle dystrophy is so expressed that binding of the child to a wheelchair is imminent. At the end of the second decade, the propensity to recurrent infections of the airways is much expressed. Dystrophic changes very early affect heart muscles leading to premature death. Survival to twenty years of age occurs very rarely. Аbout twenty-ϐive percent of all patients have a problems with memory. Unfortunately, there is still no effective treatment, nor medical professional can stop progression of the disease. Social assistance to the family of the affected child is the only thing that can be done to help the child. DENTAL TREATMENT The regular visits to the dentist from the early age are needed, because with the application of preventive and prophylactic measures we can maintain oral health. Limited opening of the mouth may occur in later stages of the disease, because of the muscle contraction and then will be nearly impossible to do any dental treatment. Dental therapeutic treatment is implemented by local anesthesia. The application of general anesthesia is contraindicated, because of sluggish movements of the chest muscles, and additional risk represents cardiac arrest or the appearance of malignant hyperpyrexia.