Browse > Article
http://dx.doi.org/10.12655/KADH.2019.15.1.84

ORTHODONTIC TREATMENT FOR PATIENTS WITH CEREBRAL PALSY AND AUTISM: CASE REPORT  

Moon, So yeon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
Lee, Dae woo (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
Kim, Jae gon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
Yang, Yeon mi (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
Publication Information
The Journal of Korea Assosiation for Disability and Oral Health / v.15, no.1, 2019 , pp. 84-88 More about this Journal
Abstract
Malocclusion occurs more frequently in Special Health Care Needed (SHCN) patients than those in general. As caregiver's needs for orthodontic treatment tend to increase, the dentist should know how to decide the extent of treatment. This case report is about orthodontic treatment for two SHCN patients; one patient with cerebral palsy, and another patient with autism. A 10-year-old patient with cerebral palsy showed protrusion and rotation of maxillary anterior teeth. To resolve his chief complaints and make better oral hygiene, he underwent orthodontic treatment using micro tube appliances for 6 months. Another 11-year-old patient with autism had anterior crossbite and showed space deficiency of #13 and chronic gingivitis because of poor oral hygiene. She underwent orthodontic treatment with maxillary skeletal expander, facemask and AP expansion appliance. After 18 months we found positive overjet and ended the treatment. When giving SHCNs orthodontic treatment, the extent of treatment can be chosen according to the patient's cooperative ability and the traits of disabilities. Before initiating orthodontic treatment, the caregivers should be aware of their limitations of the treatment. Since oral hygiene is crucial factor in every dental treatment, education of oral hygiene process for the caregivers and SHCN patient must be done before the orthodontic treatment.
Keywords
Special health care needed; Orthodontic treatment; Malocclusion; Minor orthodontic treatment;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Becker A, Chaushu S, Shapira J : Orthodontic Treatment for the Special Needs Child. Semin Orthod, 10:281-292, 2004.   DOI
2 Rada R, Bakhsh HH, Evans C : Orthodontic care for the behavior-challenged special needs patient. Spec Care Dent, 35:138-142, 2015.   DOI
3 대한소아치과학회 : 소아청소년치과학 제5판, Dental Wisdom, Seoul, 765-771, 2014.
4 대한장애인치과학회 편찬위원회 : 장애인치과학, 대한나래출판사, Seoul, 200-202, 2019.
5 Winter K, Baccaglini L, Tomar S : A review of malocclusion among individuals with mental and physical disabilities. Spec Care Dent, 28:19-26, 2008.   DOI
6 Soto GC : Considerations when referring patients with disabilities to orthodontic treatment. Revista Mexicana de Ortodoncia, 5:e144-e154, 2017.   DOI
7 Becker A, Shapira J, Chaushu S : Orthodontic treatment for disabled children-a survey of patient and appliance management. J Orthod, 28:39-44, 2001.   DOI
8 Abeleira MT, Pazos E, Diz P, et al. : Orthodontic treatment for disabled children: a survey of parents' attitudes and overall satisfaction. BMC Oral Health, 14:98, 2014.   DOI