Prognosis after treatment with multiple dental implants under general anesthesia and sedation in a cerebral palsy patient with mental retardation: A case report.
10.17245/jdapm.2017.17.2.149
- Author:
Young Joon HONG
1
;
Jung Bae DAN
;
Myung Jin KIM
;
Hyun Jeong KIM
;
Kwang Suk SEO
Author Information
1. Department of Oral and Maxillofacial Surgery, Seoul National University, School of Dentistry, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Cerebral Palsy;
Dental Implants;
Disabled Persons;
General Anesthesia;
Prognosis
- MeSH:
Adult;
Anesthesia, General*;
Central Nervous System;
Cerebral Palsy*;
Dental Caries;
Dental Implants*;
Disabled Persons;
Female;
Follow-Up Studies;
Humans;
Incisor;
Intellectual Disability*;
Movement Disorders;
Oral Hygiene;
Periodontitis;
Prognosis*;
Prostheses and Implants;
Tooth
- From:Journal of Dental Anesthesia and Pain Medicine
2017;17(2):149-155
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cerebral palsy is a non-progressive disorder resulting from central nervous system damage caused by multiple factors. Almost all cerebral palsy patients have a movement disorder that makes dental treatment difficult. Oral hygiene management is difficult and the risks for periodontitis, dental caries and loss of multiple teeth are high. Placement of dental implants for multiple missing teeth in cerebral palsy patients needs multiple rounds of general anesthesia, and the prognosis is poor despite the expense. Therefore, making the decision to perform multiple dental implant treatments on cerebral palsy patients is difficult. A 33-year-old female patient with cerebral palsy and mental retardation was scheduled for multiple implant treatments. She underwent computed tomography (CT) under sedation and the operation of nine dental implants under general anesthesia. Implant-supported fixed prosthesis treatment was completed. During follow-up, she had the anterior incisors extracted and underwent the surgery of 3 additional dental implants, completing the prosthetic treatment. Although oral parafunctions existed due to cerebral palsy, no implant failure was observed 9 years after the first implant surgery.
