Full mouth rehabilitation of an oligodontia patient with intellectual disability based on shortened dental arch concept: a case report.
10.4047/jkap.2012.50.4.330
- Author:
Jae Wook YOU
1
;
Seong Joo HEO
;
Seong Kyun KIM
;
Jai Young KOAK
Author Information
1. Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Korea. young21c@snu.ac.kr
- Publication Type:Case Report
- Keywords:
SDA;
Intellectual disability;
Full mouth rehabilitation
- MeSH:
Anesthesia, General;
Bicuspid;
Bite Force;
Dental Arch;
Humans;
Intellectual Disability;
Maxillary Sinus;
Maxillary Sinusitis;
Molar;
Mouth;
Mouth Rehabilitation;
Oral Hygiene;
Patient Compliance;
Prostheses and Implants;
Risk Factors;
Tooth
- From:The Journal of Korean Academy of Prosthodontics
2012;50(4):330-335
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Shortened dental arch (SDA) as a treatment goal is the concept that stable occlusion and enough masticatory force can be achieved by restoration to the second premolars when the situation is not favorable. SDA could be applied both natural teeth and implant supported fixed prostheses. This case dealt with a patient who has grade 2 intellectual disability and a lot of missing teeth. Because of intellectual disability, patient cooperation during treatment could not be expected. Therefore every treatment should be done under general anesthesia. In addition to that, ridge resorption around molar area was severe and there were maxillary sinus pneumatization and maxillary sinusitis which increased failure probability. SDA concept was adopted to reduce risk factor and minimize general anesthesia. After the treatment, functional and esthetic improvement was achieved and oral hygiene was fortified by periodic recall check and education.
