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VOLUME 1 , ISSUE 1 ( January-June, 2016 ) > List of Articles

CASE REPORT

Esthetic Rehabilitation of Mutilated Maxillary Anterior Teeth under General Anesthesia in a Patient with Mild Intellectual Disability and Seizure Disorder

Minimol K Johny, Rupesh S, Haeigin Tom Varghese, Benley George

Keywords : Caries, Esthetics, General anesthesia, Intellectual disability, Rehabilitation

Citation Information : Johny MK, S R, Varghese HT, George B. Esthetic Rehabilitation of Mutilated Maxillary Anterior Teeth under General Anesthesia in a Patient with Mild Intellectual Disability and Seizure Disorder. Cons Dent Endod J 2016; 1 (1):21-24.

DOI: 10.5005/jp-journals-10048-0006

License: CC BY-NC 4.0

Published Online: 01-11-2018

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Intellectual disability (ID) is one of the most common developmental disorders of childhood. Intellectual disability formerly known as mental retardation is a disability characterized by significant limitation in both intellectual function and adaptive behavior as expressed in conceptual social and practical adaptive skills. This disability originates before the age of 18. Intellectual disability affects the mind, body and everyday life skills like thinking, talking and self care. People with disability often need extra help to attain and preserve good health which includes oral hygiene. Poor dental health which is prevailing in most of these children may further compromise their mental health; both of which may affect their psychological well being. There are numerous obstacles in delivering quality dental care under local anesthesia (LA) in ID children because of various behavioral problems. So general anesthesia is a safer and preferred option for such patients and currently it is a widely accepted treatment modality in rendering oral care in ID patients. This article describes a unique case of esthetic rehabilitation of maxillary anterior teeth in a 16 years old male patient under general anesthesia who was diagnosed with mild ID and seizure disorder.


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  1. Schalock RL, et al. Intellectual disability: definition, classification, and systems of supports: American association of intellectual and developmental disabilities. 11th ed. Washington DC, 2010.
  2. Horwitz SM, Kerker BD, Owens PL, Zigler E. Dental health among individuals with mental retardation. In the health status and needs of individuals with mental retardation. New Haven, CT: Yale University School of Medicine 2000;119-134.
  3. The ICD-10 Classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. WHO (accessed on 07-01-2015) Available at: http://www.who. int/classifications/icd/en/bluebook.pdf?ua=1.
  4. Practical oral care for people with intellectual disability. NIDCR (accessed on 07-01-2015). Available at: http://www.nidcr.nih.gov/oralhealth/Topics/DevelopmentalDisabilities/PracticalOralCarePeopleIntellectualDisability.htm.
  5. Shanbagh PP, Ram SM, Gupta B. Knowledge and oral health attitudes among care providers of children with intellectual disabilities: a cross sectional studies. J Contem Dent 2014 May-Aug;4(2):92-98.
  6. Vigild M. Periodontal conditions in mentally retarded children. Com Dent Oral Epidemiol 1985;13(3):180-182.
  7. Norwood KW Jr, Slayton RL. Oral health care for children with developmental disabilities. Pediatric 2013;131:614-619.
  8. Thikkurissy SR, Lal S. Oral health burden in children with systemic diseases. Dent Clin North Am 2009;53(2):351-357.
  9. Stiefel DJ. Dental care considerations for disabled. Adults Spec Care Dentist 2002;22(3):26S-39S.
  10. Malhotra N. General anaesthesia for dentistry. Ind J Anaesth 2008;52:(Suppl 5):725-737.
  11. Reddy S, et al. Efficacy of 0.2% tempered chlorhexidine as a preprocedural mouth rinse: a clinical study. J Ind Soc Periodontol 2012 Apr-Jun;16(2):213-217.
  12. Sun L. Early childhood general anaesthesia exposure and neurocognitive development. Brit J Anaesth 2010;105(1):i61-i68.
  13. Atan S, Ashley P, Gilthorpe MS, Scheer B, Mason C, Roberts G. Morbidity following dental treatment of children under Intubation general anaesthesia in a day-stay unit. Int J Paediatr Dent 2004;14(1):9-16.
  14. Savanheimo N, Vehkalahti MM, Pihakari A, Numminen M. Reasons for and parental satisfaction with children's dental care under general anaesthesia. Int J Paediatr Dent 2005;15(6):448-454.
  15. Navit S, Katiyar A, Samadi F, Jaiswal JN. Rehabilitation of severely mutilated teeth under general anesthesia in an emotionally immature child. J Ind Soc Pedod Prev Dent 2010;28:42-44.
  16. Bhagya B, Ramakrishna A. Prevalence of mental retardation among children in Mangalore NUJHS 2013 Dec;3(4). ISSN 2249-7110.
  17. Sethi BB, Gupta SC, Kumar R, Kumar P. A psychiatric survey of 500 rural families. Ind J Psychiatry 1972;14:183-196.
  18. Maulik PK, Harbour CK. Epidemiology of Intellectual Disability. In: JH Stone MB, editor 2013.
  19. George B, et al. Dental caries: a strategic approach for prevention Afro-Asian. J Sci Tech 2014;1(2):160-166.
  20. Leaf PJ, Bruce ML, Tischler GL, Holzer CE. The relationship between demographic factors and attitudes towards mental health services. J Community Pshychol 1987;15(2):275-284.
  21. Gradella CM, Bernabe E, Bonecker M, Oliveira LB. Caries prevalence and severity and quality of life in Brazilian 2 to 4 years old children. Community Dent Oral Epidemiol 2011; 39(6):498-504.
  22. Benzian H, Monse B, Heinrich-Weltzien R, Hobdell M, Mulder J, Helderman WP. Untreated severe dental decay: a neglected determinant of low body mass index in 12 years old Filipino children. BMC Public Health 2011;11:558.
  23. Yashoda RR, Puranik MP. Oral health status and parental perception of child oral health related quality of life of children with autism in Bengaluru, India. J Indian Soc Pedod Prev Dent 2014;32(2):135-139.
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