PROSTHETIC DENTISTRY PROCEDURES OF PERSONS WITH DISABILITIES UNDER GENERAL ANESTHESIA : A CASE REPOR

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Journal of the Korean Academy of Pediatric Dentistry 2000;27(1):146-150.
Published online February 29, 2000.

PROSTHETIC DENTISTRY PROCEDURES OF PERSONS WITH DISABILITIES UNDER GENERAL ANESTHESIA : A CASE REPOR

전신마취를 이용한 장애인의 보철치료 : 증례보고

이정옥, 이긍호, 최영철

경희대학교 치과대학 소아치과학교실

Abstract

Dental caries and periodontal disease continue to present unique problems in the dental management of the persons with disabilities because the chronicity of oral diseases complicates the primary physical or mental disability. The increased prevalence of dental disease in most persons with disabilities is probably not due to any inherent proclivity for dental disease but more likely evolves because dental care receives less attention. Prosthetic dentistry procedures are not contraindicated for most patients with physical and mental disabilities. Fixed bridges may be feasible if the patient or care provider can maintain adequate oral hygiene and the patient's disability dose not preclude this type of prosthesis. Removable partial or full dentures may be indicated if the patient or care provider can easily remove the prosthesis and care for it. Although most persons with disabilities need no additional behavior management modalities to complete dental care, some persons require professionally recognized behavior management techniques during treatment, such as physical restraint, pharmacologic agents, or general anesthesia. Hospitalization and the use of general anesthesia are sometimes required to deal effectively with the extreme management problem patient. This patient with mild mental retardation was fearful of dental treatment. Routine restorative, surgical and prosthetic dentistry procedures were performed under general anesthesia.

Key Words: Disabilities, General anesthesia, Prosthetic dentistry