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KMID : 1144020090050010023
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Journal of Korean Association for Disability and Oral Health
2009 Volume.5 No. 1 p.23 ~ p.26
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MULTIDISCIPLINARY APPROACH OF A PATIENT WITH MENTAL RETARDATION UNDER GENERAL ANESTHESIA : A CASE REPORT
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Jang Yoon-Hyoung
Pae Ah-Ran
Choi Sung-Chul
Park Jae-Hong
Kim Kwang-Chul
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Abstract
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Mental retardation is defined by the American Psychiatric Association as" subnormal general intellectual functioning which originates during the developmental period and is associated with impairment of either learning and social adjustment or maturation, or both." A patient with mild to moderate mental retardation can be managed adequately using restraints and medications. However, in case of severe or profound mental disability, dental treatment cannot be accomplished even with the use of behavior modification, physical restraints and sedation techniques. When treatment in the dental office has much difficulty, hospitalization for dental treatment under general anesthesia can and should be considered. This case presents the treatment of a patient with mental retardation who was referred to our department for comprehensive dental care. Dental examination revealed widespread dental caries and a severe anterior open bite with crowding problems. Under general anesthesia, generalized caries treatment was performed by our department, and the anterior dental esthetics was achieved in collaboration with the department of prosthodontic dentistry.
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KEYWORD
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Mental retardation, Collaboration, General anesthesia, Dental treatment
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