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KMID : 1144020170130010033
Journal of Korean Association for Disability and Oral Health
2017 Volume.13 No. 1 p.33 ~ p.36
A LONG-TERM NEGLECTED BED PATIENT WITH CEREBRAL PALSY : A CASE REPORT
Kim Do-Young

Yang Yeon-Mi
Kim Jae-Gon
Lee Daw-Woo
Abstract
Cerebral palsy(CP) is a motor disorder of the central nervous system resulting from irreversible brain injury due to congenital or acquired causes. Health-related quality of their life is associated with severity of impairment and socioeconomic factors. These patients are particularly easy to be neglected because they lack capacity to care themselves unless they have the help of caregiver from high socioeconomic status.
A 11-year-old girl with severe motor impairment came with the chief complaint of severe calculus deposition on whole dentition. She was taken with bed-ridden state with pediatrician not her parents. Since brain was damaged at the age of two, she has been left alone in the city care hospitals without parental care. Main caregiver is her father with not high educational level. Oral hygiene was not performed at all. Severe calculus deposition, gingival swelling, and gingival redness around the whole dentition were observed. During the 1st and 2nd visit, scaling and extraction was performed.
CP patients with low socioeconomic status and severe motor impairment tend to be neglected from dental treatment. Dental care, along with medical care, is crucial to the quality of CP patients" lives. Therefore it is important that they visit for regular dental check ups and receive preventative care.
KEYWORD
Cerebral palsy, Severe motor impairment, Socioeconomic status, Neglected bed-ridden state
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