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KMID : 1144020190150010023
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Journal of Korean Association for Disability and Oral Health
2019 Volume.15 No. 1 p.23 ~ p.28
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DENTAL MANAGEMENT OF MULIPLE CARIES IN ADOLESCENCE PATIENT WITH INTELLECTUAL DISABILITIES; CASE REPORTS
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Lee Mi-So
Kim Jae-Gon
Yang Yeon-Mi
Lee Daw-Woo
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Abstract
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People with intellectual disabilities (ID) usually have poor oral health status and are susceptive to have more caries than general populations. Even when the patients get regular dental treatment, their dental conditions are usually not good for some additional factors.
In this presentation, we show dental follow-up care of two patients who have multiple caries. The first case is a 16-yearold boy who has a unilateral facial paralysis with ID. As the lack of controlling of the muscles resulted in interfering with the self-cleansing, it would be associated with a higher incidence on the affected side. Endodontic treatment and caries treatment as restoration was performed. Due to loss of posterior occlusal support on right side, we planned to recover the right posterior relationship by full coverage restorations. In second case, a 20-year-old boy has been on a long-term follow up. Caries treatment, periodontal treatment, and prosthetic treatment were performed under several times of general anesthesia. He has been treated more than 8 years and gets a regular check at 1-month intervals, however, high dental caries susceptibility has been retained.
These cases present that dentists should perform more aggressive treatment and be involved in providing better maintenance of patients with intellectual disabilities with multiple caries in adolescence. In other words, it is necessary to suggest a customized preventive strategy for patients with ID.
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KEYWORD
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Dental management, Preventive care, Multiple caries, Intellectual disabilities
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