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KMID : 1144020190150010084
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Journal of Korean Association for Disability and Oral Health
2019 Volume.15 No. 1 p.84 ~ p.88
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ORTHODONTIC TREATMENT FOR PATIENTS WITH CEREBRAL PALSY AND AUTISM: CASE REPORT
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Moon So-Yeon
Lee Daw-Woo
Kim Jae-Gon
Yang Yeon-Mi
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Abstract
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Malocclusion occurs more frequently in Special Health Care Needed (SHCN) patients than those in general. As caregiver’s needs for orthodontic treatment tend to increase, the dentist should know how to decide the extent of treatment. This case report is about orthodontic treatment for two SHCN patients; one patient with cerebral palsy, and another patient with autism. A 10-year-old patient with cerebral palsy showed protrusion and rotation of maxillary anterior teeth. To resolve his chief complaints and make better oral hygiene, he underwent orthodontic treatment using micro tube appliances for 6 months. Another 11-year-old patient with autism had anterior crossbite and showed space deficiency of #13 and chronic gingivitis because of poor oral hygiene. She underwent orthodontic treatment with maxillary skeletal expander, facemask and AP expansion appliance. After 18 months we found positive overjet and ended the treatment. When giving SHCNs orthodontic treatment, the extent of treatment can be chosen according to the patient’s cooperative ability and the traits of disabilities. Before initiating orthodontic treatment, the caregivers should be aware of their limitations of the treatment. Since oral hygiene is crucial factor in every dental treatment, education of oral hygiene process for the caregivers and SHCN patient must be done before the orthodontic treatment.
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KEYWORD
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Special health care needed, Orthodontic treatment, Malocclusion, Minor orthodontic treatment
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