Prognosis after treatment with multiple dental implants under general anesthesia and sedation in a cerebral palsy patient with mental retardation: A case report
홍영준, 단정배, 김명진, 김현정, 서광석,
소속 상세정보
홍영준 ( Hong Young-Joon ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
단정배 ( Dan Jung-Bae ) - Woojung Dental Clinic
김명진 ( Kim Myung-Jin ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
김현정 ( Kim Hyun-Jeong ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
서광석 ( Seo Kwang-Suk ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
KMID : 0980320170170020149
Abstract
Cerebral palsy is a non-progressive disorder resulting from central nervous system damage caused by multiple factors. Almost all cerebral palsy patients have a movement disorder that makes dental treatment difficult. Oral hygiene management is difficult and the risks for periodontitis, dental caries and loss of multiple teeth are high. Placement of dental implants for multiple missing teeth in cerebral palsy patients needs multiple rounds of general anesthesia, and the prognosis is poor despite the expense. Therefore, making the decision to perform multiple dental implant treatments on cerebral palsy patients is difficult. A 33-year-old female patient with cerebral palsy and mental retardation was scheduled for multiple implant treatments. She underwent computed tomography (CT) under sedation and the operation of nine dental implants under general anesthesia. Implant-supported fixed prosthesis treatment was completed. During follow-up, she had the anterior incisors extracted and underwent the surgery of 3 additional dental implants, completing the prosthetic treatment. Although oral parafunctions existed due to cerebral palsy, no implant failure was observed 9 years after the first implant surgery.
키워드
Cerebral Palsy; Dental Implants; Disabled Persons; General Anesthesia; Prognosis
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