J Dent Anesth Pain Med.  2017 Jun;17(2):149-155. 10.17245/jdapm.2017.17.2.149.

Prognosis after treatment with multiple dental implants under general anesthesia and sedation in a cerebral palsy patient with mental retardation: A case report

• Hong YJ
• Dan JB
• Kim MJ
• Kim HJ
• Seo KS

• KMID: 2384478
• DOI: http://doi.org/10.17245/jdapm.2017.17.2.149

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.

Keyword

Cerebral Palsy; Dental Implants; Disabled Persons; General Anesthesia; Prognosis

MeSH Terms

Adult
Anesthesia, General*
Central Nervous System
Cerebral Palsy*
Dental Caries
Dental Implants*
Disabled Persons
Female
Follow-Up Studies
Humans
Incisor
Intellectual Disability*
Movement Disorders
Oral Hygiene
Periodontitis
Prognosis*
Prostheses and Implants
Tooth
Dental Implants

Figure

• 

  Fig. 1 The pre-operative full mouth intraoral radiograph obtained under general anesthesia.

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  Fig. 2 Implant CT images obtained with a stent under intravenous sedation.

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  Fig. 3 Post-operative CT images (4 months after the 1st implant surgery).

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  Fig. 4 Post-operative cephalograms after 2nd implant operation.

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