J Dent Rehabil Appl Sci.  2017 Sep;33(3):216-222. 10.14368/jdras.2017.33.3.216.

Full mouth rehabilitation of the intellectually disabled patient with collapsed bite using partial removable dental prosthesis: a case report

• Kim MJ
• Yang HS
• Park SW
• Lim HP
• Yun KD
• Park C

• KMID: 2394645
• DOI: http://doi.org/10.14368/jdras.2017.33.3.216

Abstract

Intellectual disability is an imperfect disorder in which mental development is permanently retarded and development of intellectual ability is inadequate. Having intellectual disabilities makes it difficult to handle their own work and adapt to social life. For this reason, it is difficult to hygienically manage the patient's oral condition, multiple caries are easily observed, and the periodontal disease incidence rate is high. The patient in this case is a 33-year-old female with a mental retardation first grade who had a problem with meals. In first visit, Patients had decreased occlusal vertical dimension and posterior bite collapse due to periodontitis and multiple caries. This case reports a satisfactory functional and esthetic results by reconstructing occlusion using partial removable dental prosthesis.

Keyword

intellectual disability; bite collapse

MeSH Terms

Adult
Dental Prosthesis*
Female
Humans
Incidence
Intellectual Disability
Meals
Mouth Rehabilitation*
Mouth*
Periodontal Diseases
Periodontitis
Vertical Dimension

Figure

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  Fig. 1 Initial intraoral photographs. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.

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  Fig. 2 Initial panoramic radiography.

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  Fig. 3 Provisional prosthesis. (A) Lateral view (right), (B) Frontal view, (C) Lateral view (left).

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  Fig. 4 Teeth preparation and final impression. (A) Maxillary teeth, (B) Mandibular teeth, (C) Final impression of Maxilla,(D) Final impression of Mandible.

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  Fig. 5 Definitive restoration. (A) Surveyed crown on maxilla, (B) Surveyed crown on mandible.

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  Fig. 6 Bordermolding and final impression. (A) Bordermolding for maxillary denture, (B) Final impression of maxilla, (C) Master cast of maxilla, (D) Bordermolding for mandibular denture, (E) Final impression of mandible, (F) Master cast of mandible.

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  Fig. 7 Metal framework. (A) Metal framework of maxilla, (B) Metal framework of mandible.

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  Fig. 8 (A) Maxillomandibular relationship registration, (B) Facebow transfer, (C, D) Mounting procedure to semiadjustable articulator.

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  Fig. 9 Wax denture try-in. (A) Lateral view (right), (B) Frontal view, (C) Lateral view (left).

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  Fig. 10 Definitive denture. (A) Lateral view (right), (B) Frontal view, (C) Lateral view (left).

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  Fig. 11 Patient’s profile. (A) Profile of first visit, (B) Profile of after definitive denture delivery.

Reference

References

1. Chang J, Lee JH, Son HH, Kim HY. Caries risk profile of Korean dental patients with severe intellectual disabilities. Spec Care Dentist. 2014; 34:201–7. DOI: 10.1111/scd.12047. PMID: 25039380.

2. Anders PL, Davis EL. Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist. 2010; 30:110–7. DOI: 10.1111/j.1754-4505.2010.00136.x. PMID: 20500706.

3. Shifman A, Laufer BZ, Chweidan H. Posterior bite collapse-revisited. J Oral Rehabil. 1998; 25:376–85. DOI: 10.1046/j.1365-2842.1998.00243.x. PMID: 9639163.

4. Stiefel DJ. Dental care considerations for disabled adults. Spec Care Dentist. 2002; 22:26S–39S. PMID: 12375745.

5. Oczakir C, Balmer S, Mericske-Stern R. Implantprosthodontic treatment for special care patients: a case series study. Int J Prosthodont. 2005; 18:383–9. PMID: 16220802.

6. Schalock RL, Borthwick-Duffy SA, Bradley VJ, Buntinx WHE, Coulter DL, Craig EM, Gomez SC, Lachapelle Y, Luckasson R, Reeve A, Shogren KA, Snell ME, Spreat S, Tassé MJ, Thompson JR, Verdugo-Alonso MA, Wehmeyer ML, Yeager MH. Intellectual disability: definition, classification, and systems of supports. 11th ed. Washington DC: American Association on Intellectual and Developmental Disabilities;p. 2010.

7. MacGiolla Phadraig C, Nunn J, Carroll R, McCarron M, McCallion P. Why do edentulous adults with intellectual disabilities not wear dentures?Wave 2 of the IDS TILDA cohort study. J Prosthodont Res. 2017; 61:61–6. DOI: 10.1016/j.jpor.2016.04.005. PMID: 27170539.

8. A position paper from the Academy of Dentistry for Persons with Disabilities. Preservation of quality oral health care services for people with developmental disabilities. Spec Care Dentist. 1998; 18:180–2. DOI: 10.1111/j.1754-4505.1998.tb01736.x. PMID: 10219181.