Journal of Disability and Oral Health

cover art

Cover Date:
April 2006
Print ISSN:
1470-8558
Electronic ISSN:
1754-2758
Vol:
7
Issue:
1

An approach to the restoration of fractured anterior teeth in adolescents with intellectual impairment

Aim: To restore traumatic lesions of the anterior teeth, in a group of adolescents (age range 13–16 years) while conscious, with mild and moderate mental impairment. Study design: The study group consisted of 10 teenagers selected from an orphanage, with good oral hygiene, motivated and cooperative, in which 14 traumatic fractures were diagnosed. For the aesthetic restoration a microhybrid composite Herculite® and a fifth generation adhesive system Optibond Solo® were used in conjunction with the stratification technique suggested by Vanini (1996), utilising a silicone palatal guide produced in the laboratory. In the case of fractured but non-vital teeth, endodontic treatment was carried out. Results: Nine central maxillary incisor fractures and five lateral maxillary incisor fractures were treated. Immediately postoperative, one-week, six months and 12 months later, results were considered satisfactory. Conclusions: We believe that the value of this report is in the illustration of relatively complex dental treatments in adolescents with intellectual impairment, whilst conscious, improving function, aesthetics and self esteem. Key words: Intellectual impairment, anterior teeth fracture, aesthetic restoration

Article Price
£15.00
Institution Article Price
£15.00
Page Start
25
Page End
28
Authors
Ovidiu Pastrav, Alexandra Roman

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial - Special Care Dentistry – a reality
  2. 2
  3. 2

  1. Oral health findings in a group of Greek schoolchildren with mild intellectual impairment
  2. 3
  3. 9

  1. A comparison of the effectiveness of chlorhexidine varnish, fluoride varnish and fluoride gel in children with intellectual disability
  2. 10
  3. 16

  1. Feeding habits of children with Down syndrome living in Riyadh, Saudi Arabia
  2. 17
  3. 21

  1. An approach to the restoration of fractured anterior teeth in adolescents with intellectual impairment
  2. 25
  3. 28

  1. The use of hypnosis and systematic desensitisation in the management of dental phobia: a case report
  2. 29
  3. 34

  1. Mortality after full mouth rehabilitation under general anesthesia for a child with Tetralogy of Fallot: report of a case
  2. 35
  3. 42

  1. Oral hygiene status and behaviour of the special needs children in Lahore, Pakistan
  2. 43
  3. 47

  1. The oral health status of Special Olympics athletes in Trinidad and Tobago
  2. 48
  3. 52

  1. The dental management of a patient with erythromelalgia: a case report
  2. 53
  3. 54

  1. BSDH News
  2. 55
  3. 55

  1. Addendum
  2. 56
  3. 56

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