Region Jnkpings ln Odontologiska Institutionen
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Treatment with dental implants in young individuals with cerebral palsy

Bergendal Birgitta
 

Introduction

Background There are only few reports in the literature on treatment with dental implants in individuals with disability or rare disorders. As for cerebral palsy (CP), in all two patients were reported.
In a recent pilot inquiry to 15 Swedish specialist clinics in prosthetic dentistry, information was given on three older and ten younger individuals with CP who had been treated with dental implants. A majority in the younger group were treated because of loss of frontal teeth due to trauma. Most of these patients had CP and mental retardation. The indication for treatment was functional, since the missing of front teeth often compromise oro-facial function, and social/aesthetic.
Problem Create an evidence base for oral rehabilitation with dental implants in young individuals with CP.

Method

A mailed questionnaire to Swedish specialist clinics in prosthetic dentistry on treatment with frontal dental implants in persons with CP. The questions should give information on reason for tooth loss, need for GA and sedation, compromises compared to ordinary treatment, and complications esp. loss of implants. Descriptive data.

Results

(from the pilot study) Ten individuals in the younger group were born 1966 to 1988. The dominating reason for loss of front teeth was falling out of the wheel chair. In most cases the operations, and in some cases all treatment, were performed under general anaesthesia (GA) or sedation.

Discussion

Summary (from the pilot study) Loss of front teeth due to trauma seem to be common in young individuals with CP. Treatment with dental implants was reported in ten young individuals.
Interpretation The prerequisites/resources for and the risks and outcomes of treatment with dental implants in young individuals with CP are not known. It can be assumed that the reason for choosing oral rehabilitation with implants was that the natural teeth were healthy. In many cases the treatment was strongly requested by the family. The ethical dilemma in treating persons who cannot have there own say should be addressed. 

 

Uppdaterad: 2013-04-03
Anna Thofelt, Avdelningen för odontologisk radiologi Jönköping, Folktandvården