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[Orthodontics for mentally handicapped patients].

H J Remmelink1

  • 1Uit de afdeling Orthodontie, Universitair Medisch Centrum Groningen. remmelink@orthodontist.nl

Nederlands Tijdschrift Voor Tandheelkunde
|December 30, 2006
PubMed
Summary

Mentally handicapped individuals have a higher incidence of malocclusions. Orthodontic treatment for these patients should prioritize functional outcomes and patient cooperation, aiming for acceptable results rather than perfection.

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Area of Science:

  • Dentistry
  • Orthodontics
  • Public Health

Background:

  • Individuals with mental handicaps experience malocclusions at three times the rate of the general population.
  • Limited research exists on orthodontic treatment protocols for patients with mental handicaps.
  • Existing literature suggests specific considerations for treating disabled orthodontic patients.

Purpose of the Study:

  • To provide recommendations for the orthodontic treatment of patients with mental handicaps.
  • To outline a structured approach for assessing and managing orthodontic issues in this population.
  • To establish criteria for treatment candidacy and contraindications.

Main Methods:

  • A review of published articles on orthodontic treatment for disabled patients was conducted.
  • Recommendations were formulated based on existing literature and clinical considerations.
  • A 'problem list' approach was proposed for diagnosis and treatment planning.

Main Results:

  • A problem list, including diagnosis and responsibility for care (e.g., oral hygiene, transportation), is recommended for each patient.
  • Treatment decisions should weigh functional and aesthetic factors alongside the severity of the handicap and patient cooperation.
  • Contraindications include severe handicap, inability to cooperate, insufficient caregiver support, abnormal oral function leading to open bite, and mild malocclusion.

Conclusions:

  • Orthodontic treatment for mentally handicapped patients requires careful consideration of individual limitations and cooperation levels.
  • The goal of orthodontic intervention should be an acceptable functional and aesthetic outcome, not necessarily orthodontic perfection.
  • A systematic approach involving a problem list and clear responsibilities is crucial for successful treatment.

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