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뇌성마비환자에서 가철성장치를 이용한 상악 전치부 돌출 완화 : 증례 보고

Other Titles
 MITIGATION OF MAXILLARY ANTERIOR TEETH PROTRUSION WITH CEREBRAL PALSY USING REMOVABLE APPLIANCE : A CASE REPORT 
Authors
 민보람  ;  이제호 
Citation
 Journal of Korean Association for Disability and Oral Health, Vol.9(2) : 122-126, 2013 
Journal Title
Journal of Korean Association for Disability and Oral Health(대한장애인치과학회지)
ISSN
 1738-8813 
Issue Date
2013
Keywords
Cerebral palsy ; Protrusion ; Maxillary anterior teeth ; Removable appliance
Abstract
Cerebral palsy is one of the primary handicapping conditions of childhood. The prevalence of malocclusions in patients with cerebral palsy is approximately twice than in general population. Even though these high rates of malocclusions, most clinicians may feel uncomfortable about treating such problems to reduce inclination of anterior teeth because to reduce of protrusion makes to decrease risk of trauma. This is the case report about mitigation of maxillary anterior teeth protrusion in patient with cerebral palsy.
A 14 year old boy who had cerebral palsy visited our dental hospital. He had severe protrusive maxillary anterior teeth and narrow arch form. He was experienced at using Castillo morales appliance in early childhood. He had mild mental retardation and was able to learn simple skills. He and his parents had willing to improve his dental problems. A gentle impression taking on maxilla was done. Removable appliance was made including median screw and labial bow. We provide a period of adaption for 3 weeks. After of anterior teeth through activation of labial bow was done once a month by dentist. The treatment carried out for 10 months and we could observe reduced labial inclination of maxillary right central incisor and more wide arch form. Hawley type retainer was set at maxilla for retention.
In conclusion, accompanying careful case selection and treatment, patient with cerebral palsy can be treated and should not be ignored their orthodontic needs.
Full Text
http://dx.doi.org/10.12655/KADH.2013.9.2.122
Files in This Item:
T201304711.pdf Download
DOI
10.12655/KADH.2013.9.2.122
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Pediatric Dentistry (소아치과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jae Ho(이제호) ORCID logo https://orcid.org/0000-0002-1556-3485
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88747
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