Possibilities and Limitations of Comprehensive Treatment of Mentally Retarded Patients with Cleft Lip, Alveolus and Palate

Abstract

The comprehensive, successful treatment of patients with cleft lip, alveolus and palate requires numerous surgical interventions and very close cooperation between various medical and dental specialists. The willingness and ability of the patient to undergo treatment are undoubtedly important factors in achieving optimal treatment outcomes. The presented case report shows that limited compliance makes it much more difficult for speech pathologists and orthodontists to treat mentally retarded patients. Only with combined orthodontic therapy and orthognathic surgery could the dental and skeletal abnormalities be corrected in adulthood.

Orofacial Findings in Conjunction with Infantile Cerebral Paralysis in Adults of Two Different Age Groups – a Cross-sectional Study

“…The amount of orthodontic treatment was significantly higher in the younger group (32.3%) than the older group (0%). In diagnostic terms, orthodontic treatment should follow the general guidelines, namely, the recommendation of removable devices as treatment appliances, and multidisciplinarily speaking, modified sequences of myofunctional therapy in consideration of the individual compliance prognosis and parental cooperation [2]. In the multidisciplinary coordination of rehabilitation under general anesthesia, specific orthodontic measures may be undertaken (such as taking impressions, limited fixed appliance insertions, controlled extractions).…”

“…Im Vergleich zwischen der jüngeren (32,3%) und der älteren (0%) Gruppe bestand eine statistisch signifikante Verbesserung im kieferorthopä-dischen Versorgungsgrad. Die kieferorthopädische Behandlung sollte bezüglich der Indikationsstellung den allgemeinen Richtlinien folgen, hinsichtlich der Behandlungsmethode werden herausnehmbare Apparaturen und im multidisziplinären Konzept modifizierte myofunktionelle Sequenzen empfohlen, wobei die individuelle Compliance-Prognose und die Mitarbeit der Betreuer Berücksichti-gung finden sollte [2]. In die multidisziplinäre Abstimmung zu Narkosesanierungen könnten fokussiert kieferorthopädische Sequenzen einbezogen werden (z.…”

Tratamiento ortopédico funcional de los maxilares y ortodóntico en paciente con síndrome del cromosoma X- frágil. Reporte de caso

“…Aunque existen muchas implicaciones que contraindican el tratamiento ortopédico / ortodóntico en pacientes con discapacidad intelectual 27,28 , debido a que la paciente mostró una buena relación y cooperación en las primeras etapas del tratamiento dental (4 meses) y la presencia de un mal posicionamiento dental, fue indicado el aparato ortopédico del maxilar de Pistas Planas Indirectas. Durante el tratamiento, a pesar de hablar e instruir al tutor y la paciente sobre los beneficios que se estaban obteniendo, a los 5 meses la paciente no quiso seguir usando este aparato removible quejándose de dolor e incomodidad.…”

Complications of orthodontic–orthognathic surgery treatment in mentally handicapped patients

“…The orthodontic therapy is often limited in the absence of compliance, and so is good dental hygiene. An ideal orthodontic result for mentally handicapped patients is not always possible to achieve (Bock et al, 2004). That is why good cooperation between orthodontist and surgeon is essential to determine the treatment goals for each case.…”