Humanized and Adapted Dentistry: Case Report of a Patient with Cerebral Palsy, Severe Intellectual Disability and Associated Dermatological Conditions
DOI:
https://doi.org/10.64668/rccss.v2i2103113Keywords:
cerebral palsy, intellectual disability, domiciliary dental care, periodontal disease, Cutis Verticis GyrataAbstract
The objective of this report is to describe the dental management of an adult patient with spastic quadriplegic cerebral palsy and multiple comorbidities, institutionalized since childhood following family abandonment. The patient presents congenital toxoplasmosis, severe intellectual disability, spinal muscular atrophy, seizures, and prematurity, conditions that affect neuropsychomotor development, orofacial function, and oral health. Dental examination revealed anterior open bite, severe bruxism, periodontal disease, gingival bleeding, and dental calculus accumulation in several sextants. The treatment plan included prophylaxis, scaling, root planing, and polishing (RAP), using a mouth prop due to muscular contractures. The procedure was performed at the institution, using the patient’s habitual restraint band to ensure safety and stability. Clinical outcomes were favorable, with improvement in periodontal parameters and reduction of gingival bleeding. This case highlights the importance of adapted, continuous, and interdisciplinary dental care for individuals with severe disabilities, delivered in an environment that ensures comfort and safety, with essential caregiver support.
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