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PubMed1977

[The possibility of oral rehabilitation of the handicapped under anesthesia].

In addition to technical and personnel requirements, clinical experience is necessary for oral rehabilitation of handicapped patients under general anesthesia. As our investigation has shown, the dental measures conceivable under legal aspects and theoretically feasible under general anesthesia, are almost exclusively limited to uncompromising, dental surgical reconstruction, if possible in one session. Conservative measures show a lasting success in few cases only, especially in occlusal acrylic and amalgam fillings of handicapped persons of sufficient intelligence and personal oral hygiene. Treatment under general anesthesia is inevitably indicated in imbeciles, the feeble-minded, spastics, epileptics, and sometimes in mongoloids. The patient's wish or that of his companion are not sufficient, nor the lack of will or obstinacy. Only after all other means failed, should oral rehabilitation be performed under general anesthesia.

Anesthesia, General↗
PubMed1985

Oral rehabilitation to maintain independence.

A child born with missing or deformed upper extremities must learn to develop alternatives for the activities of daily living (ADL). To assure an independent existence, substitutes for nonfunctioning arms and hands must be developed. Teeth can replace hands for all activities that require pinch and grasp, as well as to support adaptive devices for turning pages, typing, drawing and painting. However, without carefully planned dental care, teeth, particularly incisors and canines, will show excessive wear if used for hands over the years. Loss of teeth threatens independence in self-care and in ADL, and loss of self-esteem. Oral health can be restored and retained to maintain function, independence, and esthetics. This case presentation illustrates a challenge and obligation of dentistry in rehabilitation.

Crowns↗