自闭症谱系障碍与可移动正畸功能矫治器的依从性:病例报告

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE APOS Trends in Orthodontics Pub Date : 2024-07-05 DOI:10.25259/apos_12_2024
Juliza Md Lepi, Nik Mukhriz Nik Mustapha
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引用次数: 0

摘要

自闭症谱系障碍(ASD)是一种多方面的发育障碍,源于神经系统紊乱,导致社交互动和沟通技能发展困难。因此,这给口腔保健服务带来了挑战。我们报告了一例患有 ASD 的 13 岁男性患者,他对 "上门牙突出 "感到担忧。患者的切牙关系为二类一阶,骨骼基底为二类,下颌后隐。上下牙弓间距过大、上唇前倾、过咬合增加 12 毫米、牙齿咬合过全 90%、唇不齐伴有下唇内陷,使错颌畸形变得更加复杂。双侧犬齿关系为二级 1/2单位,臼齿关系右侧为二级 1/2单位,左侧为二级 3/4单位。IOTN 的牙齿健康评分为 5a,美观评分为 9。使用可摘双块矫治器进行下颌生长矫正,以促进下颌生长。患者对矫治器的依从性非常好,有效地解决了他所关心的问题,同时也增强了他的自尊心。通过了解并满足 ASD 患者在正畸治疗中的独特需求,可以提高患者的舒适度和整体体验,并增加治疗成功的可能性。尊重感官敏感性和交流偏好的定制化治疗计划为 ASD 患者铺平了一条更积极的正畸之路,最终会提高他们的牙齿健康水平,增强他们对自己微笑的自信心。
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Autism spectrum disorder and compliance with a removable orthodontic functional appliance: A case report
Autism Spectrum Disorder (ASD) is a multifaceted developmental disability that originates from a neurological disorder, leading to difficulties in the development of social interaction and communication skills. Consequently, this poses a challenge in the provision of oral health care. We report a case of a 13-year-old male with ASD who was concerned about “sticking out upper front teeth.” The patient presented with a Class II Division 1 incisor relationship on a Class 2 skeletal base with retrognathic mandible. The malocclusion was complicated by spacing in the upper and lower arches, proclined upper labial segment, increased overjet 12mm, overbite 90% complete to teeth, and incompetent lip with lower lip trap. The canine relationship was Class II ½ unit bilaterally, and the molar relationship was Class II ½ unit on the right and Class II ¾ unit on the left. The IOTN score was 5a for dental health and 9 for aesthetics. Growth modification to encourage mandibular growth, using a removable Twin Block appliance. The patient displayed excellent compliance with the appliance and effectively addressed his concerns while boosting his self-esteem. By understanding and addressing the unique needs of patients with ASD in orthodontic treatment, patient’s comfort and overall experience can be enhanced along with the likelihood of a successful treatment outcome. Customized treatment plans that respect sensory sensitivities and communication preferences pave the way for a more positive orthodontic journey for individuals with ASD, ultimately leading to enhanced dental well-being and bolstered self-assurance in one’s smile.
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来源期刊
APOS Trends in Orthodontics
APOS Trends in Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
0.80
自引率
0.00%
发文量
47
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