Orthodontic treatment considerations in young patients with intellectual disabilities: Literature review
DOI:
https://doi.org/10.33448/rsd-v13i10.46990Keywords:
Orthodontic treatment; Down syndrome; Austism sppectrum disorder; Turner syndrome; Cerebral palsy.Abstract
Previous research has shown a high prevalence of patients with intellectual limitations such as Down syndrome, Autism Spectrum Disorder, Turner syndrome, and cerebral palsy. It is a controversial topic because of cognitive impairment, lack of cooperation, and systemic conditions, which have influenced orthodontic treatment to improve function, form, esthetics, and, therefore, health through individual planning regarding behavioral management, interdisciplinary coordination, implementation of appliances, and regular treatment control. Objective: To identify the limitations, behavioral management, and appliances in orthodontic treatment in individuals with cognitive disabilities. Methodology: The databases Medline (PubMed), Science Direct, Virtual Health Library, and Google Scholar were searched using terms obtained from the Medical Subject Headings (MESH) and Descriptors in Health Sciences (DeCS). Results: Thirty-six articles were selected, among which discussions about limitations, behavioral management, and appliances associated with patients with intellectual disabilities were identified. The findings of the review revealed that orthodontic treatment has improved oral health and self-esteem. Conclusion: A combined treatment plan: orthodontics, behavioral management techniques, pharmacological support, and development with a multidisciplinary team are essential to obtain optimal results in form, function, and esthetics.
References
Alkawari, H. (2021). Down syndrome children, malocclusion characteristics and the need for orthodontic treatment needs (Iotn): A cross-sectional study. Children, 8(10). https://doi.org/10.3390/children8100888
Alqahtani, H. (2019). Medically compromised patients in orthodontic practice: Review of evidence and recommendations. International Orthodontics, 17(4), 776–788. https://doi.org/10.1016/j.ortho.2019.08.015
Ascuy, M. (2022). Tratamiento ortodóntico en paciente varón de 10 años, con síndrome de Asperger. UNITEPEC, 1(1), 24–29.
Basso, M. L. (2021). Sobre técnicas y estrategias para el manejo y guía de la conducta en odontología pediátrica. Análisis de la literatura. Revista de La Asociación Odontológica Argentina, 109(2), 124-.136. https://doi.org/10.52979/raoa.1129
Beretta, M., Canova, F. F., Gianolio, A., Mangano, A., Paglia, M., Colombo, S., & Cirulli, N. (2021). ZeroExpander: Metal-free automatic palatal expansion for special–needs patients. European Journal of Paediatric Dentistry, 22(2), 151–154. https://doi.org/10.23804/ejpd.2021.22.02.12
Calvo - Pérez, D., Del Busto, M., Hernández, Y., Martínez, I., & Morales, Y. (2020). The Orthodontics treatment in a patient with Down syndrome. Revista Médica Electrónica, 42(3). https://orcid.org.org/0000-0002-4103-3728
Cazzolla, A. P., Lo Muzio, L., Di Fede, O., Lacarbonara, V., Colaprico, A., Testa, N. F., Giuseppe, T., Zhurakivska, K., Marzo, G., & Lacaita, M. G. (2018). Orthopedic-orthodontic treatment of the patient with Turner’s syndrome: Review of the literature and case report. Special Care in Dentistry, 38(4), 239–248. https://doi.org/10.1111/scd.12295
Chhatwani, S., Johannsen, E., Möhlhenrich, S. C., Schulte, A. G., Danesh, G., & Schmidt, P. (2022). Orthodontic treatment of an adolescent with cerebral palsy – A case report. Special Care in Dentistry, 42(4), 421–431. https://doi.org/10.1111/scd.12688
Delgado Arteaga, A., Reyna Márquez, M., Murillo Flores, V., López González, A., Rodríguez Paniagua, O., Gómez Castañón, G., Luengo Fereira, J., & Reyes Rivas, E. (2020). Manejo odontologico en paciente con sindrome de down. Revista Latinoamericana de Ortodoncia y Odontopediatría, 1–8.
Díaz Espinoza, Ignacio, C., Maroto, A., Barrionuevo, C., Moya, E., Acosta, S., Procel, A., Pérez, R., Jaya, A., & Cristina, A. (2019). Prevalencia, factores de riesgo y características clínicas de la parálisis cerebral infantil. Archivos Venezolanos de Farmacología y Terapéutica, 38(6), 778–796. http://orcid.org/0000-0002-0317-8301
Díaz-Quevedo, A. A., Castillo-Quispe, H. M. L., Atoche-Socola, K. J., & Arriola-Guillén, L. E. (2021). Evaluation of the craniofacial and oral characteristics of individuals with Down syndrome: A review of the literature. Journal of Stomatology, Oral and Maxillofacial Surgery, 122(6), 583–587. https://doi.org/10.1016/j.jormas.2021.01.007
Doriguêtto, P. V. T., Carrada, C. F., Scalioni, F. A. R., Abreu, L. G., Devito, K. L., Paiva, S. M., & Ribeiro, R. A. (2019). Malocclusion in children and adolescents with Down syndrome: A systematic review and meta-analysis. In International Journal of Paediatric Dentistry (Vol. 29, Issue 4, pp. 524–541). Blackwell Publishing Ltd. https://doi.org/10.1111/ipd.12491
Farmani, S., Ajami, S., & Babanouri, N. (2020). Prevalence of malocclusion and occlusal traits in children with autism spectrum disorders. Clinical, Cosmetic and Investigational Dentistry, 12, 343–349. https://doi.org/10.2147/CCIDE.S262679
Kaczorowska, N., Kaczorowski, K., Laskowska, J., & Mikulewicz, M. (2019). Down syndrome as a cause of abnormalities in the craniofacial region: A systematic literature review. Advances in Clinical and Experimental Medicine, 28(11), 1587-1592. https://doi.org/10.17219/acem/112785
Kiymet Karataban, P. (2022). Oral Aspects and Dental Management of Special Needs Patient. In Oral Health Care. https://doi.org/10.5772/intechopen.101067
Leiva, N., Fuentes, V., Ayala, F., & Stange, C. (2019). Relación miofuncional y tratamiento de ortodoncia en paciente con síndrome de Turner. Reporte de caso. Odontología Sanmarquina, 22(1), 53–60. https://doi.org/10.15381/os.v22i1.15869
Leiva-Villagra, N., Ayala-Jiménez, F., Stange-Dempster, C., Fuentes-Flores, V., & Véliz-Méndez, S. (2019). Consideraciones en el tratamiento ortodóncico de pacientes con necesidades especiales. Revisión de la literatura. Odontología Sanmarquina, 22(4), 271–276. https://doi.org/10.15381/os.v22i4.17047
Llamos-Paneque, A., Ñacato, K. L., Lamar-Segura, E., Garzón-Castro, M., Recalde-Báez, M. A., Román-Naranjo, M. E., & Vásquez, G. (2022). Cytogenetic variants in patients with Turner syndrome diagnosed in a third level care hospital in Ecuador. Revista Chilena de Obstetricia y Ginecologia, 87(4), 285–290. https://doi.org/10.24875/RECHOG.22000049
Manresa, L., Martínez, O., & García, S. (2021). Manejo psicológico del niño con discapacidad intelectual en la consulta estomatológica. Jornada Virtual de Medicina Familiar En Ciego de Avila.
Marçal, F. F., Costa, A. C. de F., Magalhães, I. A., Guerra, L. M. de C., Lopes, L. L. de A., Alves e Silva, F. C. F., & Vieira-Meyer, A. P. G. F. (2020). Orthodontic treatment and aesthetic rehabilitation in a patient with Turner syndrome: A case report. Special Care in Dentistry, 40(5), 498–505. https://doi.org/10.1111/scd.12495
Martínez Leyva, G., Hernández Ugalde, F., Hernández Ugalde, D., Bustamante Castillo, L., & Castillo Rodríguez, E. (2021). Defectos bucodentales en personas con síndrome de Down: una prioridad en salud bucal. Revista Médica Electrónica, 43(3), 1–18.
Mauro, V., & Velasco, M. (2023). Estudio de casos de síndrome de Down en pacientes de Ecuador. Revista Cubana de Investigaciones Biomédicas, 2. https://orcid.org/0000-0003-1633-5473EstephanyBelénGanánLopéz1https://orcid.org/0009-0004-9507-6813MaríaSolísSánchez1https://orcid.org/0000-0002-7027-6753
Michelogiannakis, D., Vorrasi, J. S., Kotsailidi, E. A., & Rossouw, P. E. (2018). Interdisciplinary Management of a Class III Anterior Open Bite Malocclusion in a Patient With Cerebral Palsy. Journal of Oral and Maxillofacial Surgery, 76(12), 2648.e1-2648.e15. https://doi.org/10.1016/j.joms.2018.07.033
Ministerio de Salud Pública. (2022). Informe de evaluación de resultados del proyecto.
Morales Bravo, R., Santana, L. P., Rivas, A. H., & Palma Díaz, E. (2022). Estado del arte de inteligencia artificial en ortodoncia. Revisión narrativa. Avances en Odontoestomatología, 38(4), 156–163.
Motta, T. P., Owens, J., Abreu, L. G., Debossan, S. A. T., Vargas-Ferreira, F., & Vettore, M. V. (2022). Malocclusion characteristics amongst individuals with autism spectrum disorder: a systematic review and meta-analysis. BMC Oral Health, 22(1). https://doi.org/10.1186/s12903-022-02366-0
Oppitz Layza Rossatto, Rodríguez, M. G., Schneider, N. Á., Salvação, S. M. L., Custódio, C. da P., Fregoneze, A. P., Andreis, P. K. D. S., Arantes, A. C. M., Schappo, C., Guariza Filho, O., Tanaka, O. M., & Camargo, E. S. (2021). Aesthetic and functional advantages of early orthodontic treatment in a child with Asperger’s Syndrome: case report. Research, Society and Development, 10(15), 1–10. https://doi.org/10.33448/rsd-v10i15.22722
Perales-Terán, M., Sabbagh-Haddad, A., Juárez-Ibarra, K. I., & Cruz-Fierro, N. (2021). Evaluación de tres técnicas para el manejo de conducta odontológica en pacientes con trastorno del espectro autista. Odontología Sanmarquina, 24(1), 7–14. https://doi.org/10.15381/os.v24i1.19692
Pineda Mesias, L. I., & Pariona Minaya, M. del C. (2022). Manejo de la conducta del paciente pediátrico mediante el método decir-mostrar-hacer. Revisión bibliográfica. Odontología, 24(1), e3406. https://doi.org/10.29166/odontologia.vol24.n1.2022-e3406
Rivas Pérez, G., Álvarez Mora, I., Moreira Pérez, A., Mora Pérez, C. de la C., Martínez Román, Y. R., & Álvarez Mur, T. N. (2021). Tratamiento ortodóncico en pacientes discapacitados. Consideraciones al respecto. Medisur, 19(6), 998–1004. http://www.medisur.sld.cu/index.php/medisur/article/view/5129
Soares, A., Dorlivete, P., Shitsuka, M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica (1st ed., Vol. 1). Universidad Federal de Santa María.
Suárez Zafra, D., Cabrera Salas, A., Torres Hernández, I. E., & Estrada Sánchez, G. G. (2019). Necesidad de tratamiento estomatológico en niños de la Escuela Especial “Jardín de La Alegría”, 2016. Revista Cubana de Estomatología, 56(4), 1–13.
Tirado- Amador LR, Madera M, & Leal-Acosta CA. (2021). Salud bucal en sujetos con trastorno del espectro autista: consideraciones para la atención odontológica. CES Odontología, 34(2), 139–158. https://doi.org/10.21615/cesodon.6018
Velarde-Incháustegui, M., Ignacio-Espíritu, M. E., & Cárdenas-Soza, A. (2021). Diagnóstico de Trastorno del Espectro Autista- TEA, adaptándonos a la nueva realidad, Telesalud. Revista de Neuro-Psiquiatria, 84(3), 175–182. https://doi.org/10.20453/rnp.v84i3.4034
Véliz-Méndez, S., Bucarey-Fuenzalida, M., Monsalves-Bravo, S., Baeza-Paredes, M., & Álvarez-Palacios, E. (2022). Desafíos en el tratamiento de ortodoncia en paciente con síndrome de down, reporte de caso. International Journal of Interdisciplinary Dentistry, 15(1), 87--89. https://doi.org/10.4067/s2452-55882022000100087
Yogi, H., Alves, L. A. C., Guedes, R., & Ciamponi, A. L. (2018). Determinant factors of malocclusion in children and adolescents with cerebral palsy. American Journal of Orthodontics and Dentofacial Orthopedics, 154(3), 405–411. https://doi.org/10.1016/j.ajodo.2017.11.042
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 María José Piña Muñoz; María Isabel Cabrera Padrón
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
