講演情報
[I-03]Case Report: Adaptive Dental Management for Huntington’s Disease Without Sedation
○Shih Chien-Chih、Hsu Hsiu-Ming、Bai Ming-Qi、Shih Wen-Chih
Abstract:
Introduction and Purpose
Huntington’s disease (HD) presents unique challenges in dental treatment due to involuntary movements, cognitive impairments, and limited cooperation. This case report describes the prosthetic rehabilitation of a 73-year-old female HD patient, focusing on overcoming obstacles associated with tooth extractions and removable partial denture (RPD) fabrication in a non-hospital setting.
Case Details and Progress
The patient exhibited choreic movements and mild cognitive decline. She required multiple tooth extractions and RPD fabrication but preferred to avoid general anesthesia or sedation. Extractions were successfully performed in a general dental clinic using tailored stabilization techniques and stepwise communication strategies. During prosthetic treatment, procedures such as impression-taking, bite registration, and trial fittings were modified to accommodate involuntary movements, ensuring precision and functionality of the RPD.
Post-treatment, the patient reported significant improvements in mastication, transitioning from a soft or pureed diet to regular meals. Systemic health improvements, including slight weight gain, were observed. Enhanced oral function also contributed to increased social participation and self-confidence.
Discussion
This case demonstrates that HD patients can be effectively managed in a general dental clinic without sedation by implementing adaptive techniques. Addressing behavioral, physiological, and social factors is critical for successful outcomes. The case highlights the importance of individualized care to enhance the quality of life for patients with neurodegenerative conditions.
(COI Disclosure: None)
(Ethics Approval: Not subject to ethical review, patient consent obtained for publication)
Introduction and Purpose
Huntington’s disease (HD) presents unique challenges in dental treatment due to involuntary movements, cognitive impairments, and limited cooperation. This case report describes the prosthetic rehabilitation of a 73-year-old female HD patient, focusing on overcoming obstacles associated with tooth extractions and removable partial denture (RPD) fabrication in a non-hospital setting.
Case Details and Progress
The patient exhibited choreic movements and mild cognitive decline. She required multiple tooth extractions and RPD fabrication but preferred to avoid general anesthesia or sedation. Extractions were successfully performed in a general dental clinic using tailored stabilization techniques and stepwise communication strategies. During prosthetic treatment, procedures such as impression-taking, bite registration, and trial fittings were modified to accommodate involuntary movements, ensuring precision and functionality of the RPD.
Post-treatment, the patient reported significant improvements in mastication, transitioning from a soft or pureed diet to regular meals. Systemic health improvements, including slight weight gain, were observed. Enhanced oral function also contributed to increased social participation and self-confidence.
Discussion
This case demonstrates that HD patients can be effectively managed in a general dental clinic without sedation by implementing adaptive techniques. Addressing behavioral, physiological, and social factors is critical for successful outcomes. The case highlights the importance of individualized care to enhance the quality of life for patients with neurodegenerative conditions.
(COI Disclosure: None)
(Ethics Approval: Not subject to ethical review, patient consent obtained for publication)