Abstract
Although patients with downs syndrome are found routinely in the medical clinics, their high prosthetic treatment needs require them to seek prosthetic care. These patients are known to have psychiatric disorders, but rarely psychotic disorder like Schizophrenia is found, because of the difficulty associated to isolate the disorder as a result of downs syndrome or schizophrenia. A childish female patient came to the prosthetic undergraduate clinic seeking complete denture prosthesis. Thorough and careful history revealed the patient was under a medication regimen of 4 drugs that had a definite impact on prosthetic outcome. Difficulties during complete denture fabrication were mainly due to the hypotonia, dyskinesia, dystonia as it affected the normal mandibular movements. Besides implications related to complete denture fabrication other prosthodontic implications have also been reviewed and summarized in the discussion.
Keywords: anti-psychotic drugs, complete denture, clopixol, dyskinesia, dystonia, Xerostomia
References
- Conor WO. "John Langdon Down: The Man and the Message". Down Syndrome Research and Practice. 1999;6 (1): 19–24
- Haliza T, Normastura AR, Azizah Y. Dental anomalies and oral hygiene status of Down syndrome children. Int J Public Health Clin Sci 2015; 2(3): 33-44.
- Collacott RA, Cooper SA, McGrother C. Differential rates of psychiatric disorders in adults with Down’s syndrome compared with other mentally handicapped adults. Br J Psychiatry. 1992; 161:671–4.
- Warren AC, Holroyd S, Folstein MF. Major depression in Down’s syndrome. B J Psychiatry. 1989; 155:202–5.
- Friedlander AH, Marder SR. The psychopathology, medical management and dental implications of schizophrenia. J Am Dent Assoc. 2002; 133(5):603–610.
- Yaltirik M, Kocaelli H, Yargic I, Yaltirik M, Kocaelli H, Yargic I. Schizophrenia and dental management: review of the literature. Quintessence Int. 2004;35(4):317–320.
- Myers BA and Pueschel SM. Brief Report: A Case of Schizophrenia in a population with Down Syndrome. Journal of Autism and Developmental Disorders, 1994; 24(1): 95-96
- Dykens EM, Shah B, Davis B, Baker C, Fife T, Fitzpatrick J. Psychiatric disorders in adolescents and young adults with Down’s syndrome and other intellectual disabilities. J Neurodev Disord. 2015; 7:9.
- Prasher V P. Prevalence of psychiatric disorders in adults with Down’s syndrome. Eur J Psychiatry 1995; 9: 77-82.
- Prasher V P. Neuropsychological assessm-ents of dementia in Down’s syndrome and intellectual disabilities, 2nd Ed, 2018
- American Psychiatric Association. Diagnostic and Statistic Manual of Mental Disorders, 4th ed. Washington DC: American Psychiatric Association 1994
- Hennequin M, Faulks D, Veyrune JL and Bourdiol P. Significance of oral health in persons with Down's syndrome: a literature review. Developmental Medicine and Child Neurology 1999; 41: 275
- Shapiro BL, Gorlin RJ, Redman RS and Bruhl HH. The palate and Down's syndrome. New England Journal of Medicine, 1967; 276: 1460.
- Hoyer H and Limbrock G. Oro facial regulation therapy in children with Down's syndrome using the methods and appliances of Castillo-Morales. Journal of Dentistry for Children 1990;57: 442
- Mason R and Profitt W. The tongue thrust controversy: background and recommendations. Journal of Speech and Hearing Disorders, 1974; 39: 115
- Limbrock G, Fischer Brandies H and Avalle C. Castillo-Morales orofacial therapy: treatment of 67 children with Down's syndrome. Developmental Medicine and Child Neurology, 1991; 33: 296
- Kavanagh K, Kahane J and Kordan B. Risks and benefits of adenotonsillectomy for children with Down's syndrome. American Journal of Mental Deficiency, 1986; 91: 22
- Glatznoll E and Berg R. Oral dysfunction in children with Down's syndrome: an evaluation of treatment effects by means of video registration. European Journal of Orthodontics, 1991; 13: 446
- Haw C, Barnes T, Clark K, Crichton P and Kohen D. Movement disorder in Down's syndrome: a possible marker of the severity of mental handicap. Movement Disorders, 1996; 11: 395
- Carlstedt K, Dahlhof G, Nilsson B and Modeer T. Effect of palatal plate therapy in children with Down's syndrome: A one-year study. Acta Odontologica Scandinavica, 1996;54: 122
- Munetz M and Benjamin S. How to examine patients using the abnormal involuntary movement scale. Hospital and Community Psychiatry, 1988; 39: 1172
- Reuland-Bosma W and Van Dijk L. Periodontal disease in Down's syndrome: a review. Journal of Clinical Periodontology, 1986; 13: 64
- Dinan T and Golden T. Orofacial dyskinesia in Down's syndrome. British Journal of Psychiatry, 1990; 157: 131
- Rogers D, Karki C, Bartlett C and Pocock P. The motor disorders of mental handicap: An overlap with the motor disorders of severe psychiatric illness. British Journal of Psychiatry, 1999;158: 97
- Lavigne G, Goulet JP, Morrison F and Montplaisir JY. Le bruxisme, un vieux probleme vu sous une perspective nouvelle. Realite Âs Cliniques,1994; 5: 199
- Scully C, Cawson RA Medical problems in dentistry 4th ed: Wright, 1998
- Tani H, Uchida H, Suzuki T, Shibuya Y, Shimanuki H, Watanabe K et al Dental conditions in inpatients with schizophrenia: A large-scale multi-site survey BMC Oral Health 2012; 12 : 32
- Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of schizophrenia and related disorders Australian and New Zealand Journal of Psychiatry 2005; 39 (1-2): 1 - 30.
Corresponding Author
Dr Khurshid A Mattoo
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