Endodontic Treatment in a single session in a patient with Chronic Non-Progressive Encephalopathy: Case report

Victoria Eduarda Vasconcelos Liberato Miranda,Adriana Gledys Zink,Zayne Barros Da Silva,Valdenice Aparecida De Menezes,Milcyara Cunha De Lucena Bem,Davi Silva Carvalho Curi

doi:10.33448/rsd-v10i6.15598

Victoria Eduarda Vasconcelos Liberato Miranda, Adriana Gledys Zink + Show 4 more

Open Access

https://doi.org/10.33448/rsd-v10i6.15598

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Abstract

This study aims to report a one-session endodontic treatment of a patient with chronic Non-progressive encephalopathy (CNPE). A patient with CNPE attended our postgraduate clinic for patients with special needs. During the anamnesis, the patient's brother, who is his legal representative, reported discomfort with the esthetics of the patient's anterior tooth and that the patient felt discomfort when touching the same dental element. After detailed anamnesis and elaboration of the treatment plan, endodontic treatment of element 11 (upper right central incisor) and coronary reconstruction were performed. Taking care of patients with cerebral palsy is still a challenge in dentistry. This is because care has to be taken when carrying out necessary interventions in these patients. This treatment aims at the positive resolution of their pathological condition and well-being. The possibility of endodontic treatment in a single session makes treatment more humane and less mutilating.

Highlights

Chronic Non-Progressive Encephalopathy - chronic Non-progressive encephalopathy (CNPE), called Cerebral Palsy - CP, is part of a group of nonprogressive disorders resulting from maturing brain injury
Poor oral hygiene is common in these patients due to the lack of ability to brush (Burkhard, 2013)
People with CNPE usually depend on others to perform their oral hygiene

Summary

Introduction

Chronic Non-Progressive Encephalopathy - CNPE, called Cerebral Palsy - CP, is part of a group of nonprogressive disorders resulting from maturing brain injury. It is described as a set of postural and movement disorders that leads to functional limitation of the child (Abanto, 2009). A higher prevalence of carious lesions is common in these patients This is closely associated with the high frequency of consumption of a pasty and carbohydrate-rich diet, with a masticatory chew between the back of the tongue and the palate, and with a lack of coordination of the masticatory muscles (Castro et al, 2010). The patient often comes to the dental office with multiple needs

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