Abstract
Improving facial and dental appearance and social interaction are the main factors for special needs (SN) patients to seek orthodontic treatment. The cooperation of SN patients and their parents is crucial for treatment success. Objective. To show through a case report the satisfactory results, both functional and esthetic, in patients with intellectual disability, congenital nystagmus, and severe scoliosis. Materials Used. Pendulum device with mini-implants as anchorage unit. Results. Improvement of facial and dental esthetics, correction of Class II malocclusion, and no root resorption shown in the radiographic follow-up. Conclusion. Knowing the limitations of SN patients, having a trained team, motivating and counting on the cooperation of parents and patients, and employing quick and low-cost orthodontic therapy have been shown to be the essential factors for treatment success.
Highlights
Special needs (SN) patients are the ones who do not engage in normal activities of their age groups
Individuals with SN face a social acceptance barrier, while the improvement of dental esthetics has a positive influence on social interaction, increasing the chances of employment toward self-sufficiency
The cooperation of SN patients and their parents is essential for the success of orthodontic treatment [1, 4]
Summary
Special needs (SN) patients are the ones who do not engage in normal activities of their age groups. The aim of the orthodontic treatment is functional and esthetic improvement [2]. The concern with facial appearance is what triggers parents to seek orthodontic treatment. Parents are motivated by the improvement of quality of life of their children, SN patients are less likely to receive treatment. Few SN patients end up being treated, and the main reasons are the fear of parents regarding the cooperation of their children during treatment and finding a trained dental team [4]. The cooperation of SN patients and their parents is essential for the success of orthodontic treatment [1, 4]. Acknowledging the pathology and its implications for dental treatment is critical for the success of the therapy applied [5]
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