TYPE: Asleep/Hospital & Asleep/In-Office/Sedation
SPECIAL NEED: Profound Autism and a history of seizures.
MEDICAL HISTORY: As Mandy’s permanent teeth came in, she developed hypoplastic dominate Amelogenesis Imperfecta. This condition impeded the formation of enamel on her teeth, leaving them brittle, full of caries and very sensitive. She also suffered from a severe overbite that prevented her teeth from closing properly and chronic parafunctional bruxism that left her without adequate chewing surfaces.
CHIEF COMPLAINT: Highly sensitive mouth and difficulty chewing
MAINTENANCE CARE: Routine maintenance by her local dentist in Albuquerque, New Mexico.
BACKGROUND: In 2004, at age 21, Mandy was referred by her dentist, Dr. Ray Lyons, past president of the Special Needs Dentistry Association. We worked with Dr. Lyons to sketch out a treatment plan for Mandy’s full-mouth rehabilitation— to be completed in less than a week. After 27 crowns, 5 extractions, root canal therapy on 3 teeth, and 4 quadrants SC/RP, she went home with functional chewing surfaces and a big happy smile!
In 2015, at age 30, we welcomed Mandy and her parents back for a quick a one-day visit to our office where she received treatment under general anesthesia for bridge prep #6-8, decoronation #7, and 4 quadrants SC/RP. She returned home that evening and her custom bridge, created by our on-site lab, was sent to Dr. Lyons for cementation in his office without sedation.
Hypoplastic dominate Amelogenesis Imperfecta
Chronic paracfunctional bruxism
David Blende, DDS
Michael Lam, Physician Anesthesiologist
Twenty Seven porcelain crowns
Root canal therapy on three teeth by Endodontist
Four quadrants of scaling and root planing
TREATMENT DETAILS: The first phase of treatment (extractions and crown preparations) was accomplished at California Pacific Medical Center (asleep), and the second phase (bridge prep) was completed at our office (asleep).