Multiple Bonded Restorations in a Patient with Severe Mental Disability: A Case Report

Abstract

Dental treatment for patients with special needs may require general anesthesia, if these patients are unable or unwilling to cooperate. To administer a restorative treatment in a limited timeframe requires an interdisciplinary approach adapted to the individual. This case report describes a comprehensive restorative procedure in a patient with severe mental disability who has serious dental caries. Direct resin composites were used to reconstruct most of the damaged dentition. In the 22-month follow-up conducted by the authors, they found one resteration failure, several primary caries lesions and one secondary-caries lesion. Every other restoration remained stable, despite limited postoperative care.