Open AccessFactors leading to Nonhealing of severe Lip and Tongue Ulceration in a 10-month-old Infant with Spastic Quadriplegia
Author(s) -
Aditi Kapur,
Manoj A Jaiswal,
Sudhir Bhandari
Publication year - 2017
Publication title -
journal of postgraduate medicine, education and research
Language(s) - English
Resource type - Journals
eISSN - 2278-0262
pISSN - 2277-8969
DOI - 10.5005/jpmer-51-3-140
Subject(s) - medicine , spastic , spastic quadriplegia , tongue , dentistry , treatment modality , splint (medicine) , cerebral palsy , orthodontics , surgery , physical therapy , pathology
This paper reports a 10-month-old spastic quadriplegic male child presenting with severe ulceration of ventral surface of tongue and lower lip due to the presence of mandibular and maxillary primary central incisors. The patient was on antiepileptic medication since birth. The recent development of ulcers aggravated the already deficient dietary intake due to his compromised medical status. After considering various treatment modalities, a conservative approach to cover the mandibular teeth and gum pads with a splint made in a flexible denture material was decided. The appliance incorporated an extraoral wire component for prevention of risk of inadvertent ingestion and to aid in attaching retentive components as and when needed. The challenges faced by the clinicians and the pitfalls influencing the ultimate outcome with this intervention are described. How to cite this article Kapur A, Bhandari S, Goyal A, Gauba K, Jaiswal MA. Factors leading to Nonhealing of severe Lip and Tongue Ulceration in a 10-month-old Infant with Spastic Quadriplegia. J Postgrad Med Edu Res 2017;51(3):140-143.