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Dental Journal (Majalah Kedokteran Gigi)

ISSN 1978-3728

Vol. 43 / No. 4 / Published : 2010-12

TOC : 7, and page :190 - 194

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Original Article :

The management of dental fracture on tooth 61 in a child with attention deficit hyperactivity disorders

Author :

  1. Veranica *1
  2. Mochamad Fahlevi Rizal*2
  1. Resident in Department of Pediatric Dentistry, Faculty of Dentistry, University of Indonesia Jakarta - Indonesia
  2. Department of Pediatric Dentistry Faculty of Dentistry, University of Indonesia Jakarta - Indonesia

Abstract :

Background: Attention deficit hyperactivity disorder (ADHD) is often characterized as a neurobehavioral developmental disorder, impaired concentration, impaired motor skills, impulsivity, and hyperactivity, and also diagnosed as psychiatric disorders. Children with ADHD would have a tendency of the traumatized anterior teeth because of their hyperactive behavior. Dental trauma is actually one of factors causing the damages of the deciduous teeth and the permanent teeth. Dental and mouth care for children with special needs, such as children with ADHD, requires special treatment. Purpose: This study is aimed to report the case management of the dental fracture of the tooth 61 in a child with ADHD. Case: A four-year old girl suffered from both ADHD and dental fracture involving the dentin of the tooth 61. Case management: The examination of the patient with dental fracture consists of emergency examination and further investigation. The emergency examination covers general condition and clinical situation. Based on the dental radiographic assessment, it is known that the dental fracture of the tooth 61 had involved the dentine, the resorption had reached 1/3 of the apical teeth and the permanent teeth had been formed. The application of calcium hydroxide on the opened dentin is aimed to improve the formation of the secondary dentin served as pulp protector. Next, the restoration of the traumatized teeth used compomer since it does not only meet all the aesthetic requirements, but it also releases fluoride. Management of the patient’s behavior with ADHD was conducted by non-pharmacological method; tell show do (TSD) method combined with restrain method. Conclusion: It can be concluded that the application of calcium hydroxide and the restoration of the teeth with compomer could provide maximum results through the combination of TSD and restrain methods that can effectively increase the positive value to replace the negative behaviors that have been formed.

Keyword :

Attention deficit hyperactivity disorder, traumatized anterior teeth, compomer, tell show do, restrain,

References :

  1. Lumbantobing SM, (2006). Anak dengan mental terbelakang. . Jakarta : Balai Penerbit Fakultas Kedokteran Universitas Indonesia


Archive Article

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Volume : 43 / No. : 4 / Pub. : 2010-12
  1. Clinical consideration of thrombocytopenia in children
  2. The increasing of odontoblast-like cell number on direct pulp capping of rattus norvegicus using chitosan
  3. Minor modification of millard surgical technique for correction of complete unilateral cleft lip
  4. Biocompatibility and osteoconductivity of injectable bone xenograft, hydroxyapatite and hydroxyapatite-chitosan on osteoblast culture
  5. Alveolar ridge rehabilitation to increase full denture retention and stability
  6. Pulp nerve fibers distribution of human carious teeth: an immunohistochemical study
  7. The management of dental fracture on tooth 61 in a child with attention deficit hyperactivity disorders
  8. Multidisciplinary management of a mandibular buccal plate perforation
  9. Candida albicans adherence on acrylic resin plates immersed in black tea steeping
  10. A combination of endodontic therapy and root resection in furcation involvement case
  11. interleukin-1β expression among periodontitis patients in surabaya