The dental management of a child with congenital insensitivity to pain.
Congenital insensitivity to pain is a rare condition present from birth.To date, congenital insensitivity to pain has been described in groups of hereditary sensory and autonomic neuropathies (HSAN). Within the HSAN group there are five conditions described. This case report describes the management of a female with congenital insensitivity to pain up to her present age of six years. The aim of treatment was to prevent episodes of oro-facial trauma and self-mutilation injuries. The primary teeth were removed on eruption and further management of the permanent dentition has involved the use of soft occlusal guards together with behaviour management techniques, including an educational component.


CONCLUSIONS
To highlight the treatment options and possible difficulties in the management of a young child suffering from orofacial trauma and self-mutilation injuries.
Hutton
Alison
A
Department of Dental Specialties, Birmingham Children's Hospital, Birmingham, UK.
McKaig
Sarah
S
D001734:Bites, Human / Q000503:physiopathology*; D002610:Cheek / Q000293:injuries*; D002648:Child; D005260:Female; D006801:Humans; D009061:Mouth Mucosa / Q000293:injuries*; D009064:Mouth Protectors; D000699:Pain Insensitivity, Congenital / Q000503:physiopathology*; D016728:Self-Injurious Behavior / Q000503:physiopathology; D014059:Tongue / Q000293:injuries*; D014081:Tooth Extraction; D014094:Tooth, Deciduous / Q000601:surgery