title: Crown-root Fracture Restoration on a Patient with Autism Spectrum Disorder.
abstract: Children with intellectual and physical disabilities including autism are susceptible to dental trauma as a sequela from falls due to poor muscular coordination. In addition, their altered muscle tonus often results in an open bite with labial flaring of the maxillary incisors and lip incompetence, predisposing these teeth to fractures. This case report describes an alternative approach of restoring a fractured maxillary permanent central incisor with a composite strip crown during surgical repositioning of the periodontium on an autistic patient. The prognosis of the incisor is guarded due to the probability of re-injury. However, the decision to maintain the tooth clinically was esthetically preferable in comparison to an extraction or decoronation.
authors.affiliation: Department of Pediatric Dentistry, College of Dentistry University of Florida, Gainesville, Florida, USA, Phone: +3522737631, e-mail: ednaperez@dental.ufl.edu.
authors.forename: Edna
authors.initials: E
authors.lastname: Perez
authors.affiliation: CTSI Educational Development and Evaluation, Health Resources and Services Administration Faculty Development in Dentistry, Colleges of Dentistry, Education and Veterinary Medicine, University of Florida, Gainesville Florida, USA.
authors.forename: Linda S
authors.initials: LS
authors.lastname: Behar-Horenstein
authors.affiliation: Department of Pediatric Dentistry, College of Dentistry University of Florida, Gainesville, Florida, USA.
authors.forename: Marcio
authors.initials: M
authors.lastname: Guelmann
mesh_terms: D000293:Adolescent; D000067877:Autism Spectrum Disorder; D003793:Dental Restoration, Permanent / Q000379:methods; D019988:Children with Disabilities; D006801:Humans; D008297:Male; D012390:Root Canal Therapy; D019228:Tooth Crown / Q000000981:diagnostic imaging / Q000293:injuries*; D014082:Tooth Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D014092:Tooth Root / Q000000981:diagnostic imaging / Q000293:injuries*
keywords: Autism spectrum disorder; Dental trauma; Malocclusion Pediatric dentistry.