The Dental Management of a Child with Congenital Insensitivity to Pain

From Volume 37, Issue 3, April 2010 | Pages 180-185

Authors

A Hutton

BChD, MFDS(Edin)

Specialist Registrar in Paediatric Dentistry, Birmingham Dental Hospital, St Chad's Queensway, Birmingham, UK

Articles by A Hutton

S McKaig

BChD, FDS RCS(Edin), MPaed Dent(Glasg), FDS(Paed Dent) RCSEd

Consultant in Paediatric Dentistry, Department of Dental Specialties, Birmingham Children's Hospital, Birmingham, UK

Articles by S McKaig

Abstract

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.

Article

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