Abstract | INTRODUCTION: CASE REPORT: COURSE: We first corrected the dentition in the narrow maxillary arch, followed by the mandibular arch. As the dental alignment improved, tongue movements appeared during oral care, and endoscopy also revealed signs of an active saliva swallowing reflex. DISCUSSION: The "training approach" generally used to treat severe dysphagia is usually impossible in persistently vegetative patients. In our patient, the tongue movements and saliva swallowing reflex appeared after we expanded the narrow dental arches, suggesting that an orthodontic approach can be effective in such cases. Our findings can be applied to similar cases of vegetative patients to facilitate better oral care and outcomes.
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Authors | Atsuko Tamura, Kohei Yamaguchi, Chantaramanee Ariya, Hisako Totoki, Haruka Tohara |
Journal | Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
(Spec Care Dentist)
Vol. 41
Issue 2
Pg. 271-276
(Mar 2021)
ISSN: 1754-4505 [Electronic] United States |
PMID | 33368620
(Publication Type: Case Reports)
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Copyright | © 2020 Special Care Dentistry Association and Wiley Periodicals LLC. |
Topics |
- Adult
- Cephalometry
- Deglutition Disorders
(etiology, therapy)
- Humans
- Incisor
- Male
- Mandible
- Maxilla
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