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Case Reports in Dentistry
Volume 2015 (2015), Article ID 179892, 4 pages
http://dx.doi.org/10.1155/2015/179892
Case Report

Congenital Insensitivity to Pain without Anhidrosis: Orodental Problems and Management

College of Dental Medicine, University of Sharjah, UAE

Received 20 April 2015; Accepted 9 September 2015

Academic Editor: Indraneel Bhattacharyya

Copyright © 2015 N. Abdullah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This paper reports the case of a 4-year-old male patient who was brought by parents requesting for replacement of multiple missing anterior teeth. The patient suffered from congenital insensitivity to pain without anhidrosis and presented with full blown sequelae of the condition in the form of oral self-mutilation leading to loss of teeth, tongue tip amputation, finger tips destruction, and lower limb wound infections. Dental and orthopaedic treatment consists of local management of oral wound and prevention from further oral and finger injuries that takes the form of dental splints and finger sleeve splints, constant feet coverage with shoes, and behavioural medical therapy. The age of the patient and parents’ education present challenges in managing this condition to avoid morbidity and premature mortality.