<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2021000600998</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento ortodóncico en pacientes discapacitados. Consideraciones al respecto]]></article-title>
<article-title xml:lang="en"><![CDATA[Orthodontic treatment in disabled patients. Considerations in this regard]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivas Pérez]]></surname>
<given-names><![CDATA[Gretel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Mora]]></surname>
<given-names><![CDATA[Ivette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morera Pérez]]></surname>
<given-names><![CDATA[Amarelys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora Pérez]]></surname>
<given-names><![CDATA[Clotilde de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Román]]></surname>
<given-names><![CDATA[Yohana Rachel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Mur]]></surname>
<given-names><![CDATA[Thalía Nancy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Estomatológica de Especialidades. Cienfuegos.  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[Cuba ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>6</numero>
<fpage>998</fpage>
<lpage>1004</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2021000600998&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2021000600998&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2021000600998&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La atención ortodóncica a personas con necesidades especiales constituye un reto. La elevada incidencia de maloclusiones en estos pacientes atenta contra su calidad de vida al generar problemas funcionales en la masticación, la deglución y la respiración. Se realizó una revisión bibliográfica con el objetivo de describir el tratamiento ortodóncico a pacientes discapacitados y ofrecer consideraciones al respecto. Se concluyó que las maloclusiones tienen una elevada incidencia en pacientes discapacitados; las más frecuentes, generalmente, se relacionan con el síndrome o condición de estos. El tratamiento ortodóncico a estos enfermos debe estar respaldado por los padres y/o cuidadores. Su manejo variará según el trastorno que presente; puede ser anestesia general, en forma de gotas o intravenosa. El objetivo del tratamiento debe ser modificado, desde tratar de perseguir la perfección ortodóncica a buscar un resultado que sea estética y funcionalmente aceptable. Para pacientes con necesidades especiales, el cumplimiento y modificación del plan de tratamiento, según sea necesario, será lo más importante para un resultado exitoso. La discapacidad no debería eliminar la posibilidad de la ortodoncia como una opción de tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Orthodontic care for people with special needs is challenging. The high incidence of malocclusions in these patients threatens their quality of life by generating functional problems in chewing, swallowing and breathing. A bibliographic review was carried out with the objective of describing orthodontic treatment in disabled patients and offering considerations in this regard. It was concluded that malocclusions have a high incidence in disabled patients; the most frequent, generally, are related to the syndrome or condition of these. Orthodontic treatment for these patients must be supported by parents and / or caregivers. Its management will vary according to the disorder it presents; it can be general anesthesia, in the form of drops or intravenous. The goal of treatment must be modified, from trying to pursue orthodontic perfection to seeking a result that is aesthetically and functionally acceptable. For patients with special needs, adherence to and modification of the treatment plan, as necessary, will be the most important for a successful outcome. Disability should not eliminate the possibility of orthodontics as a treatment option.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ortodoncia correctiva]]></kwd>
<kwd lng="es"><![CDATA[atención dental para personas con discapacidades]]></kwd>
<kwd lng="en"><![CDATA[orthodontics, corretive]]></kwd>
<kwd lng="en"><![CDATA[dental care disabled]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leiva Villagra]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Ayala Jiménez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Stange Dempster]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Fuentes Flores]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Véliz Méndez]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consideraciones en el tratamiento ortodóncico en personas con necesidades especiales. Revisión de la literatura.]]></article-title>
<source><![CDATA[Odontol Sanmarquina]]></source>
<year>2019</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>271-6.</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Soba]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Paramio]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Aguaded]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Lacanna]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Educación, salud y discapacidad]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Ciencia y Técnica Administrativa]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Armas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[ME.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis del sentido de la vida en personas con discapacidad]]></article-title>
<source><![CDATA[CAURIENSIA]]></source>
<year>2018</year>
<numero>13</numero>
<issue>13</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chinchilla Soto]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consideraciones al referir pacientes con discapacidad a tratamiento ortodóntico.]]></article-title>
<source><![CDATA[Revista Mexicana de Ortodoncia]]></source>
<year>2017</year>
<volume>5</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>148-59</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sueiro]]></surname>
<given-names><![CDATA[IA]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Padilla]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[ZL.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estado de salud bucal en pacientes discapacitados del área de salud de Espartaco, municipio Palmira.]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2016</year>
<volume>14</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Suárez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Villar]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Francois]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Estrada]]></surname>
<given-names><![CDATA[GG.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Necesidad de tratamiento estomatológico en niños discapacitados de La Habana.]]></article-title>
<source><![CDATA[Rev Inf Cient]]></source>
<year>2018</year>
<volume>97</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rada]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bakhsh]]></surname>
<given-names><![CDATA[HH]]></given-names>
</name>
<name>
<surname><![CDATA[Evans]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Orthodontic care for the behavior- challenged special needs patient]]></article-title>
<source><![CDATA[Spec Care Dentist]]></source>
<year>2015</year>
<volume>35</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>138-42</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miranda Porta]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<source><![CDATA[Impacto psicosocial de la maloclusión en adolescentes de una institución educativa de Lince - Lima]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Lima ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Nacional Mayor de San Marcos]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balvin Renato]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de maloclusión molar en niños con habilidades especiales de una institución educativa.]]></article-title>
<source><![CDATA[Huancayo 2018]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Huancayo ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Peruana Los Andes]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[del Busto]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[YO]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento de ortodoncia en un paciente con síndrome de Down.]]></article-title>
<source><![CDATA[Rev Med Electrón]]></source>
<year>2019</year>
<volume>42</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quintero]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Terán]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maloclusiones, factores asociados y alternativas de tratamiento ortodóncico para pacientes portadores de síndrome de Down]]></article-title>
<source><![CDATA[Odontol Pediátr (Madrid)]]></source>
<year>2017</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>120-9</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abeleira]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Limeres]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Outumuro]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Ortodoncia y ortopedia dentofacial en el síndrome de Down]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Santiago de Compostela ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Santiago de Compostela]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bello García]]></surname>
<given-names><![CDATA[AL.]]></given-names>
</name>
</person-group>
<source><![CDATA[Sistema de acciones para la estimulación del afrontamiento exitoso en madres cuidadoras de niños con discapacidad intelectual en la escuela especial ¨Vilma Espín Guillois¨ de Cienfuegos]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Santa Clara ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Central "Marta Abreu]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Al-Sarheed]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bedi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Hunt]]></surname>
<given-names><![CDATA[NP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The views and attitudes of parents of children with a sensory impairment towards orthodontic care]]></article-title>
<source><![CDATA[Eur J Orthod]]></source>
<year>2004</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>87-91</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Noble]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Schroth]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hechter]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Huminicki]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Wiltshire]]></surname>
<given-names><![CDATA[WA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Motivations of orthodontic residents in Canada and the United States to treat patients with craniofacial anomalies, cleft lip/palate, and special needs]]></article-title>
<source><![CDATA[Cleft Palate Craniofac J]]></source>
<year>2012</year>
<volume>49</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>596-600</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Becker]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chaushu]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Shapira]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Orthodontic treatment for the special needs child]]></article-title>
<source><![CDATA[Semin Orthod]]></source>
<year>2004</year>
<volume>10</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>281-92</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Akram]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[McKnight]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Bellardie]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Beale]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Evans]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Craniofacial malformations and the orthodontist]]></article-title>
<source><![CDATA[Br Dent J]]></source>
<year>2015</year>
<volume>218</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>129-41</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valenzuela-Zambrano]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[López- Justicia]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Autoconcepto de estudiantes universitarios chilenos con discapacidad Diferencias en función del género]]></article-title>
<source><![CDATA[Revista Educación Inclusiva]]></source>
<year>2015</year>
<volume>8</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>153-70</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
