Dental Treatment in Patient with Down Syndrome: A Case Report
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Abstract
Down syndrome is the most frequently occurring chromosomal abnormality in humans. The syndrome is due to trisomy 21 in all or some cells of the body and associated with mental retardation, congenital heart defects, leukemias, hypothyroidism and respiratory infections. This study reports a 9-year-old girl referring to dental treatment because of multiple dental caries. Dentists should be aware of the patient’s systemic disease and evaluate behavior for dental treatment. This patient is friendly and cooperative in dental treatment for a short period of time. The comprehensive dental treatment was done in 4 visits. In addition, preventive dentistry and periodic follow-up will be required to maintain good oral health.
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References
Koch G, Poulsen S, Espelid I, Haubek D. Pediatric dentistry A clinical approach. 2nd ed. England : Wiley-Blackwell ; 2009.
Bull MJ; Committee on Genetics. Health supervision for children with Down syndrome. Pediatrics 2011;128(2):393-406. doi: 10.1542/peds.2011-1605.
Ram G, Chinen J. Infections and immunodeficiency in Down syndrome. Clin Exp Immunol 2011;164(1):9-16. doi: 10.1111/j.1365-2249.2011.04335.x.
Dimopoulos K, Constantine A, Clift P, Condliffe R, Moledina S, Jansen K, et al. Cardiovascular Complications of Down Syndrome: Scoping Review and Expert Consensus. Circulation 2023;147(5):425-41. doi: 10.1161/CIRCULATIONAHA.122.059706.
Abanto J, Ciamponi AL, Francischini E, Murakami C, de Rezende NP, Gallottini M. Medical problems and oral care of patients with Down syndrome: a literature review. Spec Care Dentist 2011;31(6):197-203. doi: 10.1111/j.1754-4505.2011.00211.x.
Freeman SB, Bean LH, Allen EG, Tinker SW, Locke AE, Druschel C, et al. Ethnicity, sex, and the incidence of congenital heart defects: a report from the National Down Syndrome Project. Genet Med 2008;10(3):173-80. doi: 10.1097/GIM.0b013e3181634867.
Boucher AC, Caldwell KJ, Crispino JD, Flerlage JE. Clinical and biological aspects of myeloid leukemia in Down syndrome. Leukemia 2021;35(12):3352-60. doi: 10.1038/s41375-021-01414-y.
Bell EJ, Kaidonis J, Townsend GC. Tooth wear in children with Down syndrome. Aust Dent J 2002;47(1):30-5. doi: 10.1111/j.1834-7819.2002.tb00300.x.
Macchini F, Leva E, Torricelli M, Valadè A. Treating acid reflux disease in patients with Down syndrome: pharmacological and physiological approaches. Clin Exp Gastroenterol 2011;4:19-22. doi: 10.2147/CEG.S15872.
Purdy IB, Singh N, Brown WL, Vangala S, Devaskar UP. Revisiting early hypothyroidism screening in infants with Down syndrome. J Perinatol 2014;34(12):936-40. doi: 10.1038/jp.2014.116.
Gallo C, Pastore I, Beghetto M, Mucignat-Caretta C. Symmetry of dental agenesis in Down Syndrome children. J Dent Sci 2019;14(1):61-5. doi: 10.1016/j.jds.2018.04.003.
de Moraes ME, de Moraes LC, Dotto GN, Dotto PP, dos Santos LR. Dental anomalies in patients with Down syndrome. Braz Dent J 2007;18(4):346-50. doi: 10.1590/s0103-64402007000400014.
Shukla D, Bablani D, Chowdhry A, Thapar R, Gupta P, Mishra S. Dentofacial and cranial changes in down syndrome. Osong Public Health Res Perspect 2014;5(6):339-44. doi: 10.1016/j.phrp.2014.09.004.
Mc Donald RE, Avery DR, Dean JA. Dentistry for the child and adolescent. 9th.ed. St. Louis : Mosby-Year Book ; 2011.
American Academy of Pediatric Dentistry. Management of dental patients with special health care needs. The Reference Manual of Pediatric Dentistry. Chicago, Ill. : American Academy of Pediatric Dentistry; 2023: 337-44.
มาลี อรุณากูร. การจัดการพฤติกรรมของเด็กพิเศษเพื่อการรักษาทางทันตกรรม. พิมพ์ครั้งที่ 1. กรุงเทพฯ : พี.เอ.ลีฟวิ่ง ; 2543.
จินดา เลิศศิริวรกุล. การจัดการทางทันตกรรมสำหรับผู้ป่วยเด็กที่ต้องการการดูแลสุขภาพเป็นพิเศษ. พิมพ์ครั้งที่ 1. ขอนแก่น : โรงพิมพ์คลังนานาวิทยา ; 2561.
Dajani AS, Taubert KA, Wilson W, Bolger AF, Bayer A, Ferrieri P, et al. Prevention of bacterial endocarditis. Recommendations by the American Heart Association. JAMA 1997;277(22):1794-801.PMID: 9178793
Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc 1964;68:7-13. doi: 10.14219/jada.archive.1964.0034.
Chung EM, Sung EC, Sakurai KL. Dental management of the Down and Eisenmenger syndrome patient. J Contemp Dent Pract 2004;5(2):70-80. PMID: 15150635
Trytell A, Darby J, Conron M, Newcomb A, Burns A. Recurrent lung nodules as a presentation of ventricular septal defect-related endocarditis. Respirol Case Rep 2019;7(6):e00446. doi: 10.1002/rcr2.446.
Wilson W, Gewitz M, Lockhart P, Bolger A, Desimone D, Kasi D, et al. Prevention of Viridans Group Streptococcal Infective Endocarditis A Scientific Statement From the American Heart Association. Circulation 2021;143(20):963–78. DOI:10.1161/CIR.0000000000000969
American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill. : American Academy of Pediatric Dentistry ; 2023 : 359-77.
