Öz
Abstract
This case report aimed to share the dental rehabilitation of a teenage patient with Down Syndrome who applied to our clinic with aesthetic complaints and to provide a guide to dentists on the treatment options of young syndromic patients with various dental problems.The clinical and radiographic examination of a 17-year-old male patient with Down Syndrome, who applied to the University of Health Sciences, Gülhane Department of Prosthodontics, with aesthetic complaints, revealed the necessity of occlusion regulation and the restoration of the existing teeth. Aesthetic need was taken into consideration and a treatment plan was made with the Department of Pediatric Dentistry.
After the extraction of the patient's hopeless teeth, the missing teeth were corrected with a fixed partial denture, taking into account the patient's wishes. Onlay restorations made of 3D printed resins are planned for teeth that remain in infraocclusion. It was planned to restore anterior maxillary teethwith strip crowns in order to achieve aesthetics, and after the root canal treatment Finally, premolar forms were created for the maxillary permanent canine teeth with strip crowns to support the occlusion.The treatment of our patient was completed, and his function and phonation were maintained, as well as achieving the aesthetic he dreamed of.
Anahtar Kelimeler
Down Syndrome Mouth Rehabilitation Dental Esthetic CAD 3D Printing
Teşekkür
Authors kindly thank to Res. Assist. Barış Sözüöz, Assist.Prof. Dr. Numan Aydın, Assist.Prof. Dr. Bilge Ersöz, Res. Assist. Osman Fatih Aydın for their helps in design and manufacturing process of 3D printed restorations.
Kaynakça
- 1. AvciDurmusaliogluE,IsikE,ÇoguluO.x.In:MihciE,editor. Down Syndrome. 1st ed. Ankara: Turkiye Klinikleri; 2021. p. 1–8.
- 2. HassoldT,ShermanS.Downsyndrome:geneticrecombina- tion and the origin of the extra chromosome 21. Clin Genet. 2000;57(2):95–100. doi:10.1034/j.1399-0004.2000.570201.x.
- 3. HookEB.x.In:PueschelSM,RyndersJE,editors.Epidemiology of Down syndrome. Cambridge, Massachusetts: Ware Press; 1982. p. 11–169.
- 4. SolmazAE,ÇoguluO.x.In:ÇoguluO,editor.SiklikveTipleri. Ankara: Nobel Tıp Kitabevi; 2018. p. 31–35.
- 5. Coppede F. The genetics of folate metabolism and mater- nal risk of birth of a child with Down syndrome and associated congenital heart defects. Front Genet. 2015;6:223. doi:10.3389/fgene.2015.00223.
- 6. Zitelli BJ, Davis HW. Atlas Of Pediatric Physical Diagnosis. Elsevier; 2009.
- 7. Smith GF, Berg JM. Down’s Anomaly. 2nd ed. Down’s Anomaly: Churchill Livingstone; 1977. doi:978-0443013980.
- 8. Al-Maweri SA, Tarakji B, Al-Sufyani GA, Al-Shamiri HM, Gazal G. Lip and oral lesions in children with Down syn- drome. A controlled study. J Clin Exp Dent. 2015;7(2):284–288. doi:10.4317/jced.52283.
- 9. Soares MR, de Paula FO, Chaves M, Assis NM, Chaves Filho HD. Patient with Down syndrome and implant therapy: a case report. Braz Dent J. 2010;21(6):550–554. doi:10.1590/s0103- 64402010000600012.
- 10. Thanvi C, Prasad AB, Raisingani D, Mittal N, Jharwal A, Jetwani A. Dental Aspect of Down Syndrome: A Case Report. Journal of Mahatma Gandhi University of Medical Sciences and Technol- ogy. 2018;3(3):108–112. doi:10.5005/jp-journals-10057-0093.
- 11. Clinical Affairs Committee-Behavior Management Subcommit- tee AAoPD. Guideline on Behavior Guidance for the Pediatric Dental Patient. Pediatr Dent. 2015;37(5):57–70.
- 12. Loe H, Silness J. Periodontal Disease in Pregnancy. I. Preva- lence and Severity. Acta Odontol Scand. 1963;21:533–551. doi:10.3109/00016356309011240.
- 13. Silness J, Loe H. Periodontal Disease in Pregnancy. Ii. Correlation between Oral Hygiene and Periodon- tal Condtion. Acta Odontol Scand. 1964;22:121–135. doi:10.3109/00016356408993968.
- 14. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Newman and Carranza’s Clinical Periodontology. Elsevier; 2019.
- 15. Deng K, Pelekos G, Jin L, Tonetti MS. Gingival bleeding on brushing as a sentinel sign of gingival inflammation: A diagnostic accuracy trial for the discrimination of periodontal health and disease. J Clin Periodontol. 2021;48(12):1537–1548. doi:10.1111/jcpe.13545.
- 16. Mubayrik AB. The Dental Needs and Treatment of Patients withDown Syndrome. Dent Clin North Am. 2016;60(3):613–626. doi:10.1016/j.cden.2016.02.003.
- 17. Alqahtani NM, Alsayed HD, Levon JA, Brown DT. Prosthodontic Rehabilitation for a Patient with Down Syndrome: A Clinical Report. J Prosthodont. 2018;27(8):681–687. doi:10.1111/jopr.12595.
- 18. Altintas NY, Kilic S, Altintas SH. Oral Rehabilitation with Implant-Retained Overdenture in a Patient with Down Syndrome. J Prosthodont. 2019;28(2):617–621. doi:10.1111/jopr.12596.
- 19. Comparin LL, Filho RP, Deliberador T, de Souza G, Tatim T, Muller PR, et al. Sinus lift technique and dental implants for rehabilitation for a Down syndrome patient with tomographic 3-years follow-up. Spec Care Dentist. 2022;42(5):524–530. doi:10.1111/scd.12697.
- 20. Ribeiro CG, Siqueira AF, Bez L, Cardoso AC, Ferreira CF. Dental implant rehabilitation of a patient with down syndrome: a case report. J Oral Implantol. 2011;37(4):481–487. doi:10.1563/AAID- JOI-D-10-00003.1.
- 21. De Bruyn H, Glibert M, Matthijs L, Filip M, Christiaens V, Marks L. Clinical Guidelines for Implant Treatment in Pa- tients with Down Syndrome. Int J Periodontics Restorative Dent. 2019;39(3):361–368. doi:10.11607/prd.3284.
- 22. Najeeb S, Khurshid Z, Siddiqui F, Zohaib S, Zafar MS. Outcomes of Dental Implant Therapy in Patients With Down Syndrome: A Systematic Review. J Evid Based Dent Pract. 2017;17(4):317–323. doi:10.1016/j.jebdp.2017.05.003.
- 23. Lustig JP, Yanko R, Zilberman U. Use of dental implants in patients with Down syndrome: a case report. Spec Care Dentist. 2002;22(5):201–204. doi:10.1111/j.1754-4505.2002.tb00271.x.
- 24. Dawood A, Marti Marti B, Sauret-Jackson V, Darwood A. 3D printing in dentistry. Br Dent J. 2015;219(11):521–529. doi:10.1038/sj.bdj.2015.914.
Öz
Kaynakça
- 1. AvciDurmusaliogluE,IsikE,ÇoguluO.x.In:MihciE,editor. Down Syndrome. 1st ed. Ankara: Turkiye Klinikleri; 2021. p. 1–8.
- 2. HassoldT,ShermanS.Downsyndrome:geneticrecombina- tion and the origin of the extra chromosome 21. Clin Genet. 2000;57(2):95–100. doi:10.1034/j.1399-0004.2000.570201.x.
- 3. HookEB.x.In:PueschelSM,RyndersJE,editors.Epidemiology of Down syndrome. Cambridge, Massachusetts: Ware Press; 1982. p. 11–169.
- 4. SolmazAE,ÇoguluO.x.In:ÇoguluO,editor.SiklikveTipleri. Ankara: Nobel Tıp Kitabevi; 2018. p. 31–35.
- 5. Coppede F. The genetics of folate metabolism and mater- nal risk of birth of a child with Down syndrome and associated congenital heart defects. Front Genet. 2015;6:223. doi:10.3389/fgene.2015.00223.
- 6. Zitelli BJ, Davis HW. Atlas Of Pediatric Physical Diagnosis. Elsevier; 2009.
- 7. Smith GF, Berg JM. Down’s Anomaly. 2nd ed. Down’s Anomaly: Churchill Livingstone; 1977. doi:978-0443013980.
- 8. Al-Maweri SA, Tarakji B, Al-Sufyani GA, Al-Shamiri HM, Gazal G. Lip and oral lesions in children with Down syn- drome. A controlled study. J Clin Exp Dent. 2015;7(2):284–288. doi:10.4317/jced.52283.
- 9. Soares MR, de Paula FO, Chaves M, Assis NM, Chaves Filho HD. Patient with Down syndrome and implant therapy: a case report. Braz Dent J. 2010;21(6):550–554. doi:10.1590/s0103- 64402010000600012.
- 10. Thanvi C, Prasad AB, Raisingani D, Mittal N, Jharwal A, Jetwani A. Dental Aspect of Down Syndrome: A Case Report. Journal of Mahatma Gandhi University of Medical Sciences and Technol- ogy. 2018;3(3):108–112. doi:10.5005/jp-journals-10057-0093.
- 11. Clinical Affairs Committee-Behavior Management Subcommit- tee AAoPD. Guideline on Behavior Guidance for the Pediatric Dental Patient. Pediatr Dent. 2015;37(5):57–70.
- 12. Loe H, Silness J. Periodontal Disease in Pregnancy. I. Preva- lence and Severity. Acta Odontol Scand. 1963;21:533–551. doi:10.3109/00016356309011240.
- 13. Silness J, Loe H. Periodontal Disease in Pregnancy. Ii. Correlation between Oral Hygiene and Periodon- tal Condtion. Acta Odontol Scand. 1964;22:121–135. doi:10.3109/00016356408993968.
- 14. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Newman and Carranza’s Clinical Periodontology. Elsevier; 2019.
- 15. Deng K, Pelekos G, Jin L, Tonetti MS. Gingival bleeding on brushing as a sentinel sign of gingival inflammation: A diagnostic accuracy trial for the discrimination of periodontal health and disease. J Clin Periodontol. 2021;48(12):1537–1548. doi:10.1111/jcpe.13545.
- 16. Mubayrik AB. The Dental Needs and Treatment of Patients withDown Syndrome. Dent Clin North Am. 2016;60(3):613–626. doi:10.1016/j.cden.2016.02.003.
- 17. Alqahtani NM, Alsayed HD, Levon JA, Brown DT. Prosthodontic Rehabilitation for a Patient with Down Syndrome: A Clinical Report. J Prosthodont. 2018;27(8):681–687. doi:10.1111/jopr.12595.
- 18. Altintas NY, Kilic S, Altintas SH. Oral Rehabilitation with Implant-Retained Overdenture in a Patient with Down Syndrome. J Prosthodont. 2019;28(2):617–621. doi:10.1111/jopr.12596.
- 19. Comparin LL, Filho RP, Deliberador T, de Souza G, Tatim T, Muller PR, et al. Sinus lift technique and dental implants for rehabilitation for a Down syndrome patient with tomographic 3-years follow-up. Spec Care Dentist. 2022;42(5):524–530. doi:10.1111/scd.12697.
- 20. Ribeiro CG, Siqueira AF, Bez L, Cardoso AC, Ferreira CF. Dental implant rehabilitation of a patient with down syndrome: a case report. J Oral Implantol. 2011;37(4):481–487. doi:10.1563/AAID- JOI-D-10-00003.1.
- 21. De Bruyn H, Glibert M, Matthijs L, Filip M, Christiaens V, Marks L. Clinical Guidelines for Implant Treatment in Pa- tients with Down Syndrome. Int J Periodontics Restorative Dent. 2019;39(3):361–368. doi:10.11607/prd.3284.
- 22. Najeeb S, Khurshid Z, Siddiqui F, Zohaib S, Zafar MS. Outcomes of Dental Implant Therapy in Patients With Down Syndrome: A Systematic Review. J Evid Based Dent Pract. 2017;17(4):317–323. doi:10.1016/j.jebdp.2017.05.003.
- 23. Lustig JP, Yanko R, Zilberman U. Use of dental implants in patients with Down syndrome: a case report. Spec Care Dentist. 2002;22(5):201–204. doi:10.1111/j.1754-4505.2002.tb00271.x.
- 24. Dawood A, Marti Marti B, Sauret-Jackson V, Darwood A. 3D printing in dentistry. Br Dent J. 2015;219(11):521–529. doi:10.1038/sj.bdj.2015.914.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Diş Hekimliği |
| Bölüm | Case report articles |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Ağustos 2023 |
| Gönderilme Tarihi | 29 Aralık 2022 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 50 Sayı: 2 |
