Soares Mônica Regina Pereira Senra, de Paula Fernanda Oliveira, Chaves Maria das Graças Afonso Miranda, Assis Neuza Maria de Souza Picorelli, Chaves Filho Henrique Duque de Miranda
Dental School, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil.
Braz Dent J. 2010;21(6):550-4. doi: 10.1590/s0103-64402010000600012.
Patients with Down syndrome may not be cooperative during dental treatment and, in cases of complex treatment, it is necessary to use oral or inhaled sedation and/or general anesthesia, which represent safe and efficient treatment resources. There are few reports about oral rehabilitation with dental implants in patients with Down syndrome in the literature. This paper presents the case of a patient with Down syndrome and moderate mental retardation who suffered avulsion of the maxillary left central incisor after a fall, and was treated by means of a single dental implant with immediate load carried out under general anesthesia. After 4 years of follow up, there has been improvement in the sleep obstructive apnea syndrome due to the use of a tongue crib adapted for providing esthetics and preserving the implant placed.
唐氏综合征患者在牙科治疗期间可能不配合，对于复杂治疗情况，有必要使用口服或吸入镇静剂和/或全身麻醉，这些都是安全有效的治疗手段。文献中关于唐氏综合征患者牙种植口腔修复的报道较少。本文介绍了一名患有唐氏综合征和中度智力障碍的患者，该患者跌倒后上颌左侧中切牙发生牙脱位，在全身麻醉下通过单颗牙种植并即刻负重进行治疗。经过4年的随访，由于使用了适合美观且能保留种植体的舌刺，睡眠呼吸暂停低通气综合征有所改善。
