Scheidt Lisa, Sanabe Mariane Emi, Diniz Michele Baffi
Department of Pediatric Dentistry, School of Dentistry, Cruzeiro do Sul University, São Paulo, Brazil.
J Indian Soc Pedod Prev Dent. 2015 Oct-Dec;33(4):347-50. doi: 10.4103/0970-4388.165719.
Chromosome 47, XYY syndrome is usually diagnosed late. Some of the clinical characteristics of XYY syndrome may be perceptible in dental care. The slow development of cognitive and motor activities and tall stature is common in XYY patients. The aim of this article was to relate the oral, physical, and behavioral aspects of a 6-year-old patient with the chromosome 47, XYY syndrome, diagnosed by means of karyotyping. The patient presented motor difficulty, which led to a fall and traumatism in the anterior region. In the radiography, agenesia of the permanent maxillary lateral incisors, presence of taurodontism in the primary molars, and macrodontia of the maxillary central incisors and permanent molars could be observed. Once the diagnosis was made, it was possible to understand his difficulty at school, and make available appropriate monitoring by a suitable multidisciplinary team to stimulate, control, and minimize the day-to-day difficulties found by patients with this syndrome.
47,XYY综合征通常诊断较晚。XYY综合征的一些临床特征在牙科护理中可能会被察觉。XYY患者常见认知和运动活动发育迟缓以及身材高大。本文旨在阐述一名通过核型分析诊断为47,XYY综合征的6岁患者的口腔、身体和行为方面的情况。该患者存在运动困难,导致前部区域摔倒和外伤。在X光片中,可以观察到上颌恒侧切牙缺失、乳牙牛牙症以及上颌中切牙和恒磨牙过大。一旦确诊,就能够理解他在学校的困难,并由合适的多学科团队进行适当监测,以刺激、控制并尽量减少该综合征患者日常遇到的困难。