Roman-Torres Caio Vinícius Gonçalves, Kussaba Sérgio Takashi, Bantim Yasmin Comoti Vita, de Oliveira Roberta de Barros Antunes Almeida
Department of Dentistry, University of Santo Amaro, Santo Amaro, SP, Brazil.
Cathedral College, Boa Vista, RR, Brazil.
Case Rep Dent. 2017;2017:7075328. doi: 10.1155/2017/7075328. Epub 2017 Nov 28.
Prader-Willi syndrome described in 1956 has a genetic origin, affecting both genders, varying in presence and intensity from individual to individual. A precocious diagnosis, before the manifestation of symptoms, has brought some improvement in the quality of life of the carriers in the last years. The objective of this case report was to describe the treatment realized in a 3-year-old boy who presented grade II obesity, difficulty of locomotion, hypotonia, and history of cardiopathy. A dental treatment under general anesthesia was defined, allowing an oral adequation in a single section, in which it was planned the extraction of the element 74 and atraumatic restorative treatment (ART) technique in the other teeth. The precocious intervention in this 3-year-old patient by the therapy realized with ART under general anesthesia was done with success, avoiding unnecessary extractions, preserving dental elements, and maintaining the oral cavity in adequate function.
1956年描述的普拉德-威利综合征有遗传起源，影响男女两性，个体之间的症状表现和严重程度各不相同。在症状出现之前进行早熟诊断，在过去几年里已使患者的生活质量有所改善。本病例报告的目的是描述对一名3岁男孩的治疗过程，该男孩患有二级肥胖、行动困难、肌张力减退和心脏病史。确定了在全身麻醉下进行牙科治疗，以便一次性完成口腔矫正，计划拔除74号牙，并对其他牙齿采用非创伤性修复治疗（ART）技术。通过在全身麻醉下采用ART疗法对这名3岁患者进行早熟干预取得了成功，避免了不必要的拔牙，保留了牙齿，维持了口腔的正常功能。
