da Mata Leopoldo Lucio, Rodrigues da Cunha Ana Maria Schroden, Moronte Andrezza Morais
Mário Palmério University Hospital, University of Uberaba, Uberaba, Minas Gerais, Brazil.
Department of Pediatric Dentistry at University of Uberaba, Uberaba, Minas Gerais, Brazil.
Case Rep Dent. 2021 Feb 3;2021:6692325. doi: 10.1155/2021/6692325. eCollection 2021.
Patients with special health care needs (PSHCN) may have an increased risk of oral disease throughout the course of their life and require particular delivery of dental care due to their medical condition or limitations. The purpose is to report the dental management of a patient with Cornelia de Lange Syndrome (CdLS), which was classified as PSHCN due to physical, behavioural, cognitive, and emotional impairment. A 14-year-old female with a clinical diagnosis of CdLS and its common craniofacial features such as microcephaly, short neck, synophrys, arched eyebrows, downturned angle of the mouth, high arched palate, micrognathia, and microdontia was referred to the hospital where the dental treatment was performed under general anesthesia. Multiple tooth extraction, fillings, and coronary polishing were performed. During the follow-up, we observed that dental restorations were clinically satisfactory and there was an improvement in the patient's behaviour during dental treatment. Managing and shaping behaviour of such patients are crucial to delivering quality dental care, as they require specialized care due to their behavioural and clinical conditions.
有特殊医疗需求的患者（PSHCN）在其一生中患口腔疾病的风险可能会增加，并且由于他们的身体状况或局限性，需要特殊的牙科护理。目的是报告一名患有科妮莉亚·德朗热综合征（CdLS）患者的牙科治疗情况，该患者因身体、行为、认知和情感障碍被归类为PSHCN。一名14岁女性，临床诊断为CdLS，具有小头畸形、短颈、连眉、弓形眉、口角下垂、高拱腭、小颌畸形和小牙畸形等常见颅面特征，被转诊至进行全身麻醉下牙科治疗的医院。进行了多次拔牙、补牙和牙冠抛光。在随访期间，我们观察到牙齿修复在临床上令人满意，并且患者在牙科治疗期间的行为有所改善。管理和塑造这类患者的行为对于提供高质量的牙科护理至关重要，因为由于他们的行为和临床状况，他们需要特殊护理。
