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KMID : 1144020160120020077
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Journal of Korean Association for Disability and Oral Health
2016 Volume.12 No. 2 p.77 ~ p.81
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DENTAL CARIES TREATMENT IN A PATIENT WITH DANDY-WALKER SYNDROME : A CASE REPORT
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Ryu Ji-Yeon
Shin Teo-Jeon
Hyun Hong-Keun
Kim Young-Jae
Kim Jung-Wook
Jang Ki-Taeg
Kim Chong-Chul
Lee Sang-Hoon
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Abstract
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The Dandy-Walker syndrome is a relatively rare congenital malformation occurring about one in 25,000-35,000 pregnancies. It is characterized by hydrocephalus, cystic dilatation of the fourth ventricle, complete or partial absence of the cerebellar vermis, and other various extra-CNS malformations.
We report a dental caries treatment of a 4-year old girl with Dandy-Walker syndrome and partial trisomy 9q. The patient visited Seoul National University Dental Hospital due to multiple caries. The cause of multiple caries is mainly presumed as patient’s eating habit caused by her general condition. She was still using milk bottle because she was having difficulties swallowing solid food due to breathing problem while eating.
The treatment was performed under general anesthesia considering patient’s condition; delayed development, very poor cooperation and respiratory problem. The dental procedure was successfully conducted and there were no postoperative complications. In consideration of her eating habit and oral hygiene problem, regular check appointment was recommended.
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KEYWORD
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Dandy-Walker syndrome, Partial trisomy, Dental caries, General anesthesia
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