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KMID : 1144020190150010079
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Journal of Korean Association for Disability and Oral Health
2019 Volume.15 No. 1 p.79 ~ p.83
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DENTAL TREATMENT FOR A PATIENT WITH TREACHER COLLINS SYNDROME: CASE REPORT
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Kim Min-Ji
Song Ji-Soo
Shin Teo-Jeon
Hyun Hong-Keun
Kim Young-Jae
Kim Jung-Wook
Lee Sang-Hoon
Jang Ki-Taeg
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Abstract
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Treacher Collins syndrome(TCS) is an autosomal craniofacial development disorder which results from mutations in the gene TCOF1. Major features include midface hypoplasia, micrognathia, microtia, conductive hearing loss. Oral manifestations are characterized by cleft palate, shortened soft palate, malocclusion, anterior open bite and enamel hypoplasia. The purpose of this presentation is to describe the interesting aspects of dental treatment of a patient with TCS.
A 6-year-old boy with TCS visited Seoul National University Dental Hospital for dental caries. Multiple caries was observed from clinical and radiographic examination. Because of multiple caries and behavior management ploblem, dental treatment under general anesthesia was planned. Treatment of posterior teeth was performed and some primary teeth were extracted. General anesthesia was induced and maintained with sevoflurane, nitrous oxide and oxygen. Under general anesthesia, successful dental procedure was done.
Considering behavior management problem and medical condition of patient with TCS, general anesthesia can be useful.
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KEYWORD
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Treacher Colllins syndrome, Dental treatment, General anesthesia
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