The Orthodontics treatment in a patient with Down syndrome
Keywords:
Down syndrome, orthodontic treatment, family, cooperation.Abstract
The Orthodontics treatment in patients with Down syndrome has being a theme debated by specialist during many years, due to the physical and mental deficiencies of this kind of patients and their difficulty in cooperating with the treatment. The aim of this article is showing the adequate results of the orthodontic treatment in a female patient aged 12 years with Down syndrome. The girl assisted to consultation with her mother and grandmother asking treatment for having crooked teeth. At the physical examination it was observed a remarked rotation of 11 and 21 of more than 900, affecting her facial esthetics. Doctors explained to relatives that the treatment could result very difficult to this teenager with special requirements due to the application of an orthodontic force generating great discomfort in this girl, possibly having a scarce tolerance to pain. The relatives agreed to cooperate. They decided to start the therapy, and a two-stage plan was designed. In the first stage, removable orthodontic braces were used, and fixed ones were used in the second stage. At the end of the treatment the cause of the consultation was successfully solved with a good cooperation of the patient and her relatives. The success of the treatment was achieved due to the satisfactory cooperation of the patient and the establishment of a favorable relationship orthodontist-patient-family.
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