Dental Treatment of a Child with Pallister-Killian Syndrome: Critical Research | Chapter 10 | Innovations in Medicine and Medical Research Vol.2
The Pallister-Killian syndrome (PKS) is an extremely rare
genetic disorder with an incidence estimated around 1/25000 and a multiple
congenital anomaly deficit syndrome caused by mosaic tissue limited tetrasomy
for chromosome 12p. The presented report is the first confirmed case with PKS
in Turkey. This report focuses on the orofacial clinical manifestations of an
6-year-old boy with PKS who was referred to the Department of Paediatric
Dentistry clinic, Gazi University. It has been learned that the PKS was diagnosed
1 year after birth. Due to intellectual disability, it was decided to make the
dental treatments under moderate sedation. Although significant tongue thrust
and anterior open bite were determined, any oral appliances could not be
applied because of the 2 epilepsy seizures in the last 2 years. The aim was to
treat decayed teeth and set good oral hygiene in the patient’s mouth. Still,
there is a probability for epilepsy seizures. If epileptic seizures stop
permanently, we can apply an oral appliance to block tongue thrust. The patient
is now under control. In cases of systemic and oral findings such as PKS,
conducting medical and dental approaches together will increase the life
quality of patients.
Author(s) Details Serhan Didinen
Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul Medipol University, Turkey.
Didem Atabek
Department of Pediatric Dentistry, Faculty of Dentistry, Gazi University, Turkey.
Dr. Gülay Kip
Department of Pediatric Dentistry, Faculty of Dentistry, Gazi University, Turkey and Department of Anesthesia and Reanimation, Faculty of Medicine, Gazi University, Turkey
Asli Patir Münevveroglu
Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul Medipol University, Turkey.
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