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Dental management of Lowe syndrome under general anesthesia in a child: A case report

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À̼ÒÇǾÆ, ¼ÛÁö¼ö, ½ÅÅÍÀü, ±è¿µÀç, ±èÁ¤¿í, Àå±âÅÃ, ÀÌ»óÈÆ, ÇöÈ«±Ù,
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À̼ÒÇǾƠ( Rhee Sophia ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
¼ÛÁö¼ö ( Song Ji-Soo ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
½ÅÅÍÀü ( Shin Teo-Jeon ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
±è¿µÀç ( Kim Young-Jae ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
±èÁ¤¿í ( Kim Jung-Wook ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
Àå±âÅà( Jang Ki-Taeg ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
ÀÌ»óÈÆ ( Lee Sang-Hoon ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
ÇöÈ«±Ù ( Hyun Hong-Keun ) - Seoul National University School of Dentistry Department of Pediatric Dentistry

Abstract


Lowe syndrome, also known as oculocerebrorenal syndrome, is a rare X-linked recessive disorder characterized by a combination of abnormalities associated with ocular (congenital cataracts), nervous system (mental impairment and hypotonia), and renal dysfunction. Dental crowding, over-retained primary teeth, ectopic and delayed eruption of permanent dentition, and taurodontism have been reported as oral findings. Dental care for young patients with Lowe syndrome is complicated by difficulties in behavior management and other systemic conditions of these patients. General anesthesia may be an appropriate and effective option to eliminate the need for repeated visits to the hospital and to provide improved treatment quality for the patient. However, this approach should be used with caution because general anesthesia may induce malignant hyperthermia and metabolic acidosis in patients with Lowe syndrome. This case study reports the dental management of Lowe syndrome in a 4-yearold male patient who presented with multiple caries in his primary dentition under general anesthesia.

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Lowe syndrome; Dental treatment; General anesthesia

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