Dental Management of a Patient with Peters-plus syndrome under General Anesthesia: A Case Report
오승현, 김현태, 신터전, 현홍근, 김영재, 김정욱, 장기택, 송지수,
소속 상세정보
오승현 ( Oh Seung-Hyun ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
김현태 ( Kim Hyun-Tae ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
신터전 ( Shin Teo-Jeon ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
현홍근 ( Hyun Hong-Keun ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
김영재 ( Kim Young-Jae ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
김정욱 ( Kim Jung-Wook ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
장기택 ( Jang Ki-Taeg ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
송지수 ( Song Ji-Soo ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
KMID : 1144020220180010018
Abstract
Peters-plus syndrome is a very rare disease with fewer than 80 cases reported worldwide. It is an autosomal recessive disorder caused by mutations in β-1,3-glucosyltransferase gene (B3GALTL) located on chromosome 13q12.3. The clinical features are ocular anterior segment dysgenesis, also known as Peters anomaly, short limb with brachydactyly, intellectual disability, Cupid’s bow-shaped upper lip, and cleft lip and palate. This report shows dental treatment of a 7-year-boy with Peters-plus syndrome under general anesthesia. Because of frequent seizure attack caused by Peters-plus syndrome, he was prescribed anti-epileptic drugs. In clinical and radiographic examinations, the patient was found to have multiple caries in primary molars. Concerning the patient’s uncooperative behavior related to intellectual disability, an extensive dental restorative treatment was performed under general anesthesia. Intensive preventive treatments such as plaque control, diet consultation, and topical fluoride application would be necessary to maintain the patient’s oral health.
키워드
Peters-plus syndrome; Antiepileptic drugs; Dental treatment; General anesthesia
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