PDF: Patient with Down syndrome and implant therapy: a case report

This case was conducted at the in the Clinic for Special Needs Patients of the Dental School of the Federal University of Juiz de Fora, Brazil.

All clinical procedures were fully explained to the family, who signed an informed consent form, authorizing treatment and publication of the case.

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A 22-year-old Caucasian male patient with DS and moderate mental retardation was referred to our Special Needs Patients clinic with history of falling from his own height after a seizure attack with consequent avulsion of the maxillary left central incisor.

Review of medical history revealed that the patient had a preterm birth, did not present cardiac, renal or hepatic disorders, and did not use anticonvulsant drugs. His mother reported the existence of 6 individuals with neurological involvement in the third generation of the family.

Of those, three had DS. Intraoral clinical examination showed missing maxillary left central incisor, marked parafunctional habit with accentuated wear facets on posterior teeth, pseudomacroglossia exacerbating the hypotonic tongue, posterior primary teeth and permanent first molars.