Periodontal disease in a Rubinstein-Taybi syndrome patient: case report.
BACKGROUND
Rubinstein-Taybi syndrome (RTS) is a rare disorder affecting 1 of 300,000 people, characterized by growth, mental and motor retardation, small stature, broad thumbs and toes, characteristic face, high-arched palate, and recurrent respiratory infections.


METHODS
The present report describes the periodontal and immunological status of a 14-year-old female patient with RTS. Probing depth, clinical attachment level, bleeding on probing, and radiographic evaluation were performed. Periodontal examination revealed severe attachment loss in incisors and molars and generalized bleeding on probing. Periodontal treatment consisted of scaling and root planing and oral hygiene instructions. Periodontal treatment resulted in resolution of gingival inflammation and pocket depth reductions. The association of periodontal disease and RTS is previously undescribed.


CONCLUSIONS
This case report underscores the importance of periodontal clinical diagnosis and the possibility of successful periodontal treatment in RTS patients.
Freitas
N M
NM
Department of Periodontology, Dental School, University of São Paulo, São Paulo, Brazil.
Imbronito
A V
AV
La Scala
C S K
CS
Lotufo
R F M
RF
Pustiglioni
F E
FE
D000293:Adolescent; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging; D012534:Dental Scaling; D005260:Female; D005884:Gingival Hemorrhage / Q000175:diagnosis; D005891:Gingivitis / Q000175:diagnosis; D006801:Humans; D007180:Incisor / Q000473:pathology; D008963:Molar / Q000473:pathology; D009910:Oral Hygiene; D010353:Patient Education as Topic; D017622:Periodontal Attachment Loss / Q000175:diagnosis; D010510:Periodontal Diseases / Q000175:diagnosis*; D010514:Periodontal Pocket / Q000175:diagnosis; D011859:Radiography; D016745:Root Planing; D012415:Rubinstein-Taybi Syndrome / Q000150:complications*