title: Patient with Down syndrome and implant therapy: a case report.
abstract: Patients with Down syndrome may not be cooperative during dental treatment and, in cases of complex treatment, it is necessary to use oral or inhaled sedation and/or general anesthesia, which represent safe and efficient treatment resources. There are few reports about oral rehabilitation with dental implants in patients with Down syndrome in the literature. This paper presents the case of a patient with Down syndrome and moderate mental retardation who suffered avulsion of the maxillary left central incisor after a fall, and was treated by means of a single dental implant with immediate load carried out under general anesthesia. After 4 years of follow up, there has been improvement in the sleep obstructive apnea syndrome due to the use of a tongue crib adapted for providing esthetics and preserving the implant placed.
authors.affiliation: Dental School, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil. monica_pereirasenra@hotmail.com
authors.forename: Mônica Regina Pereira Senra
authors.initials: MR
authors.lastname: Soares
authors.forename: Fernanda Oliveira
authors.initials: FO
authors.lastname: de Paula
authors.forename: Maria das Graças Afonso Miranda
authors.initials: Md
authors.lastname: Chaves
authors.forename: Neuza Maria de Souza Picorelli
authors.initials: NM
authors.lastname: Assis
authors.forename: Henrique Duque de Miranda
authors.initials: HD
authors.lastname: Chaves Filho
mesh_terms: D000766:Anesthesia, Dental / Q000379:methods; D000768:Anesthesia, General; D017742:Dental Care for Chronically Ill; D003758:Dental Implantation, Endosseous; D019250:Dental Implants, Single-Tooth; D004314:Down Syndrome / Q000150:complications; D006801:Humans; D057893:Immediate Dental Implant Loading; D007180:Incisor / Q000293:injuries; D008297:Male; D008437:Maxilla; D009967:Orthodontic Appliances; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000628:therapy; D014084:Tooth Avulsion / Q000601:surgery*; D014081:Tooth Extraction; D055815:Young Adult