title: Management of patient with acrometageria for routine dental treatment: A case report.
abstract: The population of special needs patients in dental offices is growing. Therefore, the demand for well-trained, educated practitioners must increase to fit the need. Conditions such as intellectual developmental disorder, Down syndrome, and autism spectrum disorder are more readily encountered in dental settings. However, it is equally appropriate to identify management techniques for patients with less common conditions. A case is reported in which a 38-year-old Caucasian male with a history significant for acrometageria and associated signs of Mallampati Class IV, micrognathia, decreased mouth opening, decreased thyromental distance, and decreased cervical range of motion presented for routine dental treatment under intravenous sedation. Providers should recognize appropriate management techniques to safely and effectively care for a wide patient demographic.
authors.affiliation: Resident in Dental Anesthesiology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Young
authors.affiliation: Assistant Professor, Department of Dental Anesthesiology and Pediatric Dentistry, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Cooke
authors.affiliation: Director and Assistant Professor, Center for Patients with Special Needs, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
authors.forename: Lynne M
authors.initials: LM
authors.lastname: Taiclet
mesh_terms: D000328:Adult; D017742:Dental Care for Chronically Ill; D003730:Dental Care for Persons with Disabilities; D006801:Humans; D008297:Male; D011371:Progeria
keywords: acrometageria; behavior guidance; dental treatment; general anesthesia; sedation; special needs management