title: Coordinated Pediatric and Periodontal Dental Care of a Child with Down syndrome.
abstract: The purpose of this report was to describe the management of an eight-year-old Bulgarian male with Down syndrome presenting with periodontitis as a manifestation of systemic disease in the early mixed dentition. Treatment involved full-mouth mechanical debridement and extraction of hopeless teeth under general anesthesia followed by systemic antibiotics and chemical adjunctive therapy. Microbial culture and sensitivity testing aided in diagnosis and guided treatment decisions. This case report demonstrates a multidisciplinary approach in the management of aggressive periodontal disease in an internationally adopted pediatric patient with special health care needs.
authors: School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, N.C., USA.
authors: Gentry
authors: G
authors: Byrd
authors: Department of Pediatric Dentistry and Pediatrics, Schools of Dentistry and Medicine, University of North Carolina at Chapel Hill, Chapel Hill, N.C., USA. rocio_quinonez@unc.edu.
authors: Rocio B
authors: RB
authors: Quinonez
authors: Department of Periodontology, School of Dentistry, at the University of North Carolina at Chapel Hill, Chapel Hill, N.C., USA.
authors: Steven
authors: S
authors: Offenbacher
authors: Departments of Surgery and Pediatrics, Duke University Hospital, Durham, N.C., USA.
authors: Martha Ann
authors: MA
authors: Keels
authors: Dean, University of Nebraska Medical Center College of Dentistry, Lincoln, N.E., USA.
authors: Janet M
authors: JM
authors: Guthmiller
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002327:Cariostatic Agents / Q000627:therapeutic use; D002648:Child; D055113:Chronic Periodontitis / Q000382:microbiology / Q000628:therapy*; D003131:Combined Modality Therapy; D003730:Dental Care for Persons with Disabilities; D003818:Dentition, Mixed; D004314:Down Syndrome / Q000150:complications*; D005460:Fluorides, Topical / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D010347:Patient Care Planning; D010348:Patient Care Team; D057747:Periodontal Debridement / Q000379:methods; D010895:Pit and Fissure Sealants / Q000627:therapeutic use; D014081:Tooth Extraction / Q000379:methods; D014094:Tooth, Deciduous / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D002327:Cariostatic Agents; D005460:Fluorides, Topical; D010895:Pit and Fissure Sealants; D000658:Amoxicillin