title: Prosthodontic Rehabilitation for a Patient with Down Syndrome: A Clinical Report.
abstract: Patients with Down syndrome can present with a variety of oral manifestations such as hypodontia, periodontal disease, premature tooth loss, reduced salivary flow, crowding of teeth in both arches, and decreased occlusal vertical dimension. The intellectual ability of people with Down syndrome varies widely. They present with a mild-to-moderate intellectual disability that restricts their ability to communicate and adjust to their environment, which can add complexity in the overall dental treatment. There is little information in the literature regarding the prosthodontic rehabilitation for patients with Down syndrome in combination with dental implant placement. An implant-assisted removable partial dental prosthesis can be a cost-effective treatment alternative for carefully chosen patients with Down syndrome. This article presents the treatment of a 44-year-old male patient with Down syndrome and a moderate intellectual disability who presented with congenital and acquired tooth loss with significant occlusal discrepancies. The treatment included a prosthodontic approach that used a single dental implant, which will be described and illustrated in this article.
authors.affiliation: Department of Prosthetic Dental Sciences, King Khalid University College of Dentistry, Abha, Saudi Arabia.
authors.forename: Nasser M
authors.initials: NM
authors.lastname: Alqahtani
authors.affiliation: Department of Prosthetic Dental Sciences, King Saud University College of Dentistry, Riyadh, Saudi Arabia.|Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, IN.
authors.forename: Hussain D
authors.initials: HD
authors.lastname: Alsayed
authors.affiliation: Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, IN.
authors.forename: John A
authors.initials: JA
authors.lastname: Levon
authors.affiliation: Department of Comprehensive Care and General Dentistry, Indiana University School of Dentistry, Indianapolis, IN.
authors.forename: David T
authors.initials: DT
authors.lastname: Brown
mesh_terms: D000328:Adult; D003758:Dental Implantation, Endosseous / Q000379:methods; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods; D003779:Denture Design; D003832:Denture, Partial, Removable; D004314:Down Syndrome / Q000150:complications*; D006801:Humans; D008297:Male; D009065:Mouth Rehabilitation / Q000379:methods; D016388:Tooth Loss / Q000601:surgery
keywords: Down syndrome; Occlusal vertical dimension; dental implant; implant-assisted removable dental prosthesis; overlay removable partial dental prosthesis