Dental Treatment of a Child with Rubinstein-Taybi Syndrome

Department of Pediatric Dentistry

Lutheran Medical Center

Kris Hendricks Date: 6-11-10

Article title: Dental Treatment of a Child with Rubinstein-Taybi Syndrome

Author(s): Davidovish, Eimerl, Peretz

Journal: Pediatric Dentistry

Volume (number): 27/5

Month, Year: 2005

Major topic: Rubinstein-Taybi syndrome (RTS)

Minor topics: N/A

Type of Article: Case Report

Main Purpose:

Demonstrate the oral and dental manifestations of a 12-year old girl with RTS and discuss her dental treatment with emphasis on her medical consideration.

Findings:

RTS is a genetic disorder characterized by mental retardation, and physical abnormalities including broad thumbs, big and broad toes, short stature and craniofacial abnormalities.

The oral manifestations include small opening, pouting lower lip, retro/micrognathia and higher arched, narrow palate.

Key points/Summary :

There are very few reports of this syndrome in the dental literature.

Rarely this syndrome can present with clefting.

This patient had to be treated under GA.

The anesthesia was complicated, so they used fiberoptic endoscopy.

This patient had significant crowding and an orthodontist recommended premolar extractions to alleviate crowding, but the foster parents did not choose to do that.

The foster parents were unable to convince the dental team that they could care for the child’s needs.

Assessment of article:

Nice article.