The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
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ORTHODONTIC TRACTION OF A TRANSPOSED IMPACTED MAXILLARY CANINE OF A DOWN SYNDROME PATIENT WITH CONGENITAL HEART DISEASE

심장질환이 있는 Down 증후군 환자의 전위 매복 치아 교정 치료 증례 보고

  • Lee, Hyon Joo (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Shin, Teo-Jeon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Hyun, Hong-Keun (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Young-Jae (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Jung-Wook (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Jang, Ki-Taeg (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Lee, Sang-Hoon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Chong-Chul (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
  • 이현주 (서울대학교 치의학대학원 소아치과학교실) ;
  • 신터전 (서울대학교 치의학대학원 소아치과학교실) ;
  • 현홍근 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김영재 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김정욱 (서울대학교 치의학대학원 소아치과학교실) ;
  • 장기택 (서울대학교 치의학대학원 소아치과학교실) ;
  • 이상훈 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김종철 (서울대학교 치의학대학원 소아치과학교실)
  • Received : 2012.11.04
  • Accepted : 2012.12.03
  • Published : 2012.12.31
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Abstract

Down syndrome (DS) is a genetic disease known as trisomy 21. Congenital cardiac anomalies are present in about 40% of DS patients. Dental anomalies are also common among DS patients. In DS patients, canine impaction is 10 times more frequent and transposition of maxillary canine and first premolar is 50 times more common than in general population. A female DS patient with congenital heart disease was diagnosed as having a transposed impacted maxillary canine. Sectional fixed appliance with Nance holding arch was used for the orthodontic treatment. After space was regained for the eruption of the canine, orthodontic button was attached using flap operation with closed technique. Traction and alignment of the tooth followed. To prevent endocarditis, prophylactic antibiotics were prescribed for the recommended dental procedures. Total treatment time was 25 months and no complication was found.

본 증례는 Down 증후군 및 선천성 심장 질환을 갖는 여자 환자에서 전위되어 매복된 상악 견치에 대한 교정 치료 내용이다. 매복된 치아의 맹출 공간이 부족하여 고정식 교정 장치를 이용하여 치아 공간을 확보한 후 교정적인 견인을 통하여 매복 치아를 전위된 위치로 배열하였다. 심내막염 방지를 위하여 교정 치료 중 필요 시 미국심장협회의 가이드라인에 따라 예방적 항생제를 복용하였고 합병증 없이 교정 치료를 마무리하였다.

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References

  1. Musich DR: Orthodontic intervention and patients with Down syndrome. Angle Orthod. 76(4):734-735, 2006.
  2. Desai SS: Down Syndrome. A review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 84:279-285, 1997. https://doi.org/10.1016/S1079-2104(97)90343-7
  3. Cocchi G, Gualdi S, Bower C: International trends of Down syndrome 1993-2004: Births in relation to maternal age and terminations of pregnancies. Birth Defects Res A Clin Mol Teratol. 88:474-479, 2010. https://doi.org/10.1002/bdra.20666
  4. Al-Mutawa SA, Shyama M, Honkala E: Maxillary canine-to-first premolar bilateral transposition in a female with Down syndrome. A case report. Med Princ Pract. 12(3):193-196, 2003. https://doi.org/10.1159/000070759
  5. Shapira Y: Transposition of canines. J Am Dent Assoc. 100:710-712, 1980. https://doi.org/10.14219/jada.archive.1980.0217
  6. Chattopadhyay A, Srinivas K: Transposition of teeth and genetic etiology. Angle Orthod. 66:147-152, 1996.
  7. Weeks EC, Power SM: The presentations and management of transposed teeth. Br Dent J. 18:421-424, 1996.
  8. Peck S, Peck L: Classification of maxillary tooth transpositions. Am J Orthod Dentofacial Orthop. 107:505-517, 1995. https://doi.org/10.1016/S0889-5406(95)70118-4
  9. Khocht A, Janal M, Turner B: Periodontal health in Down syndrome: Contributions of mental disability, personal, and professional dental care. Spec Care Dentist. 30(3): 118-123, 2010. https://doi.org/10.1111/j.1754-4505.2010.00134.x
  10. Reuland-Bosma W, van Dijk J: Periodontal disease in Down's syndrome: a review. J Clin Periodontol. 13:64-73, 1986. https://doi.org/10.1111/j.1600-051X.1986.tb01416.x
  11. Maia FA: Orthodontic correction of a transposed maxillary canine and lateral incisor. Angle Orthod. 70:339-348, 2000.