2013, Number 3
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Arch Inv Mat Inf 2013; 5 (3)
Rehabilitación estomatológica bajo anestesia general en pacientes con síndrome de Down. Presentación de cuatro casos
López HIM, Cárdenas MMA
Language: Spanish
References: 15
Page: 139-145
PDF size: 225.41 Kb.
ABSTRACT
The Down syndrome cases are on the rise and most often
reach the health institutions for an integral treatment, therefore oral rehabilitation under general anesthesia is an alternative treatment in patients with Down syndrome because
a high percentage are related to systemic diseases and high
incidence of caries, and they require interdisciplinary care.
Cases: The four patients presented were rehabilitated under general anesthesia in the Department of Pediatric Dentistry Dental Specialty Center of Maternal and Child Institute of the State of Mexico with underlying diagnosis of Down syndrome, presenting different systemic disorders, to individualize each case attention to determine the dental and anesthetic management for treatment.
Objective: To know how to manage the dental treatment under general anesthesia for the patient with Down syndrome with different systemic conditions.
Conclusion: Patients with Down syndrome have a high rate of caries and systemic disorders such as heart disease, thyroid disorders, psychological disorders, and others, every case must be handling on an individual basis with the use of surgical and anesthetic techniques updated for a better quality treatment of these patients.
REFERENCES
Loyola-Rodríguez JP, Aguilera-Morelos AA, Torres- Juárez A, Santos-Díaz MA, González-Azúara K. Necesidades de tratamiento odontológico de pacientes pediátricos bajo anestesia general, Bol Med Hosp Infant Mex, 2002; 59 (5): 288-296.
Garcés VA, Cárdenas MMA, Robles BNL, Guadarrama QLJ. Rehabilitación bucal bajo anestesia general en pacientes pediátricos del Centro de Especialidades Odontológicas, Arch Inv Mat Inf, 2012; 4 (2): 63-70.
Cooley WC, Graham JM Jr. Down syndrome: an update and review for the primary pediatrician, Clin Pediatr (Phila), 1991; 30 (11): 233-253.
American Academy of Pediatrics. Committee on Genetics Health Guidelines for Children with Down syndrome, Pediatrics, 1994; 93 (8): 855-859.
Mirón-Rodríguez MF, García-Miguel FJ, Becerra-Cayetano A, Cojo-Del Peces E, Gilsanz-Rodríguez F. Anestesia general en pacientes con discapacidad intelectual sometidos a cirugía dental, Rev Esp Anestesiol Reanim, 2008; 55 (3): 137-143.
Sterling ES. Oral and dental considerations in Down syndrome, Down Syndrome Advances in Medical Care, 1992; 5 (3): 135-145.
Molina BJM. Atención y cuidados odontológicos para los niños con síndrome de Down, Rev Síndrome de Down, 2005; 22 (84): 15-19.
Limeres PJ, Vázquez GE, Medina HJ, Tomás CI, Fernández FJ, Diz DP. Evaluación preanestésica de discapacitados severos susceptibles de tratamiento odontológico bajo anestesia general, Med Oral, 2003; 8 (5): 353-360.
González ACL, Loyola RJP, Aguilera MAA, Juárez LLA, Patiño MN. Frecuencia de tratamientos odontológicos bajo anestesia general en niños sanos y sistémicamente comprometidos. Asociación Costarricence de Congresos Odontológicos, 2006, 15. en: http://www. congresoacco.com/articulos/articulos/2006/art-15.pdf (agosto 2011).
Aracena AM. Cardiopatías congénitas y síndromes malformativos- genéticos, Rev Chil Pediatr, 2003: 74 (4); 426-431.
Figueroa JR, Pozzo MB, Pablos HJL, Calderón JC, Castrejón UR. Malformaciones cardiacas en los niños con síndrome de Down, Rev Esp Cardiol, 2004; 56 (9): 894-899.
Bancalari SC, Oliva MP. Biological risk of caries in children between 12-17 years with Down syndrome of Cavime, Concepcion, year 2010, Int J Odontostomat, 2012; 6 (2): 221-224.
Cabral Xavier AF, Pina Godoy G, Gordón-Nuñez MA, Barros de Alencar R, Leite-Cavalcanti A, Uchöa Lins DA. Prevalencia de anormalidades bucales y caries dental en portadores de síndrome de Down, Acta Odontol Venez, 2012; 50 (4).
Rodríguez-Villarreal MS, Durán-Gutiérrez LA, De la Teja- Ángeles E, Palacios-Macedo QA, Osnaya-Martínez H. Rehabilitación bucal bajo anestesia general en pacientes cardiópatas. Experiencia de cuatro años en el Instituto Nacional de Pediatría, Acta Pediatr Mex, 2012; 33 (2): 71-75.
Luna P, Molina-Méndez J, Romero J, Blanco-Pajon M, Hurtado-Reyes C. Efecto hemodinámico del propofol en el paciente cardiópata, Rev Mex Anes, 1988; 11 (2): 71-76.