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疑似acrocallosal症候群患者之全口重建-病例報告

Dental Rehabilitation of a Patient with Suspected Acrocallosal Syndrome: Case Report

摘要


Acrocallosal症候群患者常有手指(腳趾)的中軸前多指(趾)或中軸後多指(趾)、合指症、嚴重智能障礙、胼胝體無發育或發育不全、生長遲緩等,也有可能發生多樣的先天異常問題。本篇報告在介紹一位疑似患有acrocallosal症候群男童在五歲七個月時因嚴重齲齒且無法配合門診治療,經診斷與評估後,於全身麻醉下完成全口重建牙科治療,包含十四顆乳牙根管治療、六顆前牙複合樹脂填補、八顆乳臼齒不鏽鋼牙冠製作,目前狀況良好且定期回診。

並列摘要


The acrocallosal syndrome is characterized by post-and/or pre-axial polydactyly, syndactyly of the fingers and toes, severe mental retardation, agenesis or hypoplasia of the corpus callosum, and growth retardation. This report describes a successful full mouth dental rehabilitation performed under general anesthesia on a 5 years 7 months old boy with suspected acrocallosal syndrome because of uncooperative behavior and multiple severe caries. Treatment performed included pulpectomy on fourteen teeth, six resin-based composite restorations, and eight preformed metal crowns. The patient was routine follow-up in pediatric dental clinic and the oral condition was stable.

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