Oral Hygiene as the Main Challenge for Patients with Down Syndrome

Abstract

Introduction: The first dental care for children with Down syndrome is important to start early education in prevention since they have motor difficulties that result in poor oral hygiene.

Case Report: Preschool patient, 3 years 11 months old, Frankl 1. Down syndrome, hypothyroidism treated with Eutirox 12.5 mg per day, atopic dermatitis, hyperlaxity. Under treatment with a multidisciplinary team. Complete primary dentition, high caries risk, gingivitis associated with bacterial plaque. Rotation of 5.1 and 6.1, crowding in group II, deep palate. Mouth breather, object interposition, digital sucking, and hypotonia.

Conclusions: The case highlights the importance of early and specialized dental care. The motor difficulties associated with this condition can hinder proper oral hygiene habits, increasing the risk of developing caries and periodontal disease. The presence of other medical conditions, such as hypothyroidism and atopic dermatitis, can also affect oral health. Therefore, it is crucial to implement personalized prevention and treatment strategies, including caregiver education and coordination with other health professionals, to optimize the comprehensive management of oral health in patients with Down syndrome.