405 - Considerations for a Patient with Trisomy 18: A Case Report

Saturday, May 27, 2023

11:00 AM – 11:15 AM

Location: Exhibit Hall

Has Audio

Presenting Author(s)

Marivic F. De Leon-Balitaan, DMD

Pediatric Dental Resident
University of California, San Francisco
University of California, San Francisco
San Francisco, California, United States

Co-Author(s)

TO

Tanner J. Olson, DDS

University of California, San Francisco

Program Director(s)

TT

Thomas Tanbonliong, DDS

Program Director
University of California, San Francsico
SAN FRANCISCO, California, United States

Research Mentor(s)

RS

Ray Stewart, DMD, MS

Professor
University of California, San Francsico
San Francisco, California, United States

Trisomy-18, commonly known as Edward’s Syndrome, is a severe genetic condition involving low birth weight, multiple birth defects, and several defining physical characteristics. Affected individuals often present with overlapping fingers, low-set ears, hypotonia, club feet, and heart and lung abnormalities among others. For babies who survive pregnancy and labor, only 10% will survive their first-year. Children born with trisomy-18 require specialized, interprofessional care to address their unique symptoms. Secondary to hypotonia and feeding difficulties, patients require foods to be high in sugar and in puree form. Along with an inability to independently perform oral hygiene, patients face a high risk for developing dental caries. The aim of this presentation is to detail a case report involving a 5-year old boy with trisomy-18 who presented for treatment with severe early childhood caries at the UCSF Pediatric Dental Clinic. Due to the extensive medical history and behavioral components, treatment was rendered under general anesthesia in a hospital setting.