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原文題目(出處): Management of patient with acrometageria for routine dental treatment: A case report. Spec Care Dentist 2016;36:32-8 原文作者姓名: Young AS, Cooke MR, Taiclet LM

通訊作者學校: University of Pittsburgh 報告者姓名(組別): 康祐禎 Intern C 組

報告日期: 2016/10/06

內文:

A. Introduction 1. Acrometageria

a. Progeroid syndromes

b. inheritance is yet to be determined c. Characterize

 short, thin stature

 beaked nose

 atrophy on extremities

 little subcutaneous fat d. Acrogeria + metageria

2. dentistry for special needs patients

a. manage patients with unique conditions b. recognizing management options

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B. Case report

1. Medical history

a. Acrometageria b. Mallampati Class IV c. Micrognathia

d. decreased mouth opening e. decreased thyromental distance f. decreased cervical range

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Dental history

 tooth #14 restoration was determined to be unrestorable and treatment planned for extraction

 father accompanied him and provided encouragement until the patient was sedated

 tooth #14 extracted and resin restoration of tooth #21 Sedation C. Discussion

1. Progeroid syndromes

a. premature aging and shortened life expectancies b. accelerated aging

c. “bird-like” facies, alopecia, craniofacial disproportion, hypodontia, delayed eruption, and dental crowding

2. Treatment

a. chronological age

b. thorough medical history and clinical examination c. specialized dental care

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d. American Dental Association (ADA)

e. conditions and associated limitations to treatment

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f. Behavioral support techniques

Psychological support

 created a calm work

 Social support

g. Special Care Dentistry Association rationales for use of sedation and general anesthesia

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h. sedation or general anesthesia

 difficult for endotracheal tube

i. barriers to dental patients with special needs

 insufficient numbers of trained personnel

 difficulty informed consent

 lack facilities D. Conclusion

1. special needs patients is growing

2. with proper patient assessment, provider education, and treatment planning consideration, a combination of appropriate support modalities may be utilized in successfully caring for patients with special needs.

題號 題目

1 下列關於 Acrometageria 的敘述何者有誤?

(A) Acrometageria have been identified as autosomal recessive (B) short, thin stature

(C) atrophy on extremities (D) Progeroid syndromes 答案(A) 出處:introduction + table 1

題號 題目

2 哪個不是Behavioral support techniques (A) Voice control

(B) Tell-show-do (C) Parental presence (D) negative reinforcement 答案(D ) 出處:Table 5

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