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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
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
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
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
