RESUMO
Down syndrome (DS) children with sleep apnea often present with oral breathing associated with nasal obstruction. This causes the oral cavity and pharynx to become dry. We describe the treatment of three DS children with sleep apnea who were treated using products for oral dryness. Snoring disappeared after treatment in two of the children and apnea disappeared in all three. The symptoms of a reddened oral mucosa and coated tongue disappeared in all three DS children. Saliva pH testing demonstrated that the pH value increased in all of the children after treatment. These results indicate that oral care can improve the oral hygiene status of DS children, and that proper oral care can help prevent oral mucosal dryness and thereby reduce sleep apnea symptoms.
Assuntos
Assistência Odontológica para Doentes Crônicos , Síndrome de Down/complicações , Respiração Bucal/complicações , Apneia Obstrutiva do Sono/complicações , Ronco/terapia , Xerostomia/etiologia , Xerostomia/terapia , Criança , Feminino , Humanos , Concentração de Íons de Hidrogênio , Masculino , Antissépticos Bucais/uso terapêutico , Higiene Bucal/métodos , Polímeros/uso terapêutico , Saliva Artificial/uso terapêutico , Apneia Obstrutiva do Sono/terapia , Ronco/etiologia , Xerostomia/complicaçõesRESUMO
Here, we report the case of a male child with achondroplasia who was diagnosed with obstructive sleep apnea and underwent adenoidectomy and tonsillectomy. By analyzing lateral cephalograms, we evaluated the craniofacial and pharyngeal airway morphology immediately before surgery (age, 5 years 6 months) and 1 year 2 months after surgery (age, 6 years 8 months). Adenoidectomy and tonsillectomy dilated the pharynx and improved the craniofacial and pharyngeal morphologies, apparently thus improving the sleep apnea.
Assuntos
Acondroplasia/complicações , Ossos Faciais/patologia , Faringe/anatomia & histologia , Faringe/patologia , Apneia Obstrutiva do Sono/cirurgia , Acondroplasia/patologia , Adenoidectomia , Cefalometria , Pré-Escolar , Humanos , Masculino , Apneia Obstrutiva do Sono/etiologia , TonsilectomiaRESUMO
When a tooth is avulsed and replanted following traumatic dental injury, complications such as replacement and inflammatory resorption may occur. Ultimately, resorption may result in loss of the tooth. This case report describes a traumatic injury to a permanent tooth resulting in complete root resorption within a short period, which required surgery. In the present case, improper treatment measures such as dry condition of the avulsed tooth before replantation and extra-oral retrograde root canal filling may have led to rapid complete root resorption. Even if it is impossible to avoid resorption completely, the overall knowledge of both dentists and patients regarding traumatic dental injuries should be improved to delay the progress of resorption.
