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Case Reports in Dentistry
Volume 2016, Article ID 4130961, 4 pages
http://dx.doi.org/10.1155/2016/4130961
Case Report

Dental Treatment of a Child with Pallister-Killian Syndrome

1Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul Medipol University, Turkey
2Department of Pediatric Dentistry, Faculty of Dentistry, Gazi University, Turkey
3Department of Anesthesia and Reanimation, Faculty of Medicine, Gazi University, Turkey
4Department of Pediatric Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA

Received 25 November 2015; Accepted 18 January 2016

Academic Editor: Michael J. Wahl

Copyright © 2016 Serhan Didinen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The Pallister-Killian syndrome (PKS) is an extremely rare genetic disorder with an incidence estimated around 1/25000. PKS is a multiple congenital anomaly deficit syndrome caused by mosaic tissue limited tetrasomy for chromosome 12p. The presented report is the first confirmed case with PKS in Turkey. This report focuses on the orofacial clinical manifestations of an 6-year-old boy with PKS who was referred to the Department of Paediatric Dentistry clinic, Gazi University. It has been learned that the PKS was diagnosed 1 year after birth. Due to intellectual disability, it was decided to make the dental treatments under moderate sedation. Although significant tongue thrust and anterior open bite were determined, any oral appliances could not be applied because of the 2 epilepsy seizures in the last 2 years. The aim was to treat decayed teeth and set good oral hygiene in the patient’s mouth. Still, there is a probability for epilepsy seizures. If epileptic seizures stop permanently, we can apply an oral appliance to block tongue thrust. The patient is now under control. In cases of systemic and oral findings such as PKS, conducting medical and dental approaches together will increase the life quality of patients.