2016 Volume 37 Issue 2 Pages 174-179
Trisomy 13 is an autosomal chromosomal abnormality caused by an extra chromosome 13. The frequency is considered to be one out of 5,000-12,000 births. Trisomy 13 presents with serious congenital heart disease, respiratory disease and brain malformation, and most with this condition die early. We report the dental treatment for a very rare case of an adult patient with partial trisomy 13.
The patient was a 22-year-old woman, 118 cm tall and 12 kg in weight, with severe mental retardation, agenesis of the corpus callosum, and epilepsy. The patient was non-cooperative due to her mental retardation and it was necessary to treat many of her teeth, so we decided to treat her under general anesthesia. Composite restorations were placed in eight carious molars and three primary teeth were extracted. The treatment time was 1 hour 50 minutes, and anesthesia time was 2 hours 59 minutes. She was in good condition just after dental treatment.
However, one month later she was hospitalized with a lung abscess that was thought to be due to an infection after teeth extraction. Afterwards, she was hospitalized several times with an infectious disease, and was considered to be at high risk for infection.
We intend to continue planning her oral health maintenance in cooperation with pediatrics and other departments.
