Abstract
Down syndrome is a genetic disorder that occurs at an average frequency of 1 in 800 births. This syndrome, which develops as a result of the triplication of chromosome 21, is associated with characteristic facial features, mild to moderate intellectual disability, physical growth delays, characteristic facial features, low muscle tone. Orthodontic treatment in a patient with Down syndrome represents a real challenge, both in terms of the complex manifestations of this syndrome (whether they are systemic manifestations or strictly oral manifestations) and in terms of collaboration with specialists in other medical fields and more. This case illustrates the effectiveness of cooperation within the multidisciplinary treatment team and also the good collaboration with the pacient and especially with his parents.
Highlights
Down syndrome is a genetic disorder that occurs at an average frequency of 1 in 800 births
Prin integrarea psihoterapeutului în echipa terapeutică, colaborarea cu pacientul care are sindrom Down [8,10] poate fi îmbunătăţită
Colaborarea cu pacientul a putut fi obţinută prin susţinerea intensă a personalului medical de către părinţii acestuia, efectuarea de şedinte terapeutice scurte şi aplicarea, la sugestia psihoterapeutului, a tehnicii de management comportamental „spune-arată-fă“ („tellshow-do“); tehnica implică explicaţii verbale ale procedurilor în fraze corespunzătoare nivelului de dezvoltare a pacientului („spune“), demonstraţii vizuale, auditive, tactile ale procedurii („arată“) şi apoi, fără abateri de la explicaţia şi demonstraţia anterioară, finalizarea procedurii („fă“) [11], toate acestea contribuind la eficientizarea actului terapeutic
Summary
Down syndrome is a genetic disorder that occurs at an average frequency of 1 in 800 births. În vederea instituirii şi reuşitei tratamentului ortodontic în cazul unui pacient cu sindrom Down este necesară cumularea eforturilor şi cunoştinţelor medicului pediatru, ale celui de familie, ale ortodontului, ale psihologului şi logopedului, în cadrul echipei multidisciplinare fiecare dintre aceştia având un rol binedefinit.
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