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Navigating Treatment Refusal: Behaviour Guidance for Down Syndrome Oral Health Management
Lila Sari1, Risti Saptarini Primarti2, Arlette Suzy Setiawan2
1Pediatric Dentistry Residency Program Faculty of Dentistry Universitas Padjadjaran, Bandung, Indonesia.
Case Reports in Dentistry
|June 26, 2024
Summary
This case report details a successful dental treatment approach for a 9-year-old boy with Down syndrome (DS) who initially refused care. A tailored, gradual method using behavior guidance techniques enabled comprehensive dental management without sedation.
Area of Science:
- Pediatric Dentistry
- Special Health Care Needs
- Down Syndrome (DS) Management
Background:
- Dental care for children with special health care needs presents unique challenges.
- This case report focuses on a 9-year-old boy with Down syndrome (DS) exhibiting dental treatment refusal.
Observation:
- The patient presented with multiple cavities and retained primary teeth.
- Over ten months and 13 visits, a tailored approach was implemented.
- Key strategies included gradual introduction of dental procedures and behavior guidance techniques.
Findings:
- Successful dental care was achieved without the need for sedation or general anesthesia.
- The methodical approach overcame the child's initial refusal.
- Comprehensive treatment included tooth brushing, intraoral examination, preparation, extraction, and myofunctional therapy.
Implications:
- Patient-centered strategies and clear communication are crucial for pediatric dentistry in children with DS.
- This case offers valuable insights for managing dental challenges in children with Down syndrome.
- Effective behavioral guidance can facilitate necessary dental interventions for special needs patients.
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