[Orthodontics in Down Syndrome]

People with Down syndrome present unique dental and orthodontic challenges due to abnormalities in growth, craniofacial development, and oral motor function. This article summarizes the specific characteristics of Down syndrome and how they can impact orthodontic care. Children with Down syndrome exhibit growth delays starting from pregnancy and experience delayed, limited craniofacial development, often resulting in Class III malocclusions and a narrow maxilla. Additionally, dental anomalies such as microdontia, agenesis, and taurodontism are more common in this population. Orthodontic treatment is further complicated by comorbidities such as hypotonic muscles, obstructive sleep apnea, gastrointestinal and hematologic disorders, and behavioral challenges. The use of desensitization techniques and a multidisciplinary approach is essential for providing effective care. Early diagnosis, careful monitoring, and the use of appropriate orthodontic appliances are crucial for achieving optimal outcomes. Timely referral to specialized care providers can significantly improve both orthodontic outcomes and the quality of life for individuals with Down syndrome.