Interdisciplinary cooperation during dental treatment of patient with rare disease - Kabuki syndrome
Abstract
Rare diseases in orofacial region are characteristic of population prevalence less than 1 : 2000 inhabitants. Therapy of these diseases is mostly long-term and quality cooperation between parents and medical specialists across many different disciplines is necessary during the therapy.
It does not mean that this child patient can not live full-fledged life with smooth integration into society in adulthood. It is necessary to take into account limited possibility of medically compromised patient's cooperation during devising global therapeutic plan.
It is made use of interdisciplinary cooperation with specialized department, which can give medical treatment in general anaesthesia etc. Many specialists take a part in the treatment from geneticist trough orthodontist to maxillofacial surgeon.
The case report describes progress of the treatment of medically compromised patient with Kabuki syndrome on the Department of Paediatric Dentistry, Charles University, 2nd Faculty of Medicine and Motol University Hospital, Prague. Orthodontic treatment was finished after 1 year and 3 months with recommendation to keeping proper hygiene by periodic check-up of dental hygiene.
This rare syndrome has prevalence 1 : 32 000 and it is manifested by many different characteristics.