Description

A patient with Down's syndrome (Trisomy 21) may be at increased risk for periodontitis and caries. Identification of a patient at risk means that preventive measures can be taken before serious problems arise. Good oral health can improve the quality of life for the patient with Down's syndrome.


Factor

Increased Risk

Decreased Risk

severity of mental retardation

severe

mild

personal oral hygiene

poor

good

dental care

poor

good, with sealant applied to teeth

diabetes

present

absent

family economic status

low

high

diet

unregulated with sugary drinks

limited with reduced intake of items promoting caries

 

The presence of cardiac malformations may place a patient with poor oral health at increased risk for endocarditis associated with bacteremia.

 


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