Opitz G/BBB syndrome is a genetic condition characterized by several abnormalities along the midline of the body, such as hypertelorism, craniofacial deformities, and dysphagia. This study reports the clinical features of Optiz syndrome and its importance in the knowledge of patients who are developmentally challenged as a whole, in order to establish adequate dental treatment for a certain clinical case. A 19-year-old patient visited the Paulista University for a dental treatment. The extraoral examination revealed ocular hypertelorism (wide-spaced eyes), oblique eyelids, epicanthus, low-set cart, and intellectual disability. During the intraoral examination, large caries lesions were observed surrounding the braces of the fixed orthodontic appliance and poor oral hygiene. Preventive and restorative treatments were carried out. It was concluded that the knowledge of patients with special needs as a whole is mandatory for an adequate dental treatment. This is a case report that highlights the importance of dentist and interdisciplinary care attendance for all patient systems, the examination and analyses should not be restricted to the oral cavity.
El síndrome del cromosoma 18 en anillo es un desorden inusual cromosómico con varios cambios generalizados en el cuerpo y boca. Este artículo presenta el reporte del caso de un niño con síndrome del cromosoma 18 en anillo con retardo mental. Esta combinación raramente estudiada, presenta cambios generales y bucales predominantes y retención prolongada de dientes deciduos. El odontólogo debe estar preparado para detectar estos hallazgos en este tipo de pacientes y tratarlos precozmente proporcionando mejoras en su calidad de vida.
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