Prader-Willi Syndrome: clinical case report

Resumo

Prader-Willi syndrome (PWS) is a neurobehavioral
genetic disease whose cause is failure on chromosome 15. It
is considered the primary genetic cause of obesity, since it is
characterized by hyperphagia. Although the scientific literature
will produce articles on Prader-Willi syndrome, few reported oral
conditions of these patients. Objective: This study aimed to describe
the oral health status of a patient diagnosed with PWS. Case report:
A boy aged 10 years-old, leucoderma, attended the Discipline of
Dentistry for Special Care Patients, Pontifical Catholic University
of Paraná (PUCPR), with all the inherent PWS characteristics such
as hyperphagia and obesity. Clinical, radiographic and laboratory
tests were performed to verify the oral health conditions which
showed the presence of biofilm accumulation, gingivitis and a high
DMFT index. It was necessary to adequate oral environment through
extractions, restorations, and prophylactic therapy. Conclusion:
Considering the information obtained, it was concluded that the
motivation to maintain oral health should be constant for this patient
and involve family, since hyperphagia, which is a determinant for
obesity, decisively contributes to the evolution of oral diseases.