Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.5281/zenodo.4483765
Iberoamerican Journal of Medicine
Case Report

Rubinstein-Taybi syndrome: principal oral and dental disorders and literature update

Alejandro Carlos de la Parte-Serna, Ricardo Ortega-Soria, Gonzalo Oliván-Gonzalvo

Downloads: 1
Views: 999

Abstract

Introduction: Oral and dental (OD) disorders in children with Rubinstein-Taybi syndrome (RTS) are frequent but not well-known by dentists and pediatricians due to the syndrome being extremely rare.
Objective: To describe the OD findings observed in a 5-year-old girl with RTS and to update the literature.
Clinical case: The patient presented the following OD manifestations: prominent lower lip, narrow mouth opening, narrow and arched palate, history of angular cheilitis, micrognathia, poor lingual motility, plaque and tartar, bleeding from gingival areas due to poor dental prophylaxis, and malocclusion in the form of an anterior open bite. These OD manifestations are seen in more than 40-60% of patients with RTS.
Conclusions: Professionals who treat children with RTS should become aware of the advisability of referring them to the pediatric dentist from 1 year of age and performing check-ups every 6 months. Dental management is often difficult so collaboration with anesthesiologists is recommended in order to carry out a safe and effective treatment.

Keywords

Rubinstein-Taybi syndrome; Odontostomatology disorders; Pediatric dentistry; Disabled persons; Determination of healthcare needs; Special patients; Talon cusps

References

1. Stevens CA. Rubinstein-Taybi Syndrome. 2002 Aug 30 [updated 2019 Aug 22]. In: Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Mirzaa G, et al, editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2021.
2. Tekendo-Ngongang C, Owosela B, Fleischer N, Addissie YA, Malonga B, Badoe E, et al. Rubinstein-Taybi syndrome in diverse populations. Am J Med Genet A. 2020;182(12):2939-50. doi: 10.1002/ajmg.a.61888.
3. Hennekam RC, Van Doorne JM. Oral aspects of Rubinstein-Taybi syndrome. Am J Med Genet Suppl. 1990;6:42-7. doi: 10.1002/ajmg.1320370607.
4. Davidovich E, Eimerl D, Peretz B. Dental treatment of a child with Rubinstein-Taybi syndrome. Pediatr Dent. 2005;27(5):385-8.
5. Freitas NM, Imbronito AV, La Scala CS, Lotufo RF, Pustiglioni FE. Periodontal disease in a Rubinstein-Taybi syndrome patient: case report. Int J Paediatr Dent. 2006;16(4):292-6. doi: 10.1111/j.1365-263X.2006.00721.x.
6. Stalin A, Varma BR; Jayanthi. Rubinstein Taybi syndrome. J Indian Soc Pedod Prev Dent. 2006;24 Suppl 1:S27-30.
7. Bloch-Zupan A, Stachtou J, Emmanouil D, Arveiler B, Griffiths D, Lacombe D. Oro-dental features as useful diagnostic tool in Rubinstein-Taybi syndrome. Am J Med Genet A. 2007;143A(6):570-3. doi: 10.1002/ajmg.a.31622.
8. Morales-Chávez MC. Dental management of a patient with Rubinstein-Taybi syndrome. Spec Care Dentist. 2010;30(3):124-6. doi: 10.1111/j.1754-4505.2010.00137.x.
9. Münevveroglu AP, Akgöl BB. Rubinstein-taybi syndrome: a case report. Case Rep Dent. 2012;2012:483867. doi: 10.1155/2012/483867.
10. Gunashekhar M, Hameed MS, Bokhari SK. Oral and dental manifestations in Rubinstein-Taybi syndrome: report of a rare case. Prim Dent Care. 2012;19(1):35-8. doi: 10.1308/135576112798990773.
11. Tirali RE, Sar C, Cehreli SB. Oro-facio-dental findings of rubinstein-taybi syndrome as a useful diagnostic feature. J Clin Diagn Res. 2014;8(1):276-8. doi: 10.7860/JCDR/2014/6710.3929.
12. Roberts TS, Chetty M, Stephen L, Urban M, Fieggen K, Beighton P. Rubinstein-Taybi syndrome: Dental manifestations and management. S Afr J Child Health. 2014;8:28-30.
13. Saberbein JAR, Medina RPPS, Pucumucha RCP, Samaniego UMG. Rubinstein-Taybi syndrome, medical and dental care for special needs patients: clinical case report. Rev Odont Mex. 2016;20:196-201. doi: 10.1016/j.rodmex.2016.08.017.
14. Cavalcanti Monteiro de Oliveira S, Campos Burigo R, Araujo de Lucena Lira G, Bissoto Calvo AF, Kerber Tedesco T, Pettorossi Imparato JC. Síndrome de Rubinstein-Taybi: Reporte de caso con 7 años de seguimiento. Rev Odontopediatr Latinoam. 2020;10:102-10.
15. Altintas F, Cakmakkaya S. Anesthetic management of a child with Rubinstein-Taybi syndrome. Paediatr Anaesth. 2004;14(7):610-1. doi: 10.1111/j.1460-9592.2004.01314.x.


Submitted date:
01/05/2021

Reviewed date:
01/19/2021

Accepted date:
01/22/2021

Publication date:
01/31/2021

6016ec1d0e8825d337839bdc iberoamericanjm Articles
Links & Downloads

Iberoam J Med

Share this page
Page Sections