Oral Manifestation and Dental Management of CATCH 22 Syndrome

The deletion of chromosome 22q11.2 is described as CATCH 22,Velocardiofacial Syndrome or Di George Syndrome. The acronymof CATCH 22 stands for cardiac defect, abnormal faces, thymichypoplasia, cleft palate, hypocalcaemia but the acronym doesnot express all of the symptoms of CATCH 22 syndrome. Someclinical findings of CATCH 22 relate to congenital cardiac defects,velopharyngeal insufficiency with or without cleft palate, immuneproblems, feeding difficulties, hypocalcaemia, learning disabilities,behavioral abnormalities and lastly characteristic facial features. Atreatment protocol of a 7-year-old child with CATCH 22 syndromewho also has dental caries complaint, toothache has been presented.Dental caries treatment and prophylactic application have been donefor the patient. As a result, this study basically depicts how a dentalapproach can be followed for those patients who have CATCH 22syndrome.

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The deletion of chromosome 22q11.2 is described as CATCH 22, Velocardiofacial Syndrome or Di George Syndrome. The acronym of CATCH 22 stands for cardiac defect, abnormal faces, thymic hypoplasia, cleft palate, hypocalcaemia but the acronym does not express all of the symptoms of CATCH 22 syndrome. Some clinical findings of CATCH 22 relate to congenital cardiac defects, velopharyngeal insufficiency with or without cleft palate, immune problems, feeding difficulties, hypocalcaemia, learning disabilities, behavioral abnormalities and lastly characteristic facial features. A treatment protocol of a 7-year-old child with CATCH 22 syndrome who also has dental caries complaint, toothache has been presented. Dental caries treatment and prophylactic application have been done for the patient. As a result, this study basically depicts how a dental approach can be followed for those patients who have CATCH 22 syndrome.

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  • Oztas N, Atabek D. Catch 22 Sendromu gözlenen bir olguda parmak emme alışkanlığının multidisipliner tedavisi (in Turkish). Hacettepe Dis Hek. Fak. Derg 2009; 33: 31-36.
  • Turkmen M, Unuvar T, Tasun A, Ayvaz A, Ulucan H, Giray O. 22q11 Delesyon bir vaka takdimi (in Turkish). Cocuk Sag.ve Hast. Derg 2005; 48: 320-323.
  • Nugent N, McGillivary A, Earley MJ. 22q11 chromosome abnormalities and the cleft service. J Plast Reconstr & Aesthet Surg 2010; 63:598-602. Minier F, Carles D, Pelluard F, Alberti M, Stern L, Saura R. Di George syndrome, a review of 52 patients. Arch pediatr 2005; 12: 254–257.
  • McDonald-McGinn DM, Emanuel B.S, Zackai EH. 22q11.2 Deletion Syndrome. Gene Reviews 2005; 16: 1-25.
  • Dalben GS, Richieri-Costa A, Assis Taveira LA. Tooth abnormalities and soft tissue changes in patients with velocardiofacial syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106: e46-e51.
  • Klingberg G, Oskarsdóttır S, Johannesson EL, Norén JG. Oral manifestations in 22q11 deletion syndrome. Int J Paediatr Dent 2002; 12: 14–23.
  • Szczawinska-Poplonyk A, Gerreth K, Breborowicz A , BorysewiczLewicka M. Oral manifestations of primary immune deficiencies in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: e9-e20.
  • Klingberg G, Lingström P, Óskarsdóttir S, Friman V, Bohman E Carlén A. Caries-related saliva properties in individuals with 22q11 deletion syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 497-504.
  • Fukui N, Amano A, Akiyama S, Daikoku H, Wakisaka S, Morisaki I. Oral findings in DiGeorge syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89: 208-215.
  • Klingberg G, Dietz W, Óskarsdóttir S, Odelius H, Gelander L, Norén JG. Morphological appearance and chemical composition of enamel in primary teeth from patients with 22q11 deletion syndrome. Eur J Oral Sci 2005; 113: 303-311.
  • Kobrynski LJ, Sullivan KE. Velocardiofacial syndrome, DiGeorge syndrome: the chromosome 22q11.2 deletion syndromes. Lancet 2007; 370: 1443–1452.
  • Lipson A, Emanuel B, Colley P, Fagan K, Drıscoll D.A. “CATCH 22” sans cardiac anomaly, thymic hypoplasia, cleft palate, and hypocalcaemia: Catch 22. A common result of 22q11 deficiency? J Med Genet 1994; 31: 741.
  • Solot CB, Knightly C, Handler SD, Gerdes M, McDonald-McGinn DM, Moss E, Wang P, Cohen M, Randall P, Larossa D, Driscoll DA. Communication disorders in the 22q11.2 microdeletion syndrome. J. Commun Disord. 2000; 33: 187–204.
European Journal of Research in Dentistry-Cover
  • Başlangıç: 2015
  • Yayıncı: Marmara Üniversitesi
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