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rev port estomatol med dent cir maxilofac . 2021;62(1):42-49 47
Figure 8. Timeline of interventions and outcomes. Oral health approach in Coffin-Siris Syndrome.

2018 Clinical diagnosis -CSS

Genetic counseling and Multidisciplinary Care

Cardiologist, Otorhinolaryngologist ,Speech Emergency appointment
therapist and Dentistry. "spontaneous pain in a posterior
tooth"

March, 2019 Intraoral examination
Anamnesis and Gingivitis
physical examination Gingival hyperplasia
(Syndrome identification) Enamel hypomineralization
Caries lesions
Treatment planning:
Dental prophylaxis
Instructions on Oral hygiene
Extraction Permanent tooth extraction
Restoration

+ 7 days
Firs appointment:
Suture was removed
Dental prophylaxis
Instructions on Oral hygiene and
dietary advice
Behavior Management

+ 7 days

Second appointment:
Restoration

Follow-up 14 days
The oral condition was
improved + 14 days

Follow-up every 3
months
The oral condition was
improved March 2020

Figure 8. Timeline of interventions and outcomes. Oral health approach in Coffin -Siris Syndrome.

recognized to be multifactorial and caused by gingival fibro- phylactic periodontal therapy associated with oral hygiene
blast dysfunction. instructions can be used to treat gingival hyperplasia. In the
Gingival hyperplasia or hypertrophy makes it difficult to present case, after professional prophylaxis and guidance on
maintain oral hygiene and, often, masticatory function, lead- oral hygiene habits, the clinical condition improved in 2
20
ing to bacterial biofilm accumulation. Conservative pro- weeks. Patients with gingival hyperplasia should be careful-