Neonatal and Pediatric Medicine
Open Access

Case Report

Dental Considerations in Dandy-Walker Malformation

Rungnapa Warotayanont^1*, Samuel Huang², Ram Vaderhobli², Juei Kao¹ and Thuan Le¹

¹Division of Pediatric Dentistry, Department of Oro-facial Sciences, University of California San Francisco, San Francisco, USA

²Department of Preventive and Restorative Dental Sciences, University of California San Francisco, San Francisco, USA

*Corresponding Author:

Warotayanont R
Division of Pediatric Dentistry
Department of oro-facial Sciences
University of California, San Francisco, California, USA
Tel: (415) 476-3276
FAX: (415) 514-2561
E-mail: Rungnapa.Warotayanont@ucsf.edu

Received Date: May 03, 2016; Accepted Date:May 11, 2016; Published Date: May 17, 2016

Citation: Warotayanont R, Huang S, Vaderhobli R, Kao J, Le T (2016) Dental Considerations in Dandy-Walker Malformation. Pediatr Dent Care 1:108. doi:10.4172/pdc.1000108

Copyright: © 2016 Warotayanont R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Dandy-Walker malformation is a rare congenital cystic malformation of the posterior cranial fossa. Patients with Dandy-Walker malformation show signs and symptoms of complex clinical manifestations, ranging from cranial nerve and cerebellar dysfunctions to extracranial abnormalities, which may pose challenges in dental management. In the current report, an 11 year-old boy with Dandy-Walker malformation presented with fracture of previously root canal-treated right maxillary central incisor. He was developmentally delayed, hearing and visually impaired, and presented with ataxic gait. Following clinical examination and behavioral assessment, dental treatments including gingivectomy, fiber post bonding and coronal restoration were planned and completed under the use of oral sedative medications. Patient tolerated the procedure well with no complications during and after the treatment. Despite the complexity of Dandy-Walker malformation, the careful review of medical history and proper behavioral assessment suggests that dental treatment can be achieved in the dental chair.

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