TY - JOUR T1 - Rubinstein-Taybi syndrome, medical and dental care for special needs patients: Clinical case report JO - Revista Odontológica Mexicana T2 - AU - Reyes Saberbein,Jorge Alejandro AU - Soldan Medina,Roberto Paúl Paz AU - Palian Pucumucha,Raúl Claver AU - Gutiérrez Samaniego,Úrsula Margarita SN - 1870199X M3 - 10.1016/j.rodmex.2016.08.017 DO - 10.1016/j.rodmex.2016.08.017 UR - https://www.elsevier.es/es-revista-revista-odontologica-mexicana-90-articulo-rubinstein-taybi-syndrome-medical-dental-care-S1870199X1630043X AB - Medical and dental care for special needs patients oftentimes require effective and rapid clinical approach so as to improve patients’ quality of life. Rubinstein-Taybi syndrome is a rare disorder where anomalies in genes CREBBP and EP300 are observed. This syndrome was first described in 1963 by two North American physicians. Among the main characteristics and manifestations of this syndrome we can count mental retardation (moderate or severe) microcephaly, thickened first finger or toe, growth retardation, characteristic face with hypoplastic lower jaw, downward-sloping arched palate, palpebral fissure, irregularly implanted teeth, crowded teeth, strabismus, low-set, malformed ears, beak-shaped nose, bushy eyebrows and long eyelids. The concept of patient adaptation to the dental office entails achieving and preserving his collaboration during treatment by means of a show-and-tell process. Behavior was modeled with gradual exposition, positive reinforcement and active physical restraint with the mother's help. ResultsThe patient's oral health was satisfactorily reestablished. ER -