High-power laser for periodontal surgery in a patient with Down syndrome: A case report





Down syndrome; Laser surgery; Periodontal surgery.


Individuals with Down's syndrome exhibit typical dental characteristics, which require specialized dental treatment. Additionally, due to the intellectual deficit, this management may be even more challenging. In this clinical case, we present a promising treatment proposal, using high power laser, in a 12-year-old boy with pericoronitis, who was unable to undergo periodontal surgery with other professionals. The use of this technique resulted in a brief and excellent postoperative care. We conclude that this clinical approach can be indicated for individuals with Down syndrome who have mild to moderate intellectual impairment.


Campos, F. H. de O., Ferreira, L. B., Romano, M. M., Moreira, M. S., Eduardo, C. de P., & Ramalho, K. M. (2018). Immediatelaser-induced hemostasis in anticoagulated rats subjected to oral soft tissue surgery: A double-blind study. Brazilian Oral Research, 32(0).

Campos, L., Gallottini, M., Pallos, D., Simões, A., & Martins, F. (2018). High-power diode laser on management of drug-induced gingival overgrowth: Report of two cases and long-term follow-up. Journal of Cosmetic and Laser Therapy, 20(4), 215–219.

Ferrary, T., Sanchez Ratto, N., Martinez, D., Alvarez, M., Bianchi, M. L., Benitez, M. B., Armada, M., Echaide, M., Scagnet, G., & Orman, B. (2019). Psychoprophylaxis for oral conscious sedation for dental care in Down syndrome adults with behavioral disorder. Special Care in Dentistry, 39(4), 389–398.

Fidler, D. J., Schworer, E., Prince, M. A., Will, E. A., Needham, A. W., & Daunhauer, L. A. (2019). Exploratory behavior and developmental skill acquisition in infants with Down syndrome. Infant Behavior and Development, 54, 140–150.

Fragôso, D. N., Silva, G. M. L. N., Oliveira, J. J. M. de, Farias, M. F., Andrade, K. da S., Figueiredo, N. F. D. de, Fragoso, K. T., & Cardoso, A. M. R. (2021). Utilização dos serviços odontológicos por pacientes pediátricos com Síndrome de Down de acordo com os cuidadores. Research, Society and Development, 10(4), e9010413767.

Gasquoine, P. G. (2011). Cognitive impairment in common, noncentral nervous system medical conditions of adults and the elderly. Journal of Clinical and Experimental Neuropsychology, 33(4), 486–496.

Gontiya, S., Bhatnagar, S., & Mohandas, U. (2011). Laser-assisted gingivectomy in pediatric patients: A novel alternative treatment. Journal of Indian Society of Pedodontics and Preventive Dentistry, 29(3), 264.

Grieco, J., Pulsifer, M., Seligsohn, K., Skotko, B., & Schwartz, A. (2015). Down syndrome: Cognitive and behavioral functioning across the lifespan. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 169(2), 135–149.

Grigio, G. da S., Tateno, R. Y., Palma, L. F., Shitsuka, C., Sendyk, W. R., & Campos, L. (2020). High-power diode laser for second-stage implant surgery: A randomized pilot clinical trial. Research, Society and Development, 9(7), e128974122.

Katsarou, T., Kapsalas, A., Souliou, C., Stefaniotis, T., & Kalyvas, D. (2019). Pericoronitis: A clinical and epidemiological study in greek military recruits. Journal of Clinical and Experimental Dentistry, e133–e137.

Koche, J. C. (2011). Fundamentos de metodologia científica. Vozes.

Ludke, M. & Andre, M. E. D. A. (2013). Pesquisas em educação: uma abordagem qualitativa. E.P.U.

Martins, F., Simões, A., Oliveira, M., Luiz, A. C., Gallottini, M., & Pannuti, C. (2016). Efficacy of antimicrobial photodynamic therapy as an adjuvant in periodontal treatment in Down syndrome patients. Lasers in Medical Science, 31(9), 1977–1981.

Pereira, A. S. et al (2018). Metodologia da pesquisa científica. UFSM.

Tanaka, M. H., Rodrigues, T. O., Finoti, L. S., Teixeira, S. R. L., Mayer, M. P. A., Scarel-Caminaga, R. M., & Giro, E. M. A. (2015). The effect of conventional mechanical periodontal treatment on red complex microorganisms and clinical parameters in Down syndrome periodontitis patients: A pilot study. European Journal of Clinical Microbiology & Infectious Diseases, 34(3), 601–608.

Vescovi, P., Corcione, L., Meleti, M., Merigo, E., Fornaini, C., Manfredi, M., Bonanini, M., Govoni, P., Rocca, J.-P., & Nammour, S. (2010). Nd:YAG laser versus traditional scalpel. A preliminary histological analysis of specimens from the human oral mucosa. Lasers in Medical Science, 25(5), 685–691.

Yin, R. K. (2015). O estudo de caso. Bookman.



How to Cite

CAMPOS, L. .; MARTINS, F.; MACEDO, D. S. de .; SENDYK, W. R. .; TANAKA, M. H. . High-power laser for periodontal surgery in a patient with Down syndrome: A case report. Research, Society and Development, [S. l.], v. 10, n. 6, p. e30110615834, 2021. DOI: 10.33448/rsd-v10i6.15834. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15834. Acesso em: 20 jun. 2024.



Health Sciences