Complementary Therapies in Managing Early Childhood Caries in Prader–Willi Syndrome: A Case Report

Abstract

Background:

Prader–Willi syndrome (PWS) is a genetic neurobehavioral disorder associated with an increased risk of early childhood caries (ECC) due to factors such as reduced salivary flow, dietary challenges, and behavioral difficulties that complicate dental treatment. This case aimed to present a comprehensive approach with auriculotherapy and aromatherapy for managing stress and anxiety in ECC young PWS patients, highlighting their potential to enhance treatment outcomes.

Case:

A 2-year-old female with PWS and extensive ECC presented with significant behavioral challenges, including tantrums and treatment aversion. Her medical history included obesity, hypotonia, dysphagia, and thick saliva, further complicating dental care. A multidisciplinary treatment plan combined conventional caries management (caries removal, composite resin restorations, and fluoride application) with complementary therapies such as auriculotherapy, aromatherapy, and behavioral strategies.

Results:

Complementary therapies improved patient cooperation and treatment outcomes. The patient exhibited reduced anxiety, fewer tantrums, and increased adherence to dental procedures. The multidisciplinary approach enabled the caries removal, restorations, and fluoride applications, addressing both dental and behavioral challenges effectively.

Conclusion:

This case highlights the efficacy of a multidisciplinary approach that incorporates complementary therapies into ECC management for children with PWS. The combination of conventional and complementary strategies improved treatment adherence, reduced anxiety, and achieved successful caries management. The positive response to auriculotherapy and aromatherapy underscores their potential as valuable adjuncts in managing complex cases, offering a promising direction for future clinical practice.