Aims This case report describes an orthodontic and aesthetic rehabilitation in a patient with Turner syndrome. Methods and results Careful anamnesis was performed to find the patient's medical history. Based on dental casts, radiographies and photographies it was observed alterations in the craniofacial complex, in the occlusion and in the dental morphology. For the orthodontic treatment, rapid maxillary expansion was performed, followed by the use of fixed orthodontic appliance. At the end, aesthetic rehabilitation, with direct composite resin veneers, was utilized for the correction of existing diastema. Treatment goals were achieved by observing an improvement in facial and smile harmony. Conclusion The orthodontic treatment followed by aesthetic rehabilitation of dental morphology showed to be feasible in a patient with Turner syndrome based on an early diagnosis and craniofacial growth follow‐up.

Objetivo: Relatar a utilização das próteses totais imediatas na obtenção da estética e da função nos casos de reabilitação oral. Relato de experiência: Paciente A.B.S, 43 anos de idade, apresentou, como queixa principal, mobilidade dentária e insatisfação com seu sorriso. Ao exame clínico inicial, observou-se a presença de poucos elementos dentários, presença de mobilidade grau III, cálculo e sangramento gengival. Foi realizado todo o planejamento protético prévio e as exodontias foram realizadas e, concomitantemente, foi feita uma regularização do rebordo, visando a uma melhor adaptação da base da prótese. O controle pós-operatório foi realizado após 07, 21, 30 e 64 dias, e no último controle, foi iniciada a confecção da prótese definitiva. Considerações finais: O prognóstico clínico favorável dessa modalidade de reabilitação dependerá da proservação de cada caso, com visitas periódicas para ajustes que possam ser necessários e colaboração do paciente. Esses aspectos determinarão o prognóstico favorável e a longevidade do trabalho protético executado.

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Aims:To analyze the epidemiological profile and quality of life (QoL) of patients with special needs and overload their caregivers.Methods and results: Health-related QoL was assessed in a quantitative, observational, cross-sectional study of prospective characteristics using the WHOQOL-BREF and ZARIT-22 questionnaires. This study included 122 patients were included; they were divided into patients without caregiver assistance (n = 63) who answered WHOQOL-BREF, 49 caregivers (n = 49) who responded to ZARIT-22, and 10 patients were secondarily caregivers of their parents and answered the ZARIT-22 + WHOQOL-BREF questionnaires. The WHOQOL-BREF general score was 71.94 ± 10.58, and patients born in urban areas and married had positive correlations (p < .05) with the QoL scores in the physical and social domains. ZARIT-22 scores showed an average of 58.63 ± 14.07. Data crosschecking revealed that patients of white races (p = .030) and who lived in urban regions (p = .003) generated less overload to caregivers. Conclusion:In the WHOQOL-BREF analysis, family income was a factor with direct impact, and all caregivers referred to moderate-to-high overload, with an increase in prevalence as far away from the service the patient resides.epidemiology, general health, quality of life 1 INTRODUCTION Patients with special needs (PSN) are individuals with some impairment of physical, mental, sensory, behavioral, cognitive, or emotional development, or who expresses a medical condition that requires management, limiting © 2022 Special Care Dentistry Association and Wiley Periodicals LLC. the intervention of health care, and/or the use of specialized services or programs. 1 According to the World Health Organization (WHO), more than one billion people with some type of disability globally, and almost 15% of the Brazilian population have some type of special need. 2 According to Castro et al., 3 most of these individuals are 464 wileyonlinelibrary.com/journal/scd