scholarly journals Dental Treatment of a Child with Pallister-Killian Syndrome

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Serhan Didinen ◽  
Didem Atabek ◽  
Gülay Kip ◽  
Aslı Patır Münevveroğlu ◽  
Özlem Tulunoğlu
Keyword(s):  
Dental Treatment ◽  
Genetic Disorder ◽  
Clinical Manifestations ◽  
Life Quality ◽  
Epileptic Seizures ◽  
Oral Appliance ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Deficit Syndrome ◽  
Tongue Thrust

The Pallister-Killian syndrome (PKS) is an extremely rare genetic disorder with an incidence estimated around 1/25000. PKS is a multiple congenital anomaly deficit syndrome caused by mosaic tissue limited tetrasomy for chromosome 12p. The presented report is the first confirmed case with PKS in Turkey. This report focuses on the orofacial clinical manifestations of an 6-year-old boy with PKS who was referred to the Department of Paediatric Dentistry clinic, Gazi University. It has been learned that the PKS was diagnosed 1 year after birth. Due to intellectual disability, it was decided to make the dental treatments under moderate sedation. Although significant tongue thrust and anterior open bite were determined, any oral appliances could not be applied because of the 2 epilepsy seizures in the last 2 years. The aim was to treat decayed teeth and set good oral hygiene in the patient’s mouth. Still, there is a probability for epilepsy seizures. If epileptic seizures stop permanently, we can apply an oral appliance to block tongue thrust. The patient is now under control. In cases of systemic and oral findings such as PKS, conducting medical and dental approaches together will increase the life quality of patients.

scholarly journals Etiological aspects of anterior open bite

2007 ◽  
Vol 60 (3-4) ◽  
pp. 151-155 ◽  
Author(s):  
Ljiljana Stojanovic
Keyword(s):  
Dental Treatment ◽  
Growth Patterns ◽  
Open Bite ◽  
Permanent Teeth ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
The Face ◽  
Thumb Sucking ◽  
Skeletal Open Bite ◽  
Tongue Thrust

Introduction. Open bite is a multifactorial phenomenon and no single factor can account for open-bite. Etiology plays an important role in diagnosis. Heredity, unfavorable growth patterns, incorrect jaw postoure, are the characteristics of skeletal open bite. Digit sucking. Depending on where the thumb is placed, a number of different types of dental problems can develop. Malocclusions of the late mixed or permanent dentitions, caused by thumb sucking are not self corrected and orthodontic treatment is necessary for their correction. Lymphatic tissue. In order to produce oral respiration, the mandible is postured inferiorly with the tongue protruded and resting against the oral floor. This postural alteration induces dental and skeletal modifications similar to those caused by thumb sucking. This may cause excessive eruption of the posterior teeth, leading to an increase in the vertical dimension of the face and result in development of anterior open bite. Tongue thrust. Tongue habits cause an anterior open bite or they develop secondarily to thumb sucking. In skeletal open bite the tongue habit acts as a secondary factor which helps to maintain or exacerbate the condition. Many orthodontists have had a discouraging experience of completing dental treatment, with what appeared to be good results, only to discover that the case had relapsed because the patient had a tongue thrust swallowing pattern. Conclusion. Dentoalveolar or habitual open bite is caused by habits, which influence the growth and development of dentoalveolar processes and contribute to occlusal disharmonies. Prior to eruption of adult dentition, open bite related to oral habits is usually not a concern as when the habits stop, because the erupting dentition tends to improve spontaneously. Treatment is usually not necessary until permanent teeth erupt (~6 years old). .

Epileptic Encephalopathy, Myoclonus–Dystonia, and Premature Pubarche in Siblings with a Novel C-Terminal Truncating Mutation in ATRX Gene

2019 ◽  
Vol 50 (05) ◽  
pp. 327-331 ◽  
Author(s):  
Thea Giacomini ◽  
Maria Stella Vari ◽  
Sara Janis ◽  
Giulia Prato ◽  
Livia Pisciotta ◽  
...  
Keyword(s):  
Wide Spectrum ◽  
Genetic Disorder ◽  
Clinical Manifestations ◽  
Epileptic Seizures ◽  
Epileptic Encephalopathy ◽  
Recessive Mutations ◽  
Truncating Mutation ◽  
Alpha Thalassemia ◽  
Male Patients ◽  
Myoclonus Dystonia

AbstractThe X-linked alpha thalassemia mental retardation (ATR-X) syndrome is a genetic disorder caused by X-linked recessive mutations in ATRX gene, related to a wide spectrum of clinical manifestations, such as alpha thalassemia, developmental delay, genital abnormalities, and gastrointestinal disorders. Patients with ATR-X syndrome can suffer from different types of epileptic seizures, but a severe epileptic encephalopathy pattern has not been described to date. We describe, for the first time, two brothers with genetically confirmed ATR-X syndrome who presented with drug-resistant epileptic encephalopathy, with tonic and polimorphic seizures reported in the elder brother and epileptic spasms in the younger brother. Moreover, both brothers showed a peculiar movement disorder with myoclonus–dystonia, worsened during periods of distress or pain. These cases expand the clinical spectrum of ATR-X syndrome and open new opportunities for the molecular diagnosis of ATRX mutations in male patients with severe epileptic encephalopathies and movement disorders.

scholarly journals Assessment of oral health literacy of principal caregivers and its association with dental caries in Mexican disabled pediatric patients

2021 ◽  
Vol 2 (3) ◽  
pp. 151-157
Author(s):  
Julio Carlos Garnica-Palazuelos ◽  
Mercedes Bermúdez ◽  
Juan Luis Cota-Quintero ◽  
Gerardo Bueno-Acuña ◽  
Sandra Santana-Delgado ◽  
...  
Keyword(s):  
Clinical Case ◽  
Multidisciplinary Approach ◽  
Speech Therapy ◽  
Pediatric Patients ◽  
Open Bite ◽  
Mixed Dentition ◽  
Oral Health Literacy ◽  
Anterior Open Bite ◽  
Tongue Thrust ◽  
Maxillary Deficiency

Open bite can be defined as an absence of occlusion, most frequently located in the anterior region of dental arches and its etiology is multifactorial. We present a clinical case of an 8 years and 10 months child presenting an anterior open bite (AOB) with transverse maxillary deficiency caused by tongue thrust during mixed dentition. The malocclusion was corrected by means of a McNamara expander with a palatal crib jointly with the association of speech therapy for tongue repositioning, and otolaryngology to treat adenoid hypertrophy due to its correlation with AOB. The multidisciplinary approach was effective in correcting the malocclusion with stable results after 2 years post-treatment.

scholarly journals Oral Findings and Dental Treatment in a Child with Williams-Beuren Syndrome

2015 ◽  
Vol 26 (3) ◽  
pp. 312-316 ◽  
Author(s):  
Carolina Paes Torres ◽  
Gleice Valadares ◽  
Mariana Izabella Martins ◽  
Maria Cristina Borsatto ◽  
Kranya Victoria Díaz-Serrano ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Prophylactic Antibiotic ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Dental Procedures ◽  
Rare Congenital Disorder ◽  
Fear And Anxiety ◽  
Oral Hygiene Instructions ◽  
Interdental Spacing ◽  
Caries Lesions

Williams-Beuren syndrome (WBS), also known as Williams syndrome, is a rare congenital disorder involving cardiovascular problems, mental retardation, distinctive facial features and tooth anomalies. It is caused by the submicroscopic deletion of 1.5 to 1.8 Mb on chromosome 7q11.23. This paper reports the dental care to a 7-year-old child with WBS syndrome. The interview also revealed visual impairment, sensorineural hearing loss, hyperacusis, photophobia and hoarse voice. The intraoral clinical examination showed anterior open bite, tongue thrusting, excessive interdental spacing, enamel hypomineralization of the incisors, hypoplasia and caries lesions. The dental treatment included: modulating sessions to control aversion to noises, the photophobia, and the dental fear and anxiety because of his reduced visual acuity; oral hygiene instructions, dietary and daily use of a 0.05% sodium fluoride mouthwash; the permanent mandibular left first molar was treated endodontically, and maxillary and mandibular first molars were restored with amalgam. Due to the patient's heart defect, a prophylactic antibiotic regimen was prescribed prior to the dental procedures. This patient has been followed up for 4 years and this case report underscores the importance of early dental evaluation and counseling for parents of WBS patients.

scholarly journals Dynamic MRI Evaluation of Tongue Posture and Deglutitive Movements in a Surgically Corrected Open Bite

2006 ◽  
Vol 76 (6) ◽  
pp. 1057-1065 ◽  
Author(s):  
Seniz Karacay ◽  
Erol Akin ◽  
Kerim Ortakoglu ◽  
A. Osman Bengi
Keyword(s):  
Dynamic Mri ◽  
Class Ii ◽  
Open Bite ◽  
Class Ii Malocclusion ◽  
Anterior Open Bite ◽  
Posterior Portion ◽  
Upward Direction ◽  
Magnetic Resonance Imaging Mri ◽  
Skeletal Open Bite ◽  
Tongue Thrust

Abstract Tongue thrust usually develops in the presence of anterior open bite in order to achieve anterior valve function. In the literature, tongue thrust is described both as the result and the cause of open bite. If it is an adaptation to malocclusion, then tongue posture and deglutitive tongue movements should change after treatment. In this case report, an adult who had skeletal open bite and Class II malocclusion caused by mandibular retrusion was treated surgically. The mandible was advanced in a forward and upward direction with a sagittal split osteotomy. The open bite and Class II malocclusion were corrected and an increase in the posterior airway space (PAS) was observed. Pretreatment and posttreatment dynamic magnetic resonance imaging (MRI) revealed that tongue tip was retruded behind the incisors and contact of the tongue with the palate increased. It was also determined that the anterior and middle portions descended, whereas the posterior portion was elevated at all stages. Advancement of the mandible, correction of open bite, and an increase in PAS affected not only the tongue posture and deglutitive movements, but also the breathing pattern of the patient.

scholarly journals Multidisciplinary Management of a Child with Severe Open Bite and Amelogenesis Imperfecta

2013 ◽  
Vol 14 (2) ◽  
pp. 320-326 ◽  
Author(s):  
Catherine Millet ◽  
Jean-Pierre Duprez
Keyword(s):  
Treatment Plan ◽  
Genetic Disorder ◽  
Interdisciplinary Approach ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Long Term Results ◽  
Clinical Report ◽  
Multidisciplinary Management ◽  
Anterior Open Bite ◽  
Tooth Structure

ABSTRACT Aim To present a case of multidisciplinary management and fixed rehabilitation of a young girl with amelogenesis imperfecta (AI), a severe open bite and occlusal instability. Background AI is a genetic disorder characterized by enamel malformations, disturbances in tooth eruption and significant attrition. Early diagnosis is essential, since rapid breakdown of tooth structure may occur, giving rise to acute symptoms and complicated treatment. As AI is frequently accompanied by unesthetic appearance, open bite deformity and malocclusion, a multidisciplinary approach is often required. Case report This clinical report describes the condition and presents the case of a 10-year-old girl with hypocalcified form of AI. Orthodontic treatment and orthognathic surgery were performed as part of the prosthetic treatment plan to achieve acceptable and durable results. They consisted of correcting class II, posterior crossbite and anterior open bite with a fixed orthodontic appliance, Lefort I osteotomy, bilateral mandibular ramus osteotomy and genioplasty. Prosthodontics treatment consisted of metal-ceramic crowns with low-fusing ceramic for good long-term results. No deterioration in the rehabilitation was found after 5 years of follow-up. Conclusion Complete restoration of severe AI is a long and complex process generally extending over several years. Clinical significance This article shows the important role of interdisciplinary approach to treating a patient with AI over a period of 8 years. How to cite this article Millet C, Duprez JP. Multidisciplinary Management of a Child with Severe Open Bite and Amelogenesis Imperfecta. J Contemp Dent Pract 2013;14(2): 320-326.

Occlusal guidance of two Kabuki make-up syndrome patients: case reports

2005 ◽  
Vol 28 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Keisuke Takada ◽  
Hidefumi Fukushima ◽  
Shinichirou Watanabe ◽  
Makiko Ishida ◽  
Hideki Ogasawara ◽  
...  
Keyword(s):  
Mental Retardation ◽  
Orthodontic Treatment ◽  
Case Reports ◽  
Permanent Tooth ◽  
Open Bite ◽  
Mild Mental Retardation ◽  
Anterior Open Bite ◽  
Moderate Mental Retardation ◽  
Treatment Plans ◽  
Tongue Thrust

Kabuki make-up syndrome (KMS) has been reported since 1981 by Niikawa et al. Complications of KMS were moderate mental retardation, skeletal and dermatoglyphic abnormalities.A 7 year-old boy, who had severe permanent tooth deficiency, anterior open bite, tongue thrust and mild mental retardation, was referred to our clinic. Oral characters of another patient were an anterior open bite, transposition of maxillary central and lateral incisor. Orthodontic treatment in two patients is reported and suggested future treatment plans in these patients is given.

scholarly journals Factores de riesgo y Diagnóstico de maloclusiones en niños de 5 a 11años

2018 ◽  
Vol 2 (12) ◽  
pp. 173
Author(s):  
Darlen Díaz Pérez
Keyword(s):  
Cross Sectional Study ◽  
Demographic Variables ◽  
Open Bite ◽  
Diagnostic Tools ◽  
Age Group ◽  
Anterior Open Bite ◽  
Cross Sectional ◽  
Factores De Riesgo ◽  
Study Population ◽  
Tongue Thrust

<p>A descriptive cross-sectional study was conducted in children aged 5-11 years old, to determine the behavior of malocclusions within this populace. The study population coincided with the sample, which consisted of patients who attended a consultation and were affected by malocclusion (185 patients). All of the participants who took part were informed of the study and gave their consent. Medical history was compiled for each individual patient, with the data being obtained through questioning and a clinical examination in the stomatology department white sitting in a dental chair, with artificial light and assisted by diagnostic tools.  As summary measures, absolute numbers, percentages and indices were used. The information obtained was presented in tables with demographic variables; presence and type of malocclusion, as well as deforming oral habits. In our study the most significant malocclusion was the anterior open bite 31.9%. There was a predominance, mouth breathing 32.4% and tongue thrust 30.8% were the most significant disfiguring habits, with 7-9 years olds being the age group most affected.</p>

Endogenous Tongue Thrust – Myth?

2021 ◽  
Vol 14 (1) ◽  
pp. 8-12
Author(s):  
Yung Lam ◽  
Andrew Shelton ◽  
Jonathan Sandler
Keyword(s):  
Clinical Relevance ◽  
Open Bite ◽  
Treatment Modalities ◽  
Anterior Open Bite ◽  
Appropriate Treatment ◽  
Clinical Considerations ◽  
Tongue Thrust

Anterior open bite cases are very challenging to manage due to the high relapse potential associated with this feature of malocclusion. It is helpful if the aetiology is established before embarking on treatment to ensure that the appropriate treatment modalities are carried out. Determining whether the aetiology of an anterior open bite is caused by an ‘endogenous tongue thrust’ is extremely difficult. In particular, differentiating between an adaptive and endogenous tongue thrust can be extremely challenging. The case study presented explores the clinical considerations when diagnosing and treating anterior open bites. CPD/Clinical Relevance: This report raises the question: is it possible to diagnose an endogenous tongue thrust?

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