Assuntos
Exostose/diagnóstico , Mandíbula/anormalidades , Palato Duro/anormalidades , Idoso , Humanos , MasculinoRESUMO
BACKGROUND: Asthma, which is characterized by mouth breathing and by the use of drugs for its treatment, affects between 1 and 30% of children and adolescents. There are only few studies reporting its impact on the oral cavity. OBJECTIVE: To find out the most common asthma-associated repercussions in 6 to 12-year-old children. METHODS: Cross-sectional, comparative, analytical study carried out in 2 primary schools from Coclique, Veracruz, Mexico, in 6 to 12-year-old children. The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire for parents was used. RESULTS: In a population of 409 children, a prevalence of asthma of 6.84% (n = 28) was found, which was higher in males (15, 54%); boys aged 6, 7 and 11 years and girls aged 8, 9 and 10 years were most affected. Risk factors for oral manifestations were acidic pH (OR = 170), caries (OR = 4.29), anterior open bite (OR = 66.78), gingivitis (OR = 9.75), atypical swallowing (OR = 15.70) and high-arched palate (OR = 45.60). CONCLUSION: Children with chronic conditions such as asthma require an oral and dental preventive program as part of their interdisciplinary care.
Antecedentes: El asma, caracterizada por respiración bucal y el uso de fármacos para su tratamiento, afecta entre 1 y 30 % de los niños y adolescentes. Son pocos los estudios que reportan las repercusiones en la cavidad bucal. Objetivos: Conocer las repercusiones en la salud bucodental más asociadas con el asma en niños de 6 a 12 años de edad. Métodos: Estudio transversal, analítico y comparativo en 2 escuelas primarias de Cosoleacaque, Veracruz, México, en niños de 6 a 12 años. Se utilizó el cuestionario "Estudio internacional de alergia y asma en niños" (ISAAC) para padres. Resultados: En una población de 409 niños se encontró una prevalencia de asma de 6.84 % (n = 28), mayor en los hombres (54-15 %); los varones de 6, 7 y 11 años fueron los más afectados y las niñas de 8, 9 y 10 años. Las manifestaciones orales con factor de riesgo fueron pH ácido (OR = 170), caries (OR = 4.29), mordida abierta anterior (OR = 66.78), gingivitis (OR = 9.75), deglución atípica (OR =15.70) y paladar ojival (OR = 45.60). Conclusión: Los niños con enfermedades crónicas como el asma requieren un plan de prevención bucodental como por parte de su atención interdisciplinar.
Assuntos
Asma/epidemiologia , Doenças da Boca/epidemiologia , Criança , Comorbidade , Estudos Transversais , Transtornos de Deglutição/epidemiologia , Cárie Dentária/epidemiologia , Feminino , Gengivite/epidemiologia , Humanos , Concentração de Íons de Hidrogênio , Masculino , Mordida Aberta/epidemiologia , Palato Duro/anormalidades , Prevalência , Fatores de RiscoRESUMO
Se presenta el caso de un paciente de sexo femenino de 10 meses de edad referida a la Clínica Dental de la Universidad Cayetano Heredia por presentar una tumoración en el paladar, con un tiempo de enfermedad de 2 meses. Fue examinada por un odontólogo particular el cual le prescribió antibióticos y la derivo a la clínica dental Cayetano Heredia. La evaluó el departamento de cirugía bucomaxilofacial y ellos la derivaron a Odontopediatria. AI examen clínico intraoral se observe una tumoración amarillenta en forma de "frejol" en la línea media del paladar dura rodeado de un rodete de mucosa de coloración normal. El diagnostico presuntivo fue lipoma. Se hizo una interconsulta con Medicina y Patología Oral, llegándose al diagnóstico definitivo de: "objeto extraño", procediéndose procedió al retiro seguido de la limpieza de la zona. Se dieron indicaciones de cuidados a los padres...
This paper reports the case of an 8 months baby girl who was derived to UPCH Dental Clinic. She presented a tumor on the palate for 2 months. First, she was evaluated by a general dentist who prescribed her antibiotics and derived her to UP CH Dental Clinic. She was evaluated by the department of Bucomaxillofacial Surgery who derived the patient to Pediatric Dentistry. By the clinical examination it was noticed a yellow tumor which has bean form in the middle of the hard palate rounded by normal oral mucosa. The initial diagnosis was lipoma. An interconsultation was done with Medicine and Oral Pathology. The definitive diagnosis was foreign body which was taken out. The zone behind it was cleaned and her parents were instructed about how to do it...
Assuntos
Humanos , Feminino , Lactente , Corpos Estranhos , Palato Duro/anormalidades , Palato Duro/cirurgiaRESUMO
Objetivo Identificar possíveis alterações fonoaudiológicas de crianças com Incontinência Pigmentar (IP), buscando caracterizar o papel da Fonoaudiologia na avaliação e manejo dessa condição genética. Métodos A amostra foi composta por sete crianças do gênero feminino com diagnóstico de IP. Todas foram submetidas aos procedimentos de avaliação nas áreas de motricidade orofacial, deglutição, fala e voz. Resultados Os pacientes que compuseram a amostra tinham média de idade de 6,4 anos. Dentre as principais características clínicas estruturais verificadas, destacaram-se a presença de diastemas não fisiológicos e anormalidades de palato duro, encontradas em 85,7% da amostra, além da agenesia dentária em 71,4% dos casos. Quanto aos achados funcionais, 71,4 % apresentaram alteração de mobilidade da língua e 57,1 %, mastigação inadequada. Em relação às alterações de fala, os principais achados foram alterações fonéticas e/ou fonológicas, verificadas em 85,7% da amostra, sendo mais comum a alteração fonética caracterizada pela distorção na fricativa alveolar [s], presente em 57,1% dos casos. Nenhuma das crianças apresentou alteração de voz e deglutição, de acordo com o protocolo utilizado. Além disso, não se evidenciou anormalidade de audição, de acordo com a queixa familiar ou por meio da observação durante a avaliação. Conclusão Nesta amostra, as alterações fonoaudiológicas mais frequentes entre os pacientes com IP relacionaram-se, principalmente, com as estruturas do sistema estomatognático e com a fala. .
Purpose To identify possible speech-language disorders in children with Incontinentia Pigmenti (IP), seeking to characterize the role of speech therapy in the evaluation and management of this genetic condition. Methods The sample was composed of seven female children diagnosed with IP. Results The patients in the sample had a mean age of 6.4 years. Among the main structural features verified in the patients, highlighted the presence of no physiological diastema and hard palate abnormalities, found both in 85.7 % of the sample, in addition to tooth agenesis in 71.4% of cases. As for functional findings, 71.4 % of the sample had abnormal tongue mobility and 57.1%, inappropriate chewing. As for changes in speech, the main findings consisted of phonetic/phonological alterations, verified in 85.7 % of the sample, being the most common phonetic alteration characterized by distortion of alveolar fricative [s], present in 57.1 % of cases. None of the children had abnormal voice and swallowing according to the used protocol. Furthermore, no detectable hearing abnormality was observed according to claim of the family or by observation during the evaluation. Conclusion In this sample the most frequent speech-language alterations verified among the patients with IP were mainly related to the stomatognathic system structures and speech. .
Assuntos
Humanos , Criança , Anodontia , Diastema , Incontinência Pigmentar , Palato Duro/anormalidades , Transtorno Fonológico , Anormalidades do Sistema Estomatognático , Transtornos da Articulação , Estudo ObservacionalRESUMO
PURPOSE: The influence of mechanical stimulation on the formation of torus mandibularis (TM) is still poorly understood. We sought to understand the etiology of TMs by investigating the role of parafunctional activity and mandibular morphology on the formation of TMs. MATERIALS AND METHODS: We designed a case-control study for patients attending the dental clinic of the present study (University of São Paulo School of Dentistry, São Paulo, SP, Brazil). Patients presenting with TMs were defined as cases, and those without TMs were defined as controls. Finite element analysis (FEA) was used in 3-dimensional mandibular models to examine the stress distribution in the mandibles with and without TMs. In addition, the associations of mandibular arch shape, mandibular cortical index, and parafunctional activity with the presence of T were assessed using odds ratio analysis. RESULTS: A total of 10 patients with TMs and 37 without TMs were selected (22 men and 25 women, mean age 54.3 ± 8.4 years). FEA showed a stress concentration in the region in which TMs form during simulation of parafunctional activity. The radiographic assessment showed that those with TMs were more likely to have a square-shaped mandible with sharp angles (P = .001) and a normal mandibular cortex (P = .03). The subjects without TMs had a round-shaped mandible with obtuse angles and an eroded mandibular cortex. CONCLUSIONS: Parafunctional activity could be causing the formation of TMs by concentrating mechanical stress in the region in which TMs usually form. Thus, mandibular geometries that favor stress concentration, such as square-shaped mandibles, will be associated with a greater prevalence of TMs.
Assuntos
Exostose/fisiopatologia , Mandíbula/anormalidades , Mandíbula/patologia , Palato Duro/anormalidades , Estresse Mecânico , Estudos de Casos e Controles , Exostose/diagnóstico por imagem , Exostose/patologia , Feminino , Análise de Elementos Finitos , Humanos , Masculino , Mandíbula/diagnóstico por imagem , Mandíbula/fisiopatologia , Palato Duro/diagnóstico por imagem , Palato Duro/patologia , Palato Duro/fisiopatologia , Radiografia PanorâmicaRESUMO
INTRODUÇÃO: A fístula palatina é a complicação mais frequente após palatoplastias e sua presença traz diversas implicações. Sua apresentação é diversificada e seu reparo pode ser difícil, o que se traduz na existência de uma diversidade de técnicas cirúrgicas descritas. OBJETIVO: Relatar a correção cirúrgica de fístula palatina anterior com retalho miomucoso labial superior, além de fazer uma breve revisão da literatura. RELATO DE CASO: Paciente submetido à correção de fissura palatina completa, apresentando, no pós-operatório mediato, fístula anterior de palato duro e processo alveolar, submetido à correção da fístula palatina oronasal com retalho miomucoso de lábio superior. O paciente evoluiu satisfatoriamente, sem complicações e sem recidiva da lesão após um ano de seguimento. CONCLUSÃO: A técnica em questão mostrou-se simples e eficiente, prestando-se à correção da fístula palatal anterior.
INTRODUCTION: Palatal fistula is the most common complication after palatoplasty, and its presence entails various implications. Its presentation is diverse and repair can be difficult, which is reflected in the existence of a numerous surgical techniques described for its treatment. OBJECTIVE: To report the surgical correction of palatal fistula with a myomucosal upper lip flap, along with a brief review of the literature. CASE REPORT: The patient underwent repair of complete cleft palate. At the immediate postoperative time, an anterior fistula of the hard palate and alveolar process was present and was subjected to a correction with an oronasal myomucosal upper lip flap. The patient progressed satisfactorily, without complications or lesion recurrence after 1 year of follow-up. CONCLUSION: The technique presented is a simple and efficient method for correction of an anterior palatal fistula.
Assuntos
Humanos , Masculino , Adulto , História do Século XXI , Anormalidades Congênitas , Relatos de Casos , Literatura de Revisão como Assunto , Fissura Palatina , Procedimentos Cirúrgicos Bucais , Estudo de Avaliação , Retalho Miocutâneo , Anormalidades Congênitas/cirurgia , Fissura Palatina/cirurgia , Fissura Palatina/patologia , Procedimentos Cirúrgicos Bucais/métodos , Palato Duro , Palato Duro/anormalidades , Palato Duro/cirurgia , Retalho Miocutâneo/cirurgiaRESUMO
O torus palatino é uma alteração de desenvolvimento, resultante de um crescimento ósseo (exostose) e está localizado na linha média do palato duro. A patogênese ainda não está definida, podendo estar associado à origem genética, a fatores ambientais e/ou as características raciais, apresentando maior prevalência no sexo feminino. Clinicamente, o toro palatino é assintomático e de pequenas dimensões, mas pode aumentar lentamente de tamanho ao longo da vida, causando queixas ao paciente. A remoção cirúrgica está indicada quando há intervenção nas funções de fonação, mastigação, deglutição, trauma recorrente e para correção de deformidades ósseas que impeçam a adaptação de próteses. Este trabalho visa relatar o uso de uma placa de silicone confeccionada a partir da cirurgia de modelo pré-operatória para tratamento cirúrgico de um torus palatino com finalidade protética... (AU)
The palatal torus is a development change, a result of bone growth (exostosis) and is located in the midline of the hard palate. The pathogenesis is not yet defined, may be associated with genetic, environmental factors and / or racial characteristics, with higher prevalence in females. Clinically, palatal torus is small and asymptomatic, but can slowly increase in size throughout life causing patient complaints. Surgical removal is indicated when there is intervention in the function of speech, chewing, swallowing, and repeated trauma to correct bone deformities that prevent denture fitting. This article describes the use of a silicon plate made from the surgery preoperative model for surgical treatment of torus palatal prosthetic purposes... (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Anormalidades Congênitas , Exostose/cirurgia , Palato Duro , Palato Duro/anormalidades , MastigaçãoRESUMO
INTRODUCTION: Palatal torus, or torus palatinus, is a benign bone alteration that may cause some discomfort during phonation or swallowing. When its growth or persistent exposition produces unpleasant symptoms, it must be surgically removed. CASE PRESENTATION: We treated an 82-year-old female patient who consulted for a painful ulcerous lesion she had had for a year and which produced halitosis and discomfort when swallowing. During the oral cavity physical exam we observed a hard protuberance on the midline. It showed a perforation and ulceration of the lateral posterior palatal mucosa on the left side. We considered the following diagnosis: palatal torus, osteoma, pyogenic granuloma, or a soft-tissue neoplasia. We decided to surgically remove it and to perform a histopathological examination. Clinical evolution was satisfactory with complete resolution one month after surgery. The histopathological examination showed hyperostosis along with chronic inflammation of the soft tissues and a simple hyperplasia of the mucosa, which in turn indicated a palatal torus. DISCUSSION: We report an unusual case of spontaneous exposition of a palatal torus which took up almost all of the hard palate area. Its resection is described and we inform the histopathological findings. In the literature review, we did not find a previous report of a spontaneous exposition of a palatal torus.
Assuntos
Exostose/complicações , Mandíbula/anormalidades , Úlceras Orais/etiologia , Palato Duro/anormalidades , Idoso de 80 Anos ou mais , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/cirurgia , Diagnóstico Diferencial , Exostose/diagnóstico , Exostose/patologia , Exostose/cirurgia , Feminino , Granuloma Piogênico/diagnóstico , Halitose/etiologia , Halitose/cirurgia , Humanos , Mandíbula/patologia , Mandíbula/cirurgia , Neoplasias Bucais/diagnóstico , Úlceras Orais/cirurgia , Osteoma/diagnóstico , Palato Duro/patologia , Palato Duro/cirurgiaRESUMO
Introducción. El torus , o rodete, palatino es una alteración ósea benigna que puede generar molestias en la fonación y en la deglución. Cuando su crecimiento o exposición persistente producen síntomas molestos, debe ser resecado quirúrgicamente. Presentación del caso. Se trata de una paciente de 82 años de edad, que consultó por una lesión ulcerativa de un año de evolución, que producía dolor, halitosis y molestia a la deglución. En el examen físico de la cavidad oral, se observó una prominencia de consistencia dura en la línea media, con perforación y ulceración de la mucosa palatina en su porción lateral posterior izquierda. Se consideraron los diagnósticos de torus palatino, osteoma, granuloma piógeno y neoplasia de tejidos blandos. Se decidió resecarla quirúrgicamente y hacer el estudio histopatológico. La evolución clínica fue satisfactoria, con resolución completa un mes después de la cirugía. En el estudio de histopatología se observó hiperostosis ósea con inflamación crónica de los tejidos blandos e hiperplasia simple de la mucosa, que corresponden a un torus palatino. Discusión. Se reporta un inusual caso de exposición espontánea de un torus palatino que ocupaba casi toda la bóveda palatina, se describe su resección quirúrgica y se informan los hallazgos de histopatología. En la revisión bibliográfica realizada, no se encontró un reporte previo de exposición espontánea de torus palatino.
Introduction: Palatal torus, or torus palatinus, is a benign bone alteration that may cause some discomfort during phonation or swallowing. When its growth or persistent exposition produces unpleasant symptoms, it must be surgically removed. Case presentation: We treated an 82-year-old female patient who consulted for a painful ulcerous lesion she had had for a year and which produced halitosis and discomfort when swallowing. During the oral cavity physical exam we observed a hard protuberance on the midline. It showed a perforation and ulceration of the lateral posterior palatal mucosa on the left side. We considered the following diagnosis: palatal torus, osteoma, pyogenic granuloma, or a soft-tissue neoplasia. We decided to surgically remove it and to perform a histopathological examination. Clinical evolution was satisfactory with complete resolution one month after surgery. The histopathological examination showed hyperostosis along with chronic inflammation of the soft tissues and a simple hyperplasia of the mucosa, which in turn indicated a palatal torus. Discussion: We report an unusual case of spontaneous exposition of a palatal torus which took up almost all of the hard palate area. Its resection is described and we inform the histopathological findings. In the literature review, we did not find a previous report of a spontaneous exposition of a palatal torus.
Assuntos
Idoso de 80 Anos ou mais , Feminino , Humanos , Exostose/complicações , Mandíbula/anormalidades , Úlceras Orais/etiologia , Palato Duro/anormalidades , Diagnóstico Diferencial , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/cirurgia , Exostose/diagnóstico , Exostose/patologia , Exostose/cirurgia , Granuloma Piogênico/diagnóstico , Halitose/etiologia , Halitose/cirurgia , Mandíbula/patologia , Mandíbula/cirurgia , Neoplasias Bucais/diagnóstico , Úlceras Orais/cirurgia , Osteoma/diagnóstico , Palato Duro/patologia , Palato Duro/cirurgiaRESUMO
The aim of this case report was to describe the surgical removal of an extensive mandibular torus and the conventional prosthetic treatment that was performed. During surgery, the torus was exposed by a intrasulcular lingual incision from molar to contralateral molar side and displacement of the mucoperiosteal flap. The bone volume was carefully removed in three separate blocks by sculpting a groove in the superior lesion area and chiseling. After a 30-day postoperative period, a prosthetic treatment was performed using a conventional distal extension removable partial denture. The patient's esthetic and functional expectations were achieved. The surgical procedure and prosthetic treatment performed in the treatment of the mandibular torus in this clinical case is a viable treatment that produces few complications and re-establishes normal masticatory function.
Assuntos
Prótese Parcial Removível , Exostose/cirurgia , Arcada Parcialmente Edêntula/reabilitação , Mandíbula/anormalidades , Mandíbula/cirurgia , Palato Duro/anormalidades , Planejamento de Dentadura , Exostose/patologia , Humanos , Masculino , Mandíbula/patologia , Pessoa de Meia-Idade , Palato Duro/patologia , Palato Duro/cirurgiaRESUMO
The infraorbital canal issues a small branch on its lateral face close to its midpoint to allow passage of the anterior superior alveolar nerve. This small canal, sometimes called the canalis sinuosus, runs forward and downward to the inferior wall of the orbit, lateral to the infraorbital canal and medially bent to the anterior wall of the maxillary sinus, passing below the infraorbital foramen. Anatomical variations in the maxilla are rarely described in the literature and, in most cases, are related to the nasopalatine canal. This article describes a rare anatomical variation of the presence of a bilateral accessory canal extending from the nasal cavity lateral wall to an accessory foramen located on the hard palate, adjacent to the maxillary lateral incisor observed in cone beam computed tomography (CBCT) images. This case is an anatomical variation of the anterior superior alveolar nerve (canalis sinuosus). Identification of individual anatomical variations, especially on CBCT, may help the surgeon to avoid injuries to nerves during implant placement.
Assuntos
Maxila/anormalidades , Nervo Maxilar/anormalidades , Cavidade Nasal/anormalidades , Transplante Ósseo , Tomografia Computadorizada de Feixe Cônico/métodos , Feminino , Humanos , Maxila/diagnóstico por imagem , Maxila/cirurgia , Nervo Maxilar/diagnóstico por imagem , Pessoa de Meia-Idade , Cavidade Nasal/diagnóstico por imagem , Palato Duro/anormalidades , Palato Duro/diagnóstico por imagemRESUMO
This article describes the clinical case of a patient, a 13-year-old boy, in whom the appearance of patent nasopalatine ducts was noted after having a rapid maxillary expansion performed. To confirm this finding, inspection and radiographic examination were performed in which gutta-percha cones were used as contrast. The patient related no symptoms or discomfort due to the ducts. The patient was followed up for a period of 6 months, during which he was instructed as regards correct cleaning to prevent the accumulation of food and infection.
Assuntos
Cavidade Nasal/anormalidades , Fístula Bucal/diagnóstico , Técnica de Expansão Palatina , Palato Duro/anormalidades , Fístula do Sistema Respiratório/diagnóstico , Adolescente , Meios de Contraste , Seguimentos , Guta-Percha , Humanos , Masculino , Má Oclusão Classe II de Angle/terapia , Cavidade Nasal/diagnóstico por imagem , Fístula Bucal/diagnóstico por imagem , Palato Duro/diagnóstico por imagem , Radiografia , Fístula do Sistema Respiratório/diagnóstico por imagemRESUMO
Focal dermal hypoplasia (FDH), also known as Goltz-Gorlin syndrome, is an autosomal dominant disease affecting tissues derived from the ectoderm and mesoderm. Knowledge and early diagnosis of the craniofacial alterations commonly found in patients with FDH provide oral health care professionals with effective preventive and therapeutic tools. This article aims to review the craniofacial characteristics present in FDH and the main systemic manifestations that have implications for dental management, while presenting a new case of the syndrome with novel oral findings.
Assuntos
Anormalidades Craniofaciais/diagnóstico , Hipoplasia Dérmica Focal/diagnóstico , Anormalidades Dentárias/diagnóstico , Anodontia/diagnóstico , Pré-Escolar , Dente Canino/anormalidades , Assistência Odontológica para Doentes Crônicos , Hipoplasia do Esmalte Dentário/diagnóstico , Diagnóstico Precoce , Assimetria Facial/diagnóstico , Feminino , Seguimentos , Humanos , Incisivo/anormalidades , Freio Labial/anormalidades , Dente Molar/anormalidades , Palato Duro/anormalidades , Erupção Ectópica de Dente/diagnósticoRESUMO
The aim of this study was to determine the applicability of multislice and cone-beam computerized tomography (CT) in the assessment of bone defects in patients with oral clefts. Bone defects were produced in 9 dry skulls to mimic oral clefts. All defects were modeled with wax. The skulls were submitted to multislice and cone-beam CT. Subsequently, physical measurements were obtained by the Archimedes principle of water displacement of wax models. The results demonstrated that multislice and cone-beam CT showed a high efficiency rate and were considered to be effective for volumetric assessment of bone defects. It was also observed that both CT modalities showed excellent results with high reliability in the study of the volume of bone defects, with no difference in performance between them. The clinical applicability of our research has shown these CT modalities to be immediate and direct, and they is important for the diagnosis and therapeutic process of patients with oral cleft.
Assuntos
Fissura Palatina/diagnóstico por imagem , Tomografia Computadorizada de Feixe Cônico/métodos , Processamento de Imagem Assistida por Computador/métodos , Tomografia Computadorizada por Raios X/métodos , Processo Alveolar/anormalidades , Processo Alveolar/diagnóstico por imagem , Cefalometria/métodos , Cefalometria/normas , Tomografia Computadorizada de Feixe Cônico/normas , Humanos , Processamento de Imagem Assistida por Computador/normas , Imageamento Tridimensional/métodos , Modelos Anatômicos , Variações Dependentes do Observador , Palato Duro/anormalidades , Palato Duro/diagnóstico por imagem , Imagens de Fantasmas , Reprodutibilidade dos Testes , Tomografia Computadorizada por Raios X/normas , CerasRESUMO
OBJECTIVE: The objective of this study was to investigate the prevalence of tooth abnormalities and soft tissue changes in patients with velocardiofacial syndrome. STUDY DESIGN: Twenty-six patients with velocardiofacial syndrome were examined to investigate the presence of tooth abnormalities and soft tissue alterations. The occurrence of tooth agenesis and supernumerary teeth was compared to patients without morphofunctional alterations, matched for gender and age. RESULTS: Of all patients, 76.92% exhibited at least one tooth abnormality, with predominance of hypoplastic alterations, especially represented by hypodevelopment of the lingual cusp of mandibular first premolars and enamel opacities. The occurrence of tooth agenesis and supernumerary teeth was similar in both study and control groups. CONCLUSION: the present results suggest an association between hypodevelopment of the lingual cusp of mandibular first premolars and enamel opacities, yet these findings still require corroboration. Future studies should further investigate these aspects in larger samples compared to control groups, as well as employing molecular genetics techniques.
Assuntos
Síndrome de DiGeorge/complicações , Anormalidades da Boca/etiologia , Anormalidades Dentárias/etiologia , Adolescente , Adulto , Anodontia/etiologia , Dente Pré-Molar/anormalidades , Estudos de Casos e Controles , Criança , Fissura Palatina/etiologia , Esmalte Dentário/anormalidades , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Palato Duro/anormalidades , Palato Mole/anormalidades , Língua/anormalidades , Coroa do Dente/anormalidades , Dente Supranumerário/etiologiaRESUMO
This article documents the case history of a 9-year-old Brazilian child diagnosed with Kabuki make-up syndrome (KMS). The clinical features are described, with emphasis on the craniofacial and orodental manifestations. The patient had the distinctive KMS craniofacial features consisting of long palpebral fissure, hypertelorism, high-arched eyebrows with sparse hair in the lateral one-third, eyes with eversion of the lateral one-third of the lower eyelids, long and curved eyelashes, palpebral ptosis, large anteverted prominent ears in a lower position, broad, depressed nasal root with a flat nasal tip, and mild neuropsychomotor developmental deficits. The intraoral examination revealed an anterior open bite, overretention of primary teeth, and a high-arched palate. Two findings in this child have not been previously reported in patients with KMS: the presence of supernumerary teeth and taurodontic teeth in the maxillary arch. The clinical and radiographic detection of these unique dental features may be helpful in identifying children who may have milder forms of KMS.
Assuntos
Anormalidades Múltiplas/patologia , Assistência Odontológica para a Pessoa com Deficiência , Anormalidades Dentárias/patologia , Criança , Anormalidades Craniofaciais , Deficiências do Desenvolvimento , Fácies , Humanos , Masculino , Mordida Aberta , Palato Duro/anormalidades , Síndrome , Dente Decíduo/anormalidadesRESUMO
OBJECTIVE: To evaluate the intraoral features of patients with Apert's syndrome in treatment at the Hospital of Rehabilitation and Craniofacial Anomalies of University of São Paulo (HRAC-USP), a national reference center for treatment of craniofacial anomalies in Brazil. STUDY DESIGN: In this retrospective study, of 56,000 patients registered at HRAC-USP, 36 patients were diagnosed with Apert's syndrome and were either examined or had their medical files evaluated, aiming to characterize lip posture, mouth shape, maxillary hypoplasia, palatal morphology, dental anomalies, and malocclusion. RESULTS: Most patients were characterized as mouth breathers for presenting with hypotonic lips and trapezoidal-shaped mouths. Other frequent findings were the presence of highly arched palates and hypoplastic maxilla, with gingival lateral swellings that increased in size with age. Crowding of teeth and malocclusion were commonly observed, and cases of hypodontia were frequent. Contrary to previous studies demonstrating a high incidence of cleft soft palate, in this study only 1 of 23 patients presented a true cleft. CONCLUSIONS: The intraoral features of patients with Apert's syndrome in the population studied match most of the findings in other populations. However, the occurrence of cleft soft palate was unexpectedly low and morphologically normal teeth were found. In addition, hypodontia was frequently observed. Variations in frequency of observations of some characteristics might be related to differences in sample size or population.
Assuntos
Acrocefalossindactilia/complicações , Anormalidades da Boca/etiologia , Palato Duro/anormalidades , Adolescente , Adulto , Anodontia/etiologia , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Má Oclusão/etiologia , Maxila/anormalidades , Respiração Bucal/etiologia , Palato Mole/anormalidades , Estudos RetrospectivosRESUMO
This article is the first known case report of Fraser syndrome in the dental literature. Its purpose was to present the clinical manifestations, oral findings, and dental treatment of a 14-year, 10-month-old female patient. Fraser syndrome is a rare recessive autosomal genetic disorder characterized by multisystemic malformation, usually comprising cryptophthalmos, syndactyly, and renal defects. The child presented with: (1) hydrocephaly; (2) face asymmetry; (3) low-inserted ears; (4) flat nose bridge; (5) cryptophthalmos; (6) bilateral absence of eyeballs; (7) hypertelorism; (8) syndactyly on the left fingers and toes; (9) skeletal defects; and (10) lower limb asymmetry. The intraoral examination revealed: (1) complete primary denture; (2) malocclusion; (3) tooth crowding; (4) ogival palate; (5) normal labial frena; (6) absence of lingual frenum (not compromising the tongue movements); (7) parched lips; (8) supragingival calculus adhered to all tooth surfaces; and (9) moderate gingivitis. The dental treatment consisted of periodic monitoring of the patient's oral health status and supragingival scaling associated with topical applications of 0.12% chlorhexidine digluconate gel at 2-week intervals to reduce gingivitis.
Assuntos
Anormalidades Múltiplas , Cálculos Dentários , Má Oclusão , Anormalidades da Boca , Anormalidades Múltiplas/patologia , Pré-Escolar , Consanguinidade , Cálculos Dentários/terapia , Raspagem Dentária , Anormalidades do Olho , Feminino , Gengivite/terapia , Humanos , Hipertelorismo , Freio Lingual/anormalidades , Palato Duro/anormalidades , Sindactilia , Síndrome , Dente DecíduoRESUMO
Trisomy 18 is characterized by: psychomotor disabilities, dysmorphic features, organ malformations, including mental retardation, growth deficiency, poor motor ability, micrognathia, microcephaly, congenital heart defects, and kidney abnormalities. The oral findings typically observed in these patients are: cleft lip and a high, narrow, and sometimes cleft palate. The degree of severity of the malformations is directly related to life expectancy. Only 5% to 10% of affected infants survive beyond the first year of life. Although trisomy 18 has been widely investigated from a medical standpoint, there is a lack of reports addressing the oral manifestations and dental treatment approach in affected children, presumably due to their shortened life expectancy. The purpose of this article was to present the case of an 8-year-old child diagnosed with trisomy 18 and address the clinical features observed--emphasizing the disease-specific oral, craniofacial, and dental findings. Dental care management of the patient is described.