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RESEARCH PRODUCT
Orthopedic-orthodontic treatment of the patient with Turner's syndrome: Review of the literature and case report.
Giuseppe MarzoMaria Grazia LacaitaAndrea ColapricoVitantonio LacarbonaraLorenzo Lo MuzioTroiano GiuseppeTesta NfOlga Di FedeKhrystyna ZhurakivskaAngela Pia Cazzollasubject
medicine.medical_specialtyPalatal Expansion TechniqueCephalometryRadiographyTurner SyndromeMalocclusion Angle Class IIPremature ovarian insufficiencyShort statureoral pathology; orthodontics; rare disorders; Dentistry (all)Orthodontics CorrectiveCraniofacial Abnormalities03 medical and health sciences0302 clinical medicine030225 pediatricsOral and maxillofacial pathologyTurner syndromeMedicineHumansrare disordersChildGeneral DentistryOrthodonticsorthodonticbusiness.industryElectromyography030206 dentistrymedicine.diseaseTurner's syndromeCombined Modality TherapyOrthopedic surgeryMasticatory MusclesDentistry (all)Femalemedicine.symptomMalocclusionoral pathologyorthodonticsbusinessdescription
Aims Turner syndrome (TS) patients have phenotypical variable presentations and they are more susceptible to endocrine, auto-immune, and structural anomalies. Typical clinical characteristics are short stature and premature ovarian insufficiency. Patients with TS show a typical cranial-facial morphology with bi-maxillary bi-retrusion, high-arched palate, micrognathia, and class II malocclusion. Aim of our study is to present the orthopedic-orthodontic treatment approach of a young TS patient and data of stability after 7 years. Methods and results A careful analysis of anamnestic data was performed. After extraoral and intraoral examination, cephalometric measurements and examination of models, appropriate orthopedic-orthodontic appliances were positioned in order to correct skeletal alterations due to primary pathology as much as possible. Consistent improvements were observed after the treatment. Clinical and radiographic follow-up at 7 years showed a net improvement of head posture and stability of the occlusal results. Conclusions An early diagnosis and appropriate orthopedic-orthodontic intervention allow to simplify the management of TS patients and provide satisfactory and stable results.
year | journal | country | edition | language |
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2018-01-01 | Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry |