Orthodontic Treatment of a Patient with Stickler Syndrome
| Autor: | Sachiko Handa, Michiko Tsuji, Naoto Suda, Kimie Ohyama, Takuya Ogawa, Norihisa Higashihori |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Cephalometry
Hearing loss Hearing Loss Sensorineural Overjet Dentistry Orthodontics Overbite Orthodontics Corrective Humans Medicine Abnormalities Multiple Gonial angle Stickler syndrome Child Anodontia Esotropia Soft palate business.industry Autosomal dominant trait Syndrome medicine.disease Radiography medicine.anatomical_structure Lingual arch Female Joint Diseases medicine.symptom business Malocclusion |
| Zdroj: | The Angle Orthodontist. 77:931-939 |
| ISSN: | 1945-7103 0003-3219 |
| DOI: | 10.2319/082406-347 |
| Popis: | Stickler syndrome (MIM 108300, 604841, 184840) is an autosomal dominant disease characterized by midfacial flattening and variable disorders of vision, hearing and articulation. There are three types of the syndrome caused by mutations in different genes (type 1, COL2A1; type 2, COL11A1; and type 3, COL11A2). About 20% of type 1 patients have cleft palate or bifid uvula, but there have been no case reports of orthodontic treatment of this syndrome so far. The Japanese female patient presented here with Stickler syndrome was characterized by a flat midface and had high myopia, sensorineural hearing loss, enlarged joints, and cleft of the soft palate. She had fairly small SNA and SNB angles and a steep mandibular plane with an enlarged gonial angle. The incisors of both arches were retroclined, and a large overjet and overbite were noted. Orthodontic treatment was initiated at 11 years of age using a lingual arch appliance followed by an edgewise multibracket appliance. Stable functional occlusion was obtained after the treatment. Most of the other seven Stickler syndrome patients exhibited pretreatment characteristics of small SNA and SNB angles, steep mandibular planes, enlarged gonial angles, and retroclined incisors of both arches, demonstrating the characteristic skeletal and occlusal features of this syndrome. |
| Databáze: | OpenAIRE |
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