Contribution of a better maxillofacial phenotype in Silver-Russell syndrome to define a better orthodontics and surgical management.
J Stomatol Oral Maxillofac Surg
; 120(2): 110-115, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-30396025
ABSTRACT
INTRODUCTION:
Maxillofacial phenotype for SRS is incompletely described in literature. The aim of this study was to describe a maxillofacial phenotype for SRS, to determine a better treatment. MATERIALS ANDMETHODS:
A retrospective study was conducted including 37 patients with SRS. 24-control patients had been included and appareled. The subjective clinical examination included analyzes of SRS defined criteria. Frontal and lateral photographs had been reviewed, according to Farkas analysis; dental photographs had been examined for the deep-bite and the crowding severity. Radiologic cephalometric analysis had been reviewed.RESULTS:
Maxillofacial examination showed protruding forehead (55%), anteverted ears (55%) and low-set ears (16%), small triangular face (48%); retrognatia (29%) and micrognathia (13%). SSR patients presented a lower forehead transverse growth, forehead height, and higher sagittal and transverse mandibular growth than control patients. Deep-bite was present in 21 patients of patient, and crowding in 17 patients. Cephalometric analysis showed 18 patients with the skeletal class II. We did not note a correlation between sleep apnea and retrognatia, neither between genetic anomalies and craniofacial phenotype.CONCLUSION:
In this study, we showed new SRS characteristics small forehead, small mandible, skeletal class II and a dental phenotype, leading to a specific maxillofacial and orthopedic management.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Ortodontia
/
Síndrome de Silver-Russell
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Má Oclusão
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article