Interdisciplinarity in oro-maxillofacial dysmorphism rehabilitation of a patient with Turner syndrome. A clinical case report

Vol. 53 No. 2, 2012

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

Anca Jivanescu, A. Em. Bratu, Diana Naiche, Adina Scurtu, Cristina Dana Bratu

Statement of the problem: Turner syndrome is a chromosomal disorder that manifests with short stature, gonadal dysfunction, hypothyroidism, congenital heart disease, and distinct craniofacial features including oro-maxillofacial dysmorphism. This paper presents a case of a 30-year-old female patient with Turner syndrome who sought dental care to improve the dental and facial morphology and restore the oral health. Detailed exobuccal examination revealed complex anomalies. Initial periodontal therapy and carious lesions treatment was followed by orthodontic treatment and prosthetic rehabilitation with two porcelain fused to metal fixed partial dental prostheses. Tooth whitening and restoration of the incisal edge of the anterior teeth was performed to complete the smile design improvement. The interdisciplinary approach pursued in this case resulted in successful oral rehabilitation with optimal treatment outcomes and high patient's satisfaction. Clinical significance: Patients with Turner syndrome may present with complex morphologic oro-maxillofacial alterations that require individualized dental treatment plans. Appropriate interdisciplinary medical/dental treatment can lead to successful oral rehabilitation with a minimum of invasive procedures.

Corresponding author: Anca Jivanescu, Assistant Professor, DDS, PhD; e-mail: ajivanescu@yahoo.com

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