Orthopedic-orthodontic treatment of the patient with Turner's syndrome: Review of the literature and case report

Spec Care Dentist. 2018 Jul;38(4):239-248. doi: 10.1111/scd.12295. Epub 2018 May 30.

Abstract

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.

Keywords: oral pathology; orthodontics; rare disorders.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Cephalometry
  • Child
  • Combined Modality Therapy
  • Craniofacial Abnormalities / diagnostic imaging
  • Craniofacial Abnormalities / therapy*
  • Electromyography
  • Female
  • Humans
  • Malocclusion, Angle Class II / diagnostic imaging
  • Malocclusion, Angle Class II / therapy*
  • Masticatory Muscles / abnormalities
  • Orthodontics, Corrective / methods*
  • Palatal Expansion Technique
  • Turner Syndrome / complications*
  • Turner Syndrome / diagnostic imaging