Dental management of a child with ectrodactyly ectodermal dysplasia cleft lip/palate syndrome: A case report

Spec Care Dentist. 2019 Mar;39(2):236-240. doi: 10.1111/scd.12364. Epub 2019 Feb 5.

Abstract

Ectrodactyly ectodermal dysplasia with clefting is a rare syndrome resulting from TP63 gene mutations. It is inherited in autosomal dominant manner or as a de novo transfiguration. It is characterized by a triad of ectodermal dysplasia, ectrodactyly, and facial clefts. This report represents a clinical case of 5 years and 6 months-old male child with ectrodactyly ectodermal dysplasia cleft lip and palate syndrome requiring treatment of his carious teeth. After history taking and clinical examination, the necessary treatment was provided under general anesthesia due to the definitely negative behavior of the child. The treatment outcomes had a positive impact on the behavior and acceptance to dental treatment. This was evidenced by completion of the prosthetic and space management appliances on the dental chair. The child's quality of life was consequently improved. This was evidenced by the reduced response scores of the child perception questionnaire (CPQ11-14 ) after treatment. This report highlighted the value of proper diagnosis and fulfillment of the unmet dental needs for patients with orofacial syndromes to improve their quality of life.

Keywords: clefting syndrome; ecrodactyly; ectodermal dysplasia.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Cleft Palate / complications*
  • Cleft Palate / surgery
  • Dental Care for Children / methods*
  • Dental Care for Chronically Ill / methods*
  • Dental Caries / therapy*
  • Ectodermal Dysplasia / complications*
  • Ectodermal Dysplasia / surgery
  • Humans
  • Intellectual Disability / complications*
  • Intellectual Disability / surgery
  • Male
  • Quality of Life
  • Syndactyly / complications*
  • Syndactyly / surgery

Supplementary concepts

  • Zlotogora-Ogur syndrome