Surgical-orthodontic treatment for severe malocclusion in a patient with osteopetrosis and bilateral cleft lip and palate

Angle Orthod. 2021 Jul 1;91(4):555-563. doi: 10.2319/080320-678.1.

Abstract

Orthognathic surgery in patients with craniofacial osteopetrosis, a condition associated with osteoclast dysfunction, is usually avoided because of the risk of osteomyelitis. A 19-year-old woman presented with the chief complaint of severe malocclusion and anterior crossbite. After radiographic evaluation, craniofacial osteopetrosis was diagnosed. Surgical-orthodontic treatment was performed after meticulous history taking and verification of normal bone turnover using bone-metabolism markers for endocrine evaluation. Favorable esthetic and functional outcomes were achieved.

Keywords: Bone turnover marker; Malocclusion; Orthognathic surgery; Osteopetrosis; Surgical-orthodontic treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cleft Lip* / complications
  • Cleft Lip* / diagnostic imaging
  • Cleft Lip* / surgery
  • Cleft Palate* / complications
  • Cleft Palate* / diagnostic imaging
  • Cleft Palate* / surgery
  • Esthetics, Dental
  • Female
  • Humans
  • Malocclusion* / diagnostic imaging
  • Malocclusion* / therapy
  • Osteopetrosis* / complications
  • Osteopetrosis* / diagnostic imaging
  • Osteopetrosis* / therapy
  • Young Adult