No abstract

The prevalence of malocclusion in children with cerebral palsy was studied by comparison with a normal control group. The prevalence of drooling and prematurity was also assessed as well as the degree of mental handicap. Results showed an increased prevalence of malocclusion in children with cerebral palsy. Cerebral palsied children are likely to have a significantly increased overjet (P < 0.001) when compared with normal children. The comparatively small sample sizes precluded firm conclusions being drawn regarding other group comparisons (such as comparing children with cerebral palsy with and without a mental handicap) but there may be a tendency towards the more handicapped group having a Class II malocclusion.

This was satisfactory and 12 months post-operative the patient reported no further problems or symptoms. It could be seen that the area previously occupied by the cyst had undergone bony infill.

The case presented is that of a 5-year-old female with Wolf-Hirschhorn syndrome. Dental findings were severe hypodontia, late dental development, taurodontism of the primary molars, microdontia, and spacing. Hypodontia has previously been reported and therefore this case adds to the evidence that hypodontia may be a common feature of this syndrome. It also suggests that other dental anomalies could occur in children with Wolf-Hirschhorn syndrome.

Two case reports are presented, both clearly demonstrating the diagnosis of oral-facial-digital syndrome, type I, but widely different in the expression of the condition. The first patient showed only mild expression of the syndrome. On examination at the age of 4 years there were no obvious extra oral signs, intraoral findings included the presence of supernumeraries in the primary dentition, spacing in two areas and the presence of an extra frenum. The second can be considered as a more severe case. This patient had many of the typical manifestations, including frontal bossing, a degree of zygomatic hypoplasia and clinodactyly. Orally, the most striking finding was a bilateral cleft palate which had not been diagnosed prior to examination at the age of 6 years. Other findings included multiple frena and a bifid tongue.