Orthodontic treatment and aesthetic rehabilitation in a patient with Turner syndrome: A case report

Abstract

Aims This case report describes an orthodontic and aesthetic rehabilitation in a patient with Turner syndrome. Methods and results Careful anamnesis was performed to find the patient's medical history. Based on dental casts, radiographies and photographies it was observed alterations in the craniofacial complex, in the occlusion and in the dental morphology. For the orthodontic treatment, rapid maxillary expansion was performed, followed by the use of fixed orthodontic appliance. At the end, aesthetic rehabilitation, with direct composite resin veneers, was utilized for the correction of existing diastema. Treatment goals were achieved by observing an improvement in facial and smile harmony. Conclusion The orthodontic treatment followed by aesthetic rehabilitation of dental morphology showed to be feasible in a patient with Turner syndrome based on an early diagnosis and craniofacial growth follow‐up.

Upper Airway Expansion in Disabled Children

“…RME proved to be a beneficial treatment in a patient with Turner syndrome. Followed by an esthetic rehabilitation of dental morphology proved feasible to achieve facial and smile harmony [50].…”

“…Improvement on nasal symptomatology, rhinorrhea, and allergy and increase the area for nasal ventilation (nasal width) [9-11, 21, 33, 35, 38, 61, 62]. Better airway-increase in total upper [11,31,33,50,63] airways volume [64,65]. Improves nasal permeability, mucus drainage, better drainage of secretions [10,11,50].…”

“…Better airway-increase in total upper [11,31,33,50,63] airways volume [64,65]. Improves nasal permeability, mucus drainage, better drainage of secretions [10,11,50]. Otologic symptomatology: resolution from the serous otitis, hearing, decreased nasal edema, reduced mucosal inflammation, and improvement of an audiogram and tympanogram [10,11].…”

“…Progress on mouth breathing, return of nasal breathing [4,10,11,30,31,38]. Tongue mobility and positioning, more space in the oral cavity for the tongue, reduction of tongue protrusion and drooling [10,11,33,35,50,62,66]. Improvement on bruxism [4] Improvement on halitosis [4] Better skin * Esthetics *** Respiratory (with better breath), better ventilation [11,31,33,50,64,65].…”

“…Decreases the number of upper airway infections [11]. Improvement in chewing (more firmly and quickly ** ) [50,66]. Improvement on swallowing [66] Drinking (faster) ** [50].…”