Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome)
Myotonic dystrophy, or Steinert’s disease, is the most common form of muscular dystrophy that occurs in adults. This multisystemic form involves the skeletal muscles but affects also the eye, the endocrine system, the central nervous system, and the cardiac system. The weakness of the facial muscles...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2017/7957961 |
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| author | Laura Cacucci Beatrice Ricci Maria Moretti Giulio Gasparini Sandro Pelo Cristina Grippaudo |
| author_facet | Laura Cacucci Beatrice Ricci Maria Moretti Giulio Gasparini Sandro Pelo Cristina Grippaudo |
| author_sort | Laura Cacucci |
| collection | DOAJ |
| description | Myotonic dystrophy, or Steinert’s disease, is the most common form of muscular dystrophy that occurs in adults. This multisystemic form involves the skeletal muscles but affects also the eye, the endocrine system, the central nervous system, and the cardiac system. The weakness of the facial muscles causes a characteristic facial appearance frequently associated with malocclusions. Young people with myotonic dystrophy, who also have severe malocclusions, have bad oral functions such as chewing, breathing, and phonation. We present a case report of a 15-year-old boy with anterior open bite, upper and lower dental crowding, bilateral crossbite, and constriction of the upper jaw with a high and narrow palate. The patient’s need was to improve his quality of life. Because of the severity of skeletal malocclusion, it was necessary to schedule a combined orthodontic and surgical therapy in order to achieve the highest aesthetic and functional result. Although therapy caused an improvement in patient’s quality of life, the clinical management of the case was hard. The article shows a balance between costs and benefits of a therapy that challenges the nature of the main problem of the patient, and it is useful to identify the most appropriate course of treatment for similar cases. |
| format | Article |
| id | doaj-art-d07bbfd2b45944e998e9ed49b3242128 |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-d07bbfd2b45944e998e9ed49b32421282025-02-03T05:44:17ZengWileyCase Reports in Dentistry2090-64472090-64552017-01-01201710.1155/2017/79579617957961Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome)Laura Cacucci0Beatrice Ricci1Maria Moretti2Giulio Gasparini3Sandro Pelo4Cristina Grippaudo5Università Cattolica del Sacro Cuore, Largo A. Gemelli 8, 00168 Rome, ItalyUniversità Cattolica del Sacro Cuore, Largo A. Gemelli 8, 00168 Rome, ItalyUniversità Cattolica del Sacro Cuore, Largo A. Gemelli 8, 00168 Rome, ItalyUniversità Cattolica del Sacro Cuore, Largo A. Gemelli 8, 00168 Rome, ItalyUniversità Cattolica del Sacro Cuore, Largo A. Gemelli 8, 00168 Rome, ItalyUniversità Cattolica del Sacro Cuore, Largo A. Gemelli 8, 00168 Rome, ItalyMyotonic dystrophy, or Steinert’s disease, is the most common form of muscular dystrophy that occurs in adults. This multisystemic form involves the skeletal muscles but affects also the eye, the endocrine system, the central nervous system, and the cardiac system. The weakness of the facial muscles causes a characteristic facial appearance frequently associated with malocclusions. Young people with myotonic dystrophy, who also have severe malocclusions, have bad oral functions such as chewing, breathing, and phonation. We present a case report of a 15-year-old boy with anterior open bite, upper and lower dental crowding, bilateral crossbite, and constriction of the upper jaw with a high and narrow palate. The patient’s need was to improve his quality of life. Because of the severity of skeletal malocclusion, it was necessary to schedule a combined orthodontic and surgical therapy in order to achieve the highest aesthetic and functional result. Although therapy caused an improvement in patient’s quality of life, the clinical management of the case was hard. The article shows a balance between costs and benefits of a therapy that challenges the nature of the main problem of the patient, and it is useful to identify the most appropriate course of treatment for similar cases.http://dx.doi.org/10.1155/2017/7957961 |
| spellingShingle | Laura Cacucci Beatrice Ricci Maria Moretti Giulio Gasparini Sandro Pelo Cristina Grippaudo Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome) Case Reports in Dentistry |
| title | Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome) |
| title_full | Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome) |
| title_fullStr | Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome) |
| title_full_unstemmed | Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome) |
| title_short | Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome) |
| title_sort | surgical orthodontic treatment of a patient affected by type 1 myotonic dystrophy steinert syndrome |
| url | http://dx.doi.org/10.1155/2017/7957961 |
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