Rieger Syndrome: Rehabilitation With Dental Implants

Pirih, Flávia Q.; Casarin, Maísa; Perussolo, Jeniffer; Ozaki, Mark; Carnio, João; Camargo, Paulo M.; Galvan, M

doi:10.1002/cap.10065

Cited by 6 publications

(7 citation statements)

References 14 publications

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“…A priority aspect for this type of patient is the maintenance of correct oral hygiene as for all patients suffering from rare diseases [25][26][27][28][29][30][31] in order to safeguard the periodontal condition having a reduced size of the mandibular and maxillary bone crest and the presence of short roots with little presence of adherent gingiva [32,33]. These factors can determine the premature loss of tooth following periodontal disease, furthermore the maintenance of periodontal health is fundamental for implant rehabilitation in sectors with agenesis or where there has been the loss of dental elements, not easy to plan as described by Pirih et al for the reduction of bone thickness [34].…”

Section: Discussionmentioning

confidence: 99%

Axenfeld–Rieger syndrome: orthopedic and orthodontic management in a pediatric patient: a case report

et al. 2022

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Axenfeld–Rieger Syndrome (ARS) is a rare autosomal dominant genetic disease with considerable expressive variability, characterized by ocular and non-ocular manifestations, cardiovascular, mild craniofacial abnormalities and dental malformations. Current data report an incidence of Xenfeld-Rieger syndrome in the population of 1: 200,000.The case described is that of a 14-year-old female patient whose ARS is suspected and investigated following a dental specialist visit for orthodontic reasons, acquired the patient’s family and clinical data following a medical approach multidisciplinary, we proceed to the orthodontic involved the use of the Rapid Palatal Expander (RPE) and a fixed orthodontic treatment.The aim of this study is to report the case of the orthopaedic and orthodontic treatment in a patient affected by ARS and with facial dysmorphism and teeth anomalies associated to ocular anomalies.

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Section: Discussionmentioning

confidence: 99%

Axenfeld–Rieger syndrome: orthopedic and orthodontic management in a pediatric patient: a case report

et al. 2022

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“…Defects in the anterior teeth not only affect normal oral function, but also affect the beauty of the patient's face, which has a negative impact on the patient's psychology [12]. A removable denture may be used for the restoration of such defects, but it has certain shortcomings, such as inadequate functional recovery, poor appearance, sensation of a foreign body in the mouth, and inconvenience associated with the frequent insertion and removal of the prosthesis [13]. In contrast, a xed denture can cause wear of the healthy adjacent teeth, cause fracture or mobility of the abutment teeth, and cause symptoms of dental pulp in ammation.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, a xed denture can cause wear of the healthy adjacent teeth, cause fracture or mobility of the abutment teeth, and cause symptoms of dental pulp in ammation. Therefore, xed dentures often cause considerable pain in the patients [13][14][15]. For continuous loss of multiple teeth, as the span of the bridge is large, it is di cult to use all-porcelain restoration [12,16].…”

Section: Discussionmentioning

confidence: 99%

Application of computer-aided design and 3D-printed template for accurate bone augmentation in the aesthetic region of anterior teeth

Liu

Fang

Jin

et al. 2022

Preprint

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Purpose To explore the outcomes of bone augmentation in the aesthetic zone of the anterior teeth using computer-aided design and a 3D-printed template. Methods Ten patients (seven females, three males) with severe bone defects in the aesthetic zone of anterior teeth were included in the study; CT data were collected before surgery. The design of the osteotomy line in the bone defect area was determined under computer simulation. The position parameters and osteotomy line of the free bone were determined via virtual surgery. A 3D-printed template was prepared to guide the accurate placement of the bone graft. Reexamination was conducted to evaluate the position of the bone graft immediately after the operation and the resorbed capacity of the bone graft before implant restoration. Results The position of the bone graft was consistent with the preoperative design. The amount of bone graft resorbed was within the acceptable range three months after the operation, and the effect of implant restoration was satisfactory. Clinical significance Use of computer-aided design and a 3D-printed template can be an effective approach for accurate bone augmentation in the aesthetic zone of the anterior teeth.

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“…Az Axenfeld-Rieger-szindrómát a craniofacialis régió különböző eltérései jellemzik. Az agy-és arckoponyát érintő tünetek lehetnek a következők: előreugró homlok, hypertelorismus, telecanthus, lapos és széles orrnyereg; maxillahypoplasia miatti lapos arcközép, rövid filtrum, keskeny felső ajak és széles alsó ajak [8,9].…”

Section: Craniofacialis éS Fogazati Jellemzőkunclassified

“…Az állkapocs, valamint a fogazat szám-és alakbeli rendellenességei panoráma-röntgenfelvétellel jól dokumentálhatók. A dentalis anomáliák (4-6. ábra) közül számosat említenek a különböző publikációkban, mint például microdontia, hypodontia, oligodontia, anodontia, taurodontia és zománchypoplasia is [9,10]. A hypodontia egyaránt érintheti a tej-és a maradó fogakat, de a leggyakrabban a maxilla metszőfogainál, szemfogainál és második kisőrlőinél figyelhető meg.…”

Section: Craniofacialis éS Fogazati Jellemzőkunclassified

Axenfeld–Rieger-szindróma: szemészeti és fogászati diagnosztikai és kezelési lehetőségek

Bausz

Csidey

Csákány

et al. 2021

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Összefoglaló. Az Axenfeld–Rieger-szindróma ritka betegség. A közlemény bemutatja a klinikai megjelenési formáit, a diagnosztikus és terápiás lehetőségeket. A szemgolyó elülső szegmentumát érintő fejlődési rendellenességek vizsgálata a hagyományos biomikroszkópos vizsgálat mellett digitális kamerával is történhet, mely a csarnokzugi képleteket nagy nagyításban, éles képet mutatva tudja megjeleníteni. Az elülső szegmentum leképezését segítő optikaikoherencia-tomográfia és ultrahang-biomikroszkópia a fejlődési rendellenességnek és a csarnokvíz-elvezető sönt tubusának vizsgálatára, megjelenítésére is alkalmas. A szemnyomást a gyermek kooperációjának függvényében többféle módon mérhetjük. A szabálytalan alakú, sokszor csak résnyi pupilla, valamint a szemnyomás-emelkedés miatt szemészeti beavatkozás lehet szükséges. A korai pupillaképzés az amblyopia megelőzését, az antiglaucomás műtétek (trabeculectomia, hosszú tubusú sönt implantációja) pedig a látási funkciók megőrzését szolgálják. A szemészeti műtéteket akár már néhány hónapos korban szükséges elvégezni altatásban. A maxillahypoplasia és a fogászati fejlődési anomáliák miatt kétirányú panoráma-röntgenfelvétel szükséges. Többlépcsős fogászati konzervatív és restoratív kezelés hozhat eredményt. A diagnózis felállítása és a kezelés is multidiszciplináris megközelítést igényel. Gyermekgyógyász, genetikus, kardiológus, fogász-szájsebész és gyermekszemész együttes munkája biztosíthat megfelelő eredményt. Orv Hetil. 2021; 162(5): 192–199. Summary. Axenfeld–Rieger syndrome is a rare disease. Our paper presents its clinical manifestations, diagnostic and therapeutic options. Due to maxillary hypoplasia and dental developmental anomalies, bidirectional panoramic radiography is required. Multi-stage dental conservative and restorative treatment can provide better results. In addition to traditional biomicroscopic examination, developmental abnormalities affecting the anterior segment of the eye can also be examined with a digital camera, which can display the angle of the anterior chamber at high magnification, with a sharp image. Anterior segment optical coherence tomography and ultrasound biomicroscopy are also suitable for the examination and display of developmental abnormalities and drainage shunt tubes. Intraocular pressure can be measured in several ways depending on the child’s cooperation. Due to the irregular shape of the pupil, often with only a slit aperture, and an increase in intraocular pressure, ophthalmic intervention may be required. The pupilloplasty is important preventing amblyopia prevention and early glaucoma surgery (trabeculectomy, shunt implantation) helps to preserve visual function. Eye surgeries need to be performed under anaesthesia, sometimes at few months of age. Both diagnosis and treatment require a multidisciplinary approach. The joint work of a paediatrician, geneticist, cardiologist, dental-oral surgeon and paediatric ophthalmologist may provide a satisfactory result. Orv Hetil. 2021; 162(5): 192–199.

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Rieger Syndrome: Rehabilitation With Dental Implants

Cited by 6 publications

References 14 publications

Axenfeld–Rieger syndrome: orthopedic and orthodontic management in a pediatric patient: a case report

Axenfeld–Rieger syndrome: orthopedic and orthodontic management in a pediatric patient: a case report

Application of computer-aided design and 3D-printed template for accurate bone augmentation in the aesthetic region of anterior teeth

Axenfeld–Rieger-szindróma: szemészeti és fogászati diagnosztikai és kezelési lehetőségek

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