Sturge-Weber syndrome in an orthodontic patient

Pithon, Matheus Melo; Andrade, Ana Carolina Dias Viana de; Andrade, Ana Paula Dias Viana de; Santos, Rogério Lacerda dos

doi:10.1016/j.ajodo.2009.10.049

Cited by 7 publications

(9 citation statements)

References 19 publications

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“…In the patient of the present report, leptomeningeal angiomatosis was verified without intracranial calcifications; this last condition is similar to that reported by Patil et al . and Nanda et al., although there are cases in the literature that report the presence of intracranial calcification …”

Section: Discussionmentioning

confidence: 83%

“…11 In the patient of the present report, leptomeningeal angiomatosis was verified without intracranial calcifications; this last condition is similar to that reported by Patil et al 7 and Nanda et al, 17 although there are cases in the literature that report the presence of intracranial calcification. 15,18,19 Glaucoma has been cited as a common alteration associated with SWS 3,4,7,17 and was one of the conditions diagnosed in this patient. Treatment with topical antiglaucoma medications is sometimes sufficient to control intraocular pressure, 7 but not in this case, since the child was diagnosed late and was in an advanced glaucoma stage, requiring surgical intervention.…”

Section: Discussionmentioning

confidence: 84%

“…The oral involvement was observed in the form of port‐wine staining on the vermilion of the lips, inadequate lip sealing, hypertrophy of the maxillary bone, and diffuse and intense redness of the oral mucosa, especially in the alveolar mucosa and floor of the mouth. Maxillary bone hypertrophy is found in some patients with SWS and may lead to malocclusion . In addition, according to the literature, the patient presents macroglossia that results in an anterior open bite.…”

Section: Discussionmentioning

confidence: 96%

“…Maxillary bone hypertrophy is found in some patients with SWS and may lead to malocclusion. 18,19 In addition, according to the literature, the patient presents macroglossia that results in an anterior open bite. These conditions corroborate with the findings of the present case.…”

Section: Discussionmentioning

confidence: 99%

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Oral healthcare management of a child with phakomatosis pigmentovascularis associated with bilateral Sturge‐Weber syndrome

Martins

Letieri

Lenzi

et al. 2019

Special Care in Dentistry

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The aim of this report was to describe an approach for a child with phakomatosis pigmentovascularis Type IIb associated with bilateral Sturge–Weber syndrome and autistic spectrum disorder. A 6‐year‐old boy was referred to the Special Care Dental Clinic with the main complaints of “damaged teeth and pain.” The physical examination revealed bilateral port‐wine staining on the face, neck, and upper and lower limbs, congenital dermal melanocytosis on the back, and dilated blood vessels in the sclera. Intraoral examination revealed hypertrophy of the maxillary bone, diffuse and intense redness of the oral mucosa, crowding, anterior open bite, and carious lesions in the left and right upper second primary molars. The medical team was consulted prior to dental treatment to assess the risk of bleeding, and anesthesia was contraindicated. Instruction about brushing technique and procedures for a suitable oral environment were then carried out using a minimally invasive restorative treatment. The patient did not exhibit collaborative behavior, and follow up continues with the patient receiving preventive treatments. Therefore, a multidisciplinary approach to these patients is fundamental to avoid complications during dental intervention. Moreover, regular visits to the dentist reduce the need for invasive treatments and improve the well‐being of these individuals.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Oral healthcare management of a child with phakomatosis pigmentovascularis associated with bilateral Sturge‐Weber syndrome

Martins

Letieri

Lenzi

et al. 2019

Special Care in Dentistry

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“…[9][10][11][12] Early treatment of patients with oral and/or craniofacial anomalies using orthodontic and maxillary orthopedic therapy and DO is recommended when the patient is a child or an adolescent. 13,14 This perspective appears to lead to a question: What would be the best method to use, laser or ultrasound, with regard to the effect the method would have on bone healing after DO? Thus, the aim of this study was to compare the effects of LIL vs those of LIUS with regard to bone healing after performance of DO in rabbits using histomorphometry to analyze the outcome.…”

Section: Introductionmentioning

confidence: 99%

Effects of laser vs ultrasound on bone healing after distraction osteogenesis: A histomorphometric analysis

Medeiros

Nascimento

Lau

et al. 2014

The Angle Orthodontist

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Correction of Facial Deformity in Sturge–Weber Syndrome

Yamaguchi

Lonic

Chen

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Background:Although previous studies have reported soft-tissue management in surgical treatment of Sturge–Weber syndrome (SWS), there are few reports describing facial bone surgery in this patient group. The purpose of this study is to examine the validity of our multidisciplinary algorithm for correcting facial deformities associated with SWS. To the best of our knowledge, this is the first study on orthognathic surgery for SWS patients.Methods:A retrospective chart review included 2 SWS patients who completed the surgical treatment algorithm. Radiographic and clinical data were recorded, and a treatment algorithm was derived.Results:According to the Roach classification, the first patient was classified as type I presenting with both facial and leptomeningeal vascular anomalies without glaucoma and the second patient as type II presenting only with a hemifacial capillary malformation. Considering positive findings in seizure history and intracranial vascular anomalies in the first case, the anesthetic management was modified to omit hypotensive anesthesia because of the potential risk of intracranial pressure elevation. Primarily, both patients underwent 2-jaw orthognathic surgery and facial bone contouring including genioplasty, zygomatic reduction, buccal fat pad removal, and masseter reduction without major complications. In the second step, the volume and distribution of facial soft tissues were altered by surgical resection and reposition. Both patients were satisfied with the surgical result.Conclusions:Our multidisciplinary algorithm can systematically detect potential risk factors. Correction of the asymmetric face by successive bone and soft-tissue surgery enables the patients to reduce their psychosocial burden and increase their quality of life.

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Sturge-Weber syndrome in an orthodontic patient

Cited by 7 publications

References 19 publications

Oral healthcare management of a child with phakomatosis pigmentovascularis associated with bilateral Sturge‐Weber syndrome

Oral healthcare management of a child with phakomatosis pigmentovascularis associated with bilateral Sturge‐Weber syndrome

Effects of laser vs ultrasound on bone healing after distraction osteogenesis: A histomorphometric analysis

Correction of Facial Deformity in Sturge–Weber Syndrome

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