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Prosthetic rehabilitation of a Crouzon patient: A case report

Kurt H, Gençel B, Kader AC - Contemp Clin Dent (2010)

Bottom Line: The growth pattern results in pseudoprognathism and malocclusions including an overcrowded or a widely spaced dentition.Cleft palate and bifid uvula are other possible features in the oral cavity.This report describes a non-surgical treatment model to overcome the remaining significant Class III intermaxillary relation and excessive tooth loss to recover function and aesthetics for a 25-year-old Crouzon patient.

Affiliation: Department of Removable Prosthodontics, İstanbul University, Faculty of Dentistry, Istanbul, Turkey.

ABSTRACT

Crouzon syndrome is a rare genetic disorder, which can be defined as a variation of craniofacial dysostosis caused by the premature obliteration and ossification of two or more sutures. The growth pattern results in pseudoprognathism and malocclusions including an overcrowded or a widely spaced dentition. Specifically maxillary arch is narrow, high, and V-shaped. Cleft palate and bifid uvula are other possible features in the oral cavity. This report describes a non-surgical treatment model to overcome the remaining significant Class III intermaxillary relation and excessive tooth loss to recover function and aesthetics for a 25-year-old Crouzon patient.

Intra-oral view without the overdenture after one year
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Figure 7: Intra-oral view without the overdenture after one year

Mentions: The maxillary removable prosthesis was finished with conventional procedures and the mandibular fixed prosthesis was glazed [Figure 6]. Mandibular prosthesis was cemented with resin-type cement (Panavia F, Kuraray Dental, Okayama, Japan) and the copings of the telescopic overdenture were cemented with zinc polycarboxylate cement (Adhesor Carbofine, Spofa Dental, Jicin, Czech Republic) via closed mouth technique. Verbal and written instructions about the care of the prosthesis and the abutment teeth were given to the patient and his family. Early recalls were made on the first day, first week, and two weeks after the prostheses were delivered to the patient. As the cooperation of the patient was poor about the care of prostheses and the abutment teeth, monthly recalls were made during the following year to consolidate the oral care. Later recalls revealed positive feedback, the remaining abutment teeth and the periodontal structures were healthy and the prostheses were in good condition, still serving satisfactory function and aesthetics [Figures 7–10]. After prosthetic rehabilitation, as stated by his family, the patient was further socialized and at the age of 25 he was employed for the first time in his life.

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Prosthetic rehabilitation of a Crouzon patient: A case report

Kurt H, Gençel B, Kader AC - Contemp Clin Dent (2010)

Intra-oral view without the overdenture after one year
© Copyright Policy
Figure 7: Intra-oral view without the overdenture after one year
Mentions: The maxillary removable prosthesis was finished with conventional procedures and the mandibular fixed prosthesis was glazed [Figure 6]. Mandibular prosthesis was cemented with resin-type cement (Panavia F, Kuraray Dental, Okayama, Japan) and the copings of the telescopic overdenture were cemented with zinc polycarboxylate cement (Adhesor Carbofine, Spofa Dental, Jicin, Czech Republic) via closed mouth technique. Verbal and written instructions about the care of the prosthesis and the abutment teeth were given to the patient and his family. Early recalls were made on the first day, first week, and two weeks after the prostheses were delivered to the patient. As the cooperation of the patient was poor about the care of prostheses and the abutment teeth, monthly recalls were made during the following year to consolidate the oral care. Later recalls revealed positive feedback, the remaining abutment teeth and the periodontal structures were healthy and the prostheses were in good condition, still serving satisfactory function and aesthetics [Figures 7–10]. After prosthetic rehabilitation, as stated by his family, the patient was further socialized and at the age of 25 he was employed for the first time in his life.

Bottom Line: The growth pattern results in pseudoprognathism and malocclusions including an overcrowded or a widely spaced dentition.Cleft palate and bifid uvula are other possible features in the oral cavity.This report describes a non-surgical treatment model to overcome the remaining significant Class III intermaxillary relation and excessive tooth loss to recover function and aesthetics for a 25-year-old Crouzon patient.

Affiliation: Department of Removable Prosthodontics, İstanbul University, Faculty of Dentistry, Istanbul, Turkey.

ABSTRACT

Background: Crouzon syndrome is a rare genetic disorder, which can be defined as a variation of craniofacial dysostosis caused by the premature obliteration and ossification of two or more sutures. The growth pattern results in pseudoprognathism and malocclusions including an overcrowded or a widely spaced dentition. Specifically maxillary arch is narrow, high, and V-shaped. Cleft palate and bifid uvula are other possible features in the oral cavity. This report describes a non-surgical treatment model to overcome the remaining significant Class III intermaxillary relation and excessive tooth loss to recover function and aesthetics for a 25-year-old Crouzon patient.

View Similar Images In: Results  - Collection
View Article: Pubmed Central -  PubMed
Show All Figures - Show MeSH
getmorefigures.php?pmc=3220112&rFormat=json&query=null&req=5