1/18. Vanished twin and fetal alcohol syndrome in the surviving twin. A case report.BACKGROUND: The diagnosis of twin pregnancy can be made early in pregnancy by ultrasonography (US). Follow-up examination occasionally demonstrates the disappearance of one of the twins. CASE: A twin disappeared on US examination; the surviving twin exhibited signs of fetal alcohol syndrome and other congenital anomalies, accompanied by a placental form of fetus papyraceus. CONCLUSION: Early US examination is useful for diagnosing multiple gestation. However, a follow-up examination is required to alert the clinician to the disappearance of one twin. Careful examination of the placenta may document fetal remnants. In this case a small, atretic nodule on the placental surface was evidence of the vanished twin.- - - - - - - - - - ranking = 1keywords = bite (Clic here for more details about this article) |
2/18. Traumatic macroglossia: a life-threatening complication.OBJECTIVE: To describe the use of muscle relaxants and a bite raiser to avoid continued tongue trauma. DESIGN: Case report. SETTING: A tertiary general intensive care unit (ICU). INTERVENTIONS: muscle relaxation and bite raiser. MAIN RESULTS: muscle relaxation and a bite raiser were used in a 17-yr-old male with traumatic macroglossia, which allowed for rapid resolution of edema and prevented additional trauma to the tongue. CONCLUSION: Early use of a bite raiser together with muscle relaxants allows for more rapid solution of edema and prevention of additional trauma to the tongue in patients with traumatic macroglossia.- - - - - - - - - - ranking = 4keywords = bite (Clic here for more details about this article) |
3/18. adult orthodontic treatment: a challenging case report.The case of a 61-year-old woman with a primary diagnosis of spondyloepiphyseal dysplasia and severe maxillary and mandibular spacing as well as anterior and posterior crossbites is presented. Clinical findings led to a diagnosis of macroglossia which required partial glossectomy in addition to comprehensive orthodontic treatment to correct malocclusion.- - - - - - - - - - ranking = 1keywords = bite (Clic here for more details about this article) |
4/18. Long-term changes in dentoskeletal pattern in a case with beckwith-wiedemann syndrome following tongue reduction and orthodontic treatment.Long-term changes in the dentoskeletal pattern in a 6-year-old Japanese girl with beckwith-wiedemann syndrome were demonstrated. The patient showed macroglossia, which is the most common symptom of the syndrome, protruded lower lip, mandibular protrusion and anterior open bite. The jaw base relationship improved to skeletal Class I and the molar relationship to Angle Class I at the early preadolescent period following tongue reduction and phase I orthodontic treatment using a chin cap and tongue crib. Optimum intercuspation of teeth was achieved after edgewise treatment without orthognathic surgery, and a skeletal Class I apical base relationship and good facial profile were maintained after the retention period of 2 years. This case report suggests that early orthodontic treatment with tongue reduction can be effective in a case with beckwith-wiedemann syndrome to improve an abnormal dentoskeletal pattern.- - - - - - - - - - ranking = 1.0151411952056keywords = bite, jaw (Clic here for more details about this article) |
5/18. Orthodontic-surgical approach in a case of severe open-bite associated with functional macroglossia.This article discusses an orthodontic-surgical approach to a patient with a severe openbite associated with relative macroglossia. Phonoaudiologic therapy had been used for 2 years without success. glossectomy was used as an aid for orthodontic surgery. Various treatment stages are described, and information is given on diagnosis and macroglossia correction.- - - - - - - - - - ranking = 5keywords = bite (Clic here for more details about this article) |
6/18. Severe dental open bite malocclusion with tongue reduction after orthodontic treatment.We treated a 21-year-old woman with a severe open bite and macroglossia with a standard edgewise appliance and without partial glossectomy. This was followed by retention using a Begg-type plate retainer for the upper dental arch and a fixed canine-to-canine for the lower arch. A crib was added to the upper plate retainer for suppression of a tongue thrust. The lower arch relapsed during the retention period, with a widening of the intermolar distance, flaring of the anterior teeth, and increased mobility of the teeth. We chose tongue reduction to resolve these problems and one-third of the middle dorsal part of the tongue was excised. After the tongue reduction, the patient experienced no functional problem in mastication, swallowing, and gustation, but she complained of mild speech difficulty and slight pain on the dorsal portion of her tongue. These symptoms disappeared 6 months after surgery. At this time, the mandibular dental arch was markedly improved. The flared lower dental arch had returned to an upright position and the tooth mobility reduced to normal. No appliance was used after surgery. Most of the recovery changes occurred within 4 months. This case highlights the importance of the teeth tending to move toward a balance between the tongue pressure from the inside and labio-buccal pressure from the outside.- - - - - - - - - - ranking = 5keywords = bite (Clic here for more details about this article) |
7/18. angiodysplasia with osteohypertrophy affecting the oromaxillofacial area: clinical findings.The authors report a case of oro-facial port-wine stain angiomatosis with cutaneous and mucosal lesions localized in the first and the second branch surface distribution areas of the right trigeminal nerve in association with right upper and lower lip, cheek, and hemimaxillary true hypertrophy leading to a severe dento-skeletal malocclusion with openbite and facial asymmetry. The authors through a revision of the bibliography locate nosologically this case among the rare congenital angiodysplastic syndromes affecting the maxillo-facial district as the Sturge-Weber and the Klippel-Trenaunay syndromes. They debate also about etiopathogenetic, clinical, differential diagnosis, and therapeutic aspects concerning the treatment of patients affected by this kind of malformation.- - - - - - - - - - ranking = 1keywords = bite (Clic here for more details about this article) |
8/18. Use of a modified occlusal bite guard to treat self-induced traumatic macroglossia (two case reports).OBJECTIVE: To describe the use of a bite guard to avoid continued tongue trauma and edema. DESIGN: Two case reports. INTERVENTIONS: Bite raiser. CONCLUSION: muscle relaxation and a bite guard were used in a 16 years old male and 22 years old female with traumatic macroglossia, which allowed for rapid resolution of edema and prevented additional trauma to the tongue.- - - - - - - - - - ranking = 6keywords = bite (Clic here for more details about this article) |
9/18. Schinzel-Giedion syndrome: interesting facial and orodental features, and dental management.Schinzel-Giedion syndrome comprises multiple congenital anomalies. The orofacial features include coarse facies, frontal bossing, ocular hypertelorism, anterior open bite and macrodontia. Two cases are presented in which the presence of specific craniofacial anomalies with bilateral hydronephrosis confirmed the diagnosis. In one patient, bottle-feeding was associated with caries in maxillary central and lateral incisors, but the second patient was permanently tube fed and did not experience any dental caries. Clinical management of these patients requires a coordinated approach from a team of medical and dental specialists.- - - - - - - - - - ranking = 1keywords = bite (Clic here for more details about this article) |
10/18. A less-invasive approach with orthodontic treatment in Beckwith-Wiedemann patients.The beckwith-wiedemann syndrome (BWS) is a rare genetic disorder, linked to an alteration on the short arm of chromosome 11 that comprises multiple congenital anomalies. macroglossia is the predominant finding, with subsequent protrusion of dentoalveolar structures, which results in a protruding mandible, anterior open bite, abnormally obtuse gonial angle and increased mandibular length. A less-invasive treatment with orthopaedic appliances in a patient with early tongue reduction is presented. This work summarizes the oral signs linked to macroglossia, and highlights the influence of macroglossia on mandibular growth structures. In our opinion, glossotomy could be carried out in the paediatric patient as a preventive measure in that it curbs the tongue's influence on skeletal growth and dramatically reduces the duration and extensiveness of subsequent treatment.- - - - - - - - - - ranking = 1keywords = bite (Clic here for more details about this article) |
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