Frontonasal dysplasia: oral features, restorative and orthodontic dental treatment in a child

• Published in: European archives of paediatric dentistry 2017-04, Vol.18 (2), p.127-133
• Main Authors: Valério, R. A., Scatena, C., Santos, F. R. R., Romano, F. L., Queiroz, A. M., Paula-Silva, F. W. G.
• Format: Article
• Language: English
• Subjects: Abnormalities; Births; Case Report; Case reports; Child, Preschool; Composite materials; Craniofacial Abnormalities - diagnostic imaging; Craniofacial Abnormalities - etiology; Craniofacial Abnormalities - therapy; Dentistry; Face - abnormalities; Face - diagnostic imaging; Female; Forehead; Health services; Hearing loss; Humans; Intellectual disabilities; Medicine; Nose; Nose tips; Oral hygiene; Orthodontic Appliances; Orthodontics; Palatal Expansion Technique; Patients; Prophylaxis; Radiography, Panoramic
• ISSN: 1818-6300; 1996-9805
• DOI: 10.1007/s40368-017-0274-z

Background Frontonasal dysplasia is a complex rare malformation, characterised by abnormalities involving the central portion of the face, especially the eyes, nose and forehead. It can manifest independently or associated with other abnormalities as part of some syndromes. Case report The purpose of this case report was to describe a 5-year-old patient, diagnosed with frontonasal dysplasia. Among the abnormalities characterised with this disorder were ocular hypertelorism, broad nose tip with median notch, median facial cleft, bifid anterior skull, low set hairline, Poland’s syndactyly and ankyloglossia. Treatment Consisted of behavioural management, oral hygiene instruction, prophylaxis, topical fluoride application, extraction of primary teeth, composite resin restorations and sealants in pits and fissures. Preformed metal crowns were also applied to the right and left primary maxillary second molars. Follow-up Currently, the patient is 11 years-old in the permanent dentition and therefore was referred for corrective orthodontic and periodontal treatments due to the persistence of gingival retraction of the permanent mandibular right central incisor. Conclusion The treatment in this case was directed to the promotion of oral health and orthodontic corrections, which are of fundamental importance due to medical, physical and social limitations of children affected by this syndrome, hindering healing and rehabilitative treatment. Paediatric dentists should be included in multidisciplinary teams providing care to patients with special needs, improving their quality of life.