Rare Disorders: Diagnosis and Therapeutic Planning for Patients Seeking Orthodontic Treatment

The available literature on the orthodontic treatment of patients with rare disorders is extremely scarce. The aim of this study was to analyze the diagnosis and orthodontic treatment of a group of 94 individuals with rare diseases, referred for orthodontic evaluation to a university special care de...

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Bibliographic Details
Published in:Journal of clinical medicine 2022-03, Vol.11 (6), p.1527
Main Authors: Arriagada-Vargas, Carolina, Abeleira-Pazos, María Teresa, Outumuro-Rial, Mercedes, García-Mato, Eliane, Varela-Aneiros, Iván, Limeres-Posse, Jacobo, Diz-Dios, Pedro, Diniz-Freitas, Márcio
Format: Article
Language:English
Subjects:
Clinical medicine
Cognitive ability
Dental care
Dental occlusion
Dentists
Disease
Health care access
Neurological disorders
Odontology
Oral hygiene
Orthodontics
Patients
Professional relationships
Rare diseases
Respiratory distress syndrome
Statistical analysis
Variables
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Summary:The available literature on the orthodontic treatment of patients with rare disorders is extremely scarce. The aim of this study was to analyze the diagnosis and orthodontic treatment of a group of 94 individuals with rare diseases, referred for orthodontic evaluation to a university special care dentistry center (University of Santiago de Compostela, Spain). We created a control group of 94 systemically healthy individuals, paired by sex and age range. For all participants, we recorded their dental and skeletal abnormalities, oromotor dysfunctions and the characteristics of their orthodontic treatment. Some of the morphological and functional abnormalities were more prevalent in the rare disorders group than in the control group, including dental agenesis, microdontia, enamel defects, maxillary hypoplasia, overbite, cleft lip/palate, mouth breathing, atypical swallowing, lingual/labial interposition, labial incompetence, modified consistency diet, bruxism, and muscle tone abnormalities. Compared with the control group, the 56 patients with rare disorders who underwent orthodontic treatment required more desensitization sessions, used mixed appliances (fixed and removable) more often and for longer periods and had more frequent complications, such as gingivitis, caries, mucosal ulcers and recurrent debonding of the device. In conclusion, for selected patients with rare disorders, it is feasible to perform orthodontic treatment, whose planning will be determined by the dental-skeletal abnormalities and oromotor dysfunctions. Although complications are more frequent, they can typically be solved without having to stop treatment.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11061527