Oral findings in patients with Apert Syndrome

Detalhes bibliográficos
Autor(a) principal: Dalben, Gisele da Silva
Data de Publicação: 2006
Outros Autores: Neves, Lucimara Teixeira das, Gomide, Marcia Ribeiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of applied oral science (Online)
Texto Completo: https://www.revistas.usp.br/jaos/article/view/3419
Resumo: INTRODUCTION: The Apert syndrome is a rare disorder of autosomal dominant inheritance caused by mutations in the FGFR2 gene at locus 10q26; patients with this syndrome present severe syndactyly, exophthalmia, ocular hypertelorism and hypoplastic midface with Class III malocclusion, besides systemic alterations. Most investigations available on the Apert syndrome address the genetic aspect or surgical management, with little emphasis on the oral aspects. OBJECTIVE: to investigate the oral findings, including dental anomalies, ectopic eruption of the maxillary permanent first molars and soft tissue alterations, in subjects with Apert syndrome. MATERIALS AND METHODS: clinical and radiographic examination of nine patients with Apert syndrome, aged 6 to 15 years, not previously submitted to orthodontic or orthognathic treatment. RESULTS: dental anomalies were present in all patients, with one to eight anomalies per individual. The most frequent anomalies were tooth agenesis, mainly affecting maxillary canines, and enamel opacities (44.4% for both). Ectopic eruption of maxillary first molars was found in 33.3% of patients; lateral palatal swellings were observed in 88.8% of patients. CONCLUSIONS: The occurrence of typical lateral palatal swellings agrees with the literature. The high prevalence of dental anomalies and ectopic eruption may suggest a possible etiologic relationship with the syndrome.
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spelling Oral findings in patients with Apert Syndrome Achados bucais em pacientes com Síndrome de Apert Anomalias dentáriasAlterações bucaisIrrupção dentária ectópicaCraniossinostoseAcrocefalosindactiliaTooth abnormalitiesMouth abnormalitiesTooth eruptionectopicCraniosynostosesAcrocephalosyndactylia INTRODUCTION: The Apert syndrome is a rare disorder of autosomal dominant inheritance caused by mutations in the FGFR2 gene at locus 10q26; patients with this syndrome present severe syndactyly, exophthalmia, ocular hypertelorism and hypoplastic midface with Class III malocclusion, besides systemic alterations. Most investigations available on the Apert syndrome address the genetic aspect or surgical management, with little emphasis on the oral aspects. OBJECTIVE: to investigate the oral findings, including dental anomalies, ectopic eruption of the maxillary permanent first molars and soft tissue alterations, in subjects with Apert syndrome. MATERIALS AND METHODS: clinical and radiographic examination of nine patients with Apert syndrome, aged 6 to 15 years, not previously submitted to orthodontic or orthognathic treatment. RESULTS: dental anomalies were present in all patients, with one to eight anomalies per individual. The most frequent anomalies were tooth agenesis, mainly affecting maxillary canines, and enamel opacities (44.4% for both). Ectopic eruption of maxillary first molars was found in 33.3% of patients; lateral palatal swellings were observed in 88.8% of patients. CONCLUSIONS: The occurrence of typical lateral palatal swellings agrees with the literature. The high prevalence of dental anomalies and ectopic eruption may suggest a possible etiologic relationship with the syndrome. INTRODUÇÃO: A síndrome de Apert é um distúrbio raro de herança autossômica dominante causado por mutações no lócus 10q26 do gene FGFR2; pacientes com esta síndrome apresentam sindactilia severa, exoftalmia, hiperteleorbitismo e hipoplasia da face média com má oclusão de Classe III, além de alterações sistêmicas. A maior parte dos estudos disponíveis sobre a síndrome de Apert aborda o aspecto genético ou manejo cirúrgico, com pouca ênfase nos aspectos bucais. OBJETIVO: investigar os achados bucais, incluindo anomalias dentárias, irrupção ectópica dos primeiros molares permanentes superiores e alterações de tecido mole, em indivíduos com síndrome de Apert. MATERIAIS E MÉTODOS: exame clínico e radiográfico de nove pacientes com síndrome de Apert, de 6 a 15 anos de idade, não anteriormente submetidos a tratamento ortodôntico ou ortognático. RESULTADOS: anomalias dentárias estavam presentes em todos os pacientes, com uma a oito anomalias por indivíduo. As anomalias mais freqüentes foram agenesia dentária, principalmente afetando os caninos superiores, e opacidades de esmalte (44,4% para ambos). Foi observada irrupção ectópica dos primeiros molares superiores em 33,3% dos pacientes; foram observados aumentos volumétricos laterais da mucosa palatina em 88,8% dos pacientes. CONCLUSÕES: a ocorrência de aumentos volumétricos laterais típicos da mucosa palatina concorda com a literatura. A alta prevalência de anomalias dentárias e irrupção ectópica pode sugerir uma possível relação etiológica com a síndrome. Universidade de São Paulo. Faculdade de Odontologia de Bauru2006-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/jaos/article/view/341910.1590/S1678-77572006000600014Journal of Applied Oral Science; Vol. 14 No. 6 (2006); 465-469 Journal of Applied Oral Science; Vol. 14 Núm. 6 (2006); 465-469 Journal of Applied Oral Science; v. 14 n. 6 (2006); 465-469 1678-77651678-7757reponame:Journal of applied oral science (Online)instname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/jaos/article/view/3419/4109Copyright (c) 2006 Journal of Applied Oral Scienceinfo:eu-repo/semantics/openAccessDalben, Gisele da SilvaNeves, Lucimara Teixeira dasGomide, Marcia Ribeiro2012-04-27T11:55:54Zoai:revistas.usp.br:article/3419Revistahttp://www.scielo.br/jaosPUBhttps://www.revistas.usp.br/jaos/oai||jaos@usp.br1678-77651678-7757opendoar:2012-04-27T11:55:54Journal of applied oral science (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Oral findings in patients with Apert Syndrome
Achados bucais em pacientes com Síndrome de Apert
title Oral findings in patients with Apert Syndrome
spellingShingle Oral findings in patients with Apert Syndrome
Dalben, Gisele da Silva
Anomalias dentárias
Alterações bucais
Irrupção dentária ectópica
Craniossinostose
Acrocefalosindactilia
Tooth abnormalities
Mouth abnormalities
Tooth eruption
ectopic
Craniosynostoses
Acrocephalosyndactylia
title_short Oral findings in patients with Apert Syndrome
title_full Oral findings in patients with Apert Syndrome
title_fullStr Oral findings in patients with Apert Syndrome
title_full_unstemmed Oral findings in patients with Apert Syndrome
title_sort Oral findings in patients with Apert Syndrome
author Dalben, Gisele da Silva
author_facet Dalben, Gisele da Silva
Neves, Lucimara Teixeira das
Gomide, Marcia Ribeiro
author_role author
author2 Neves, Lucimara Teixeira das
Gomide, Marcia Ribeiro
author2_role author
author
dc.contributor.author.fl_str_mv Dalben, Gisele da Silva
Neves, Lucimara Teixeira das
Gomide, Marcia Ribeiro
dc.subject.por.fl_str_mv Anomalias dentárias
Alterações bucais
Irrupção dentária ectópica
Craniossinostose
Acrocefalosindactilia
Tooth abnormalities
Mouth abnormalities
Tooth eruption
ectopic
Craniosynostoses
Acrocephalosyndactylia
topic Anomalias dentárias
Alterações bucais
Irrupção dentária ectópica
Craniossinostose
Acrocefalosindactilia
Tooth abnormalities
Mouth abnormalities
Tooth eruption
ectopic
Craniosynostoses
Acrocephalosyndactylia
description INTRODUCTION: The Apert syndrome is a rare disorder of autosomal dominant inheritance caused by mutations in the FGFR2 gene at locus 10q26; patients with this syndrome present severe syndactyly, exophthalmia, ocular hypertelorism and hypoplastic midface with Class III malocclusion, besides systemic alterations. Most investigations available on the Apert syndrome address the genetic aspect or surgical management, with little emphasis on the oral aspects. OBJECTIVE: to investigate the oral findings, including dental anomalies, ectopic eruption of the maxillary permanent first molars and soft tissue alterations, in subjects with Apert syndrome. MATERIALS AND METHODS: clinical and radiographic examination of nine patients with Apert syndrome, aged 6 to 15 years, not previously submitted to orthodontic or orthognathic treatment. RESULTS: dental anomalies were present in all patients, with one to eight anomalies per individual. The most frequent anomalies were tooth agenesis, mainly affecting maxillary canines, and enamel opacities (44.4% for both). Ectopic eruption of maxillary first molars was found in 33.3% of patients; lateral palatal swellings were observed in 88.8% of patients. CONCLUSIONS: The occurrence of typical lateral palatal swellings agrees with the literature. The high prevalence of dental anomalies and ectopic eruption may suggest a possible etiologic relationship with the syndrome.
publishDate 2006
dc.date.none.fl_str_mv 2006-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/jaos/article/view/3419
10.1590/S1678-77572006000600014
url https://www.revistas.usp.br/jaos/article/view/3419
identifier_str_mv 10.1590/S1678-77572006000600014
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/jaos/article/view/3419/4109
dc.rights.driver.fl_str_mv Copyright (c) 2006 Journal of Applied Oral Science
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2006 Journal of Applied Oral Science
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Odontologia de Bauru
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Odontologia de Bauru
dc.source.none.fl_str_mv Journal of Applied Oral Science; Vol. 14 No. 6 (2006); 465-469
Journal of Applied Oral Science; Vol. 14 Núm. 6 (2006); 465-469
Journal of Applied Oral Science; v. 14 n. 6 (2006); 465-469
1678-7765
1678-7757
reponame:Journal of applied oral science (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Journal of applied oral science (Online)
collection Journal of applied oral science (Online)
repository.name.fl_str_mv Journal of applied oral science (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||jaos@usp.br
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