Dental Press Journal of Orthodontics (Feb 2015)

Alternative treatment for open bite Class III malocclusion in a child with Williams-Beuren syndrome

  • Giovanni Modesto Vieira,
  • Eduardo Jacomino Franco,
  • Denise Falcão Pinheiro da Rocha,
  • Laudimar Alves de Oliveira,
  • Rivadávio Fernandes Batista Amorim

DOI
https://doi.org/10.1590/2176-9451.20.1.097-107.oar
Journal volume & issue
Vol. 20, no. 1
pp. 97 – 107

Abstract

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Williams-Beuren syndrome (WBS) is a rare genetic condition that affects approximately 1 in every 20,000 - 50,000 live births. WBS children have specific skeletal deformities, dental malformations and rare lingual muscle dysfunction. The need for orthodontic and orthognathic therapy has arisen and has been considered a real clinical challenge even for experienced professionals, once it requires a complex and individualized treatment plan. This study reports a case of orthopedic expansion of the maxilla, in which a modified facial mask was used for protraction of the maxillary complex associated with clockwise rotation of the maxilla. In addition, special considerations about treatment time and orthopedic outcomes are discussed.

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