Sasaki Y, Kaida C, Saitoh I, Fujiwara T, Nonaka K
Division of Pediatric Dentistry, Department of Developmental and Reconstructive Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
J Oral Rehabil. 2007 Mar;34(3):228-35. doi: 10.1111/j.1365-2842.2006.01661.x.
A case of ectodermal dysplasia in a Japanese boy is presented in this report. After prosthetic treatment was performed with partial dentures in both jaws, mandibular movement, dental casts, and lateral and frontal cephalograms were taken at an initial visit (age 7 years 8 months), and at follow-up 1 year and 8 months later (age 9 years 3 months) to evaluate the developmental changes in masticatory movement, dental arch width, and craniofacial morphology. Stability of the jaw movements improved during the follow-up period both with and without dentures. The facial skeleton grew between the initial visit and follow-up. Mandibular length remained long compared with the average value for Japanese children. A possible genetic marker for mandibular growth (growth hormone receptor), which is considered to be an important factor in mandibular growth and development, was analysed for the gene variant and the result supported the characteristic mandibular growth in the reported case. These results indicate the characteristic craniofacial growth in this disease and emphasize the potential ability of functional development of jaw movements with oligodontia.
本报告介绍了一名日本男孩的外胚层发育不良病例。在用上下颌局部义齿进行修复治疗后,在初诊时(7岁8个月)以及1年8个月后的随访时(9岁3个月)拍摄了下颌运动、牙模以及侧位和正位头影测量片,以评估咀嚼运动、牙弓宽度和颅面形态的发育变化。在随访期间,无论有无义齿,下颌运动的稳定性均有所改善。从初诊到随访期间,面部骨骼生长。与日本儿童的平均值相比,下颌长度仍然较长。分析了一种被认为是下颌生长发育重要因素的下颌生长可能的遗传标记(生长激素受体)的基因变异,结果支持了该病例中下颌的特征性生长。这些结果表明了该疾病中颅面生长的特征,并强调了少牙情况下下颌运动功能发育的潜在能力。