Tuna Elif Bahar, Marşan Gülnaz, Gençay Koray, Seymen Figen
Department of Pedodontics, Istanbul University, Faculty of Dentistry, Istanbul, Turkey.
J Clin Pediatr Dent. 2012 Summer;36(4):393-400. doi: 10.17796/jcpd.36.4.u021164272805116.
Kabuki syndrome is a rare autosomal dominant trait with variable clinical expression. Common dental manifestations of Kabuki syndrome are high-arched palate, micrognathia, malocclusion, microdontia, small dental arches, hypodontia, severe maxillary recession and mid-facial hypoplasia.
This report includes the oral manifestations of a Turkish patient with Kabuki syndrome with consideration of the long-term craniofacial prognosis for this patient based on the physical, clinical and radiological findings in 9 years follow-up period. General appearance of the patient was characterized by postnatal growth retardation, moderate mental retardation, peculiar face characterized by long palpebral fissures with eversion of the lateral third of the lower eyelids, prominent and cup-shaped ears, broad and depressed nasal tips, short fifth fingers, psychomotor retardation and dermatologic abnormalities.
Cephalometric analysis revealed skeletal open bite; periapical and panoramic radiographic examinations showed agenesis permanent teeth. A patient with Kabuki syndrome, who may lead to a better understanding of the abnormalities, playing an important role in clinical diagnosis, planning and dental management is presented.
歌舞伎综合征是一种临床表型多样的罕见常染色体显性遗传病。歌舞伎综合征常见的口腔表现包括高拱腭、小颌畸形、错牙合、牙过小、牙弓狭窄、缺牙、严重上颌后缩和面部中部发育不全。
本报告介绍了一名患有歌舞伎综合征的土耳其患者的口腔表现,并根据9年随访期的体格检查、临床检查和影像学检查结果,考虑了该患者长期的颅面预后。患者的一般外貌特征为出生后生长发育迟缓、中度智力发育迟缓、特殊面容,表现为睑裂长、下眼睑外侧三分之一外翻、耳朵突出呈杯状、鼻尖宽且凹陷、第五指短、精神运动发育迟缓以及皮肤异常。
头影测量分析显示骨骼性开牙合;根尖片和全景片检查显示恒牙胚缺失。本文报告了一名歌舞伎综合征患者,这可能有助于更好地理解这些异常情况,对临床诊断、治疗计划制定和口腔管理具有重要意义。