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锁骨颅骨发育不全患者的正畸治疗:一例报告。

Orthodontic treatment of a patient with cleidocranial dysplasia: A case report.

作者信息

Li Zi-Jian, Wang Jun-Yan, Gao Ming-Fei, Wu Da-Lei, Chang Xin

机构信息

Department of Orthodontics, Dental and Stomatologic Clinic, Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116023, P.R. China.

Department of Stomatology, China Medical University, Shenyang, Liaoning 110001, P.R. China.

出版信息

Exp Ther Med. 2016 Aug;12(2):690-694. doi: 10.3892/etm.2016.3430. Epub 2016 Jun 6.

Abstract

Cleidocranial dysplasia (CCD) is a rare autosomal dominant condition that affects ossification. The dental abnormalities associated with CCD present an obstacle to orthodontic treatment planning. Early diagnosis is crucial to provide the patient with different treatment modalities that will suit the particular patient. In the present case, combined surgical and orthodontic treatment were performed to guide multiple impacted teeth. A single nucleotide missense variation was identified in exon 3 of runt-related transcription factor 2 () in this patient. The current results suggest a correlation between dental alterations and mutations in the runt domain of in CCD patients. Further clinical and genetic studies may required to confirm the association between phenotypes and genotypes in CCD and to identify other factors that may influence the clinical features of this disease. Patients with cleidocranial dysplasia require a team approach which demands good communication and cooperation from the patient. Timing of the intervention is critical, and numerous surgeries may be required. The patient in the present case report was treated by a team of practitioners, which involved several dental specialties to achieve an optimal result.

摘要

锁骨颅骨发育不全(CCD)是一种罕见的常染色体显性疾病,会影响骨化。与CCD相关的牙齿异常给正畸治疗计划带来了障碍。早期诊断对于为患者提供适合其个体情况的不同治疗方式至关重要。在本病例中,采用了手术和正畸联合治疗来引导多颗埋伏牙。在该患者的 runt相关转录因子2()外显子3中鉴定出一个单核苷酸错义变异。目前的结果表明,CCD患者的牙齿改变与 runt结构域中的突变之间存在相关性。可能需要进一步的临床和遗传学研究来证实CCD中表型与基因型之间的关联,并确定可能影响该疾病临床特征的其他因素。锁骨颅骨发育不全患者需要团队协作,这需要患者良好的沟通与配合。干预时机至关重要,可能需要进行多次手术。本病例报告中的患者由一组医疗人员进行治疗,其中涉及多个牙科专业,以取得最佳治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b8/4950898/0faf4eafdcce/etm-12-02-0690-g00.jpg

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