Cazzolla Angela Pia, Lo Muzio Lorenzo, Di Fede Olga, Lacarbonara Vitantonio, Colaprico Andrea, Testa Nunzio F, Giuseppe Troiano, Zhurakivska Khrystyna, Marzo Giuseppe, Lacaita Maria Grazia
Department of Odontostomatology and Surgery, University of Bari, Bari, Italy.
Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Spec Care Dentist. 2018 Jul;38(4):239-248. doi: 10.1111/scd.12295. Epub 2018 May 30.
Turner syndrome (TS) patients have phenotypical variable presentations and they are more susceptible to endocrine, auto-immune, and structural anomalies. Typical clinical characteristics are short stature and premature ovarian insufficiency. Patients with TS show a typical cranial-facial morphology with bi-maxillary bi-retrusion, high-arched palate, micrognathia, and class II malocclusion. Aim of our study is to present the orthopedic-orthodontic treatment approach of a young TS patient and data of stability after 7 years.
A careful analysis of anamnestic data was performed. After extraoral and intraoral examination, cephalometric measurements and examination of models, appropriate orthopedic-orthodontic appliances were positioned in order to correct skeletal alterations due to primary pathology as much as possible. Consistent improvements were observed after the treatment. Clinical and radiographic follow-up at 7 years showed a net improvement of head posture and stability of the occlusal results.
An early diagnosis and appropriate orthopedic-orthodontic intervention allow to simplify the management of TS patients and provide satisfactory and stable results.
特纳综合征（TS）患者临床表现具有多样性，且更易出现内分泌、自身免疫及结构异常。典型临床特征为身材矮小和卵巢早衰。TS患者呈现典型的颅面形态，表现为双上颌后缩、高拱腭、小颌畸形及安氏II类错牙合。本研究旨在介绍一名年轻TS患者的正畸-正颌治疗方法及7年后的稳定性数据。
对病史资料进行了仔细分析。在进行口外和口内检查、头影测量及模型检查后，佩戴了合适的正畸-正颌矫治器，以尽可能纠正原发性病理导致的骨骼改变。治疗后观察到持续改善。7年的临床和影像学随访显示头部姿势有明显改善，咬合结果稳定。
早期诊断和适当的正畸-正颌干预有助于简化TS患者的治疗管理，并提供满意且稳定的结果。
