Adult orthodontic treatment: a challenging case report

Area of Science:

• Dentistry
• Orthodontics
• Genetics

Background:

• Spondyloepiphyseal dysplasia is a rare genetic disorder affecting bone growth.
• Macroglossia, or an enlarged tongue, can significantly impact oral structures and occlusion.
• Severe dental malocclusion presents complex treatment challenges.

Observation:

• A 61-year-old woman presented with spondyloepiphyseal dysplasia.
• She exhibited significant maxillary and mandibular spacing and both anterior and posterior crossbites.
• Clinical examination indicated macroglossia as a contributing factor.

Findings:

• The patient's severe malocclusion and spacing were attributed to macroglossia.
• A partial glossectomy was performed to address the enlarged tongue.
• Comprehensive orthodontic treatment was initiated post-surgery.

Implications:

• This case highlights the importance of diagnosing and managing macroglossia in orthodontic patients.
• Combined surgical and orthodontic approaches can effectively treat complex malocclusions.
• Successful management can improve function and aesthetics in patients with skeletal dysplasias.