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Acromegaly in an orthodontic patient
Robert Willer Farinazzo Vitral1, Orlando Motohiro Tanaka, Marcelo Reis Fraga
1Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil. robertvitral@acessa.com
Summary
A patient seeking orthodontic treatment for mandibular prognathism was diagnosed with acromegaly. This case highlights the importance of considering underlying medical conditions during dental evaluations.
Area of Science:
- Endocrinology
- Orthodontics
- Neurosurgery
Background:
- Pituitary adenomas are tumors of the pituitary gland.
- Growth hormone adenomas cause acromegaly, a condition of excessive growth hormone production.
Observation:
- A 32-year-old man presented with mandibular prognathism for orthodontic treatment.
- He was subsequently diagnosed with acromegaly.
Findings:
- Acromegaly, resulting from a growth hormone-secreting pituitary adenoma, can manifest with dental and skeletal abnormalities.
- Mandibular prognathism can be an indicator of underlying acromegaly.
Implications:
- Early diagnosis of acromegaly is crucial for effective management and prevention of complications.
- Interdisciplinary collaboration between orthodontists and endocrinologists is vital for comprehensive patient care.

