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Maxillary bone lesions in McCune-Albright syndrome: a case report
Michele Leopardi1, Vincenzo Parziale, Domenico Ciavarella
1Department of Surgery Sciences, University of L'Aquila, L'Aquila, Italy. micheleleopardi@alice.it
Objectives:
In this study, we report on the clinical maxillary manifestations of a patient affected by McCune-Albright syndrome and the implications for orthodontic therapy.
Materials And Methods:
A male, 8-year-old patient was examined at the Department of Orthodontics of the University of L'Aquila for a problem of anterior open-bite. In the clinical examination, a small swelling of the left hemi-maxilla was seen in the area corresponding to the root apex of 16 and under the tooth buds of 14 and 15. In a panoramic radiograph, a radio-opaque area was detected in this zone. From the computer tomography examination, a bone lesion was identified.
Results:
Identification of this bone lesion led to the clinical-instrumental diagnosis of McCune-Albright syndrome. This was then confirmed in the histological diagnosis.
Conclusions:
It is always useful to have diagnostic doubts about atypical clinical manifestations at the craniofacial level, as they are often local signs of a systemic syndrome. This is important for patient health, and also for orthodontic treatment planning.
