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Van der Woude syndrome: Management in the mixed dentition
Sonahita Agarwal1, M R Dinesh, R M Dharma
1Department of Orthodontics and Dentofacial Orthopedics, Mahatma Gandhi Dental College, Jaipur, India.
Contemporary Clinical Dentistry
|July 16, 2013
Summary
This study details orthodontic and orthopedic treatment for Van der Woude syndrome in mixed dentition. Early intervention successfully addressed cleft lip, alveolar defects, and maxillary hypoplasia.
Area of Science:
- Dentistry
- Orthodontics
- Craniofacial Anomalies
Background:
- Van der Woude syndrome is a genetic disorder characterized by cleft lip/palate and lip pits.
- Early intervention in mixed dentition is crucial for managing complex craniofacial anomalies.
Observation:
- A patient with Van der Woude syndrome presented with bilateral cleft lip and alveolus, lower lip pits, and a collapsed maxilla with cross-bite.
- The patient exhibited maxillary transverse deficiency, mild retrognathia, and deficient lip support.
Findings:
- Orthopedic expansion corrected the maxillary transverse deficiency.
- Secondary alveolar bone grafting and functional regulator-3 retention addressed skeletal and dental issues.
- Dental compensation managed maxillary retrognathia and lip support deficits.
Implications:
- This case highlights the effectiveness of a phased orthodontic and orthopedic approach for Van der Woude syndrome.
- Successful management can improve function and aesthetics in patients with cleft lip and palate.
- This treatment strategy offers a potential model for similar complex pediatric dental cases.
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