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espanolEl sindrome de Mobius es una anomalia congenita que causa paralisis de los nervios VI y VII pares craneanos. Se caracteriza por malformaciones limbicas y craneo-buco-faciales. Asociada a Poland, presenta malformacion del musculo pectoral mayor y anomalias en pies y manos. Por ser un sindrome que presenta anomalias faciales y orales importantes como paladar ojival, mordida abierta, xerostomia, uvula bifida, malformaciones en la lengua, se destaca la necesidad de un abordaje odontologico eficaz con el fin de establecer una adecuada salud oral y calidad de vida del paciente. En este trabajo, descripcion de un caso clinico, se expone los aspectos clinicos generales y orales, asi como el tratamiento odontologico realizado en una paciente portadora del sindrome Mobius/Poland. Un abordaje enfocado en la orientacion del responsable y en el control de la caries y la enfermedad periodontal, encontro una reduccion significativa en los indices de placa bacteriana y sangrado gingival. Actualmente la paciente se encuentra en fase de mantenimiento. Como no hay cura para el sindrome, el tratamiento es enfocado al control y mantenimiento de las manifestaciones orales. EnglishThe Mobius syndrome is a congenital paralysis of the sixth and seventh cranial nerves. It is characterized by craniofacial and limb malformations. When it is associated to the Poland, the Mobius syndrome shows aplasia of the pectoral muscle (Poland anomaly) and abnormalities of the feet and hands. The syndrome shows important oral and facial abnormalities like gothic palate, open bite, dry mouth, bifid uvula, tongue alterations, and because of this, there is the necessity of an effective odontological approach in order to establish an adequate oral health and patient's quality of life. In this study, the clinical case report shows the oral and general clinical aspects, as well as the odontological treatment made in a patient who has the Mobius/Poland syndrome. After the approach focus on the orientations to the carer and in the control of the periodontal and carie diseases, it was realized a significative reduction in the visible plaque index (VPI) and gum bleeding index (GBI). Currently, the patient is in maintenance. The syndrome is incurable; therefore, the treatment is based on the control and maintenance of oral manifestations.

Manifestaciones orales del síndrome de Mobius asociado a Poland: descripción de un caso clínico