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The role of the dental practitioner in diagnosing connective tissue and other systemic disorders: a case report of a patient diagnosed with type III E hlers– D anlos syndrome
Author(s) -
Awal D.,
Lloyd T.W.,
Petersen H.J.
Publication year - 2015
Publication title -
oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.156
H-Index - 11
eISSN - 1752-248X
pISSN - 1752-2471
DOI - 10.1111/ors.12129
Subject(s) - medicine , supernumerary , physical examination , joint hypermobility , mitral valve prolapse , dentistry , physical therapy , mitral valve
An adolescent patient was referred to our specialist oral surgery unit for orthodontic exposure of an ectopic upper canine. The medical history revealed a recent diagnosis of mitral valve prolapse as well as an anecdotal tendency towards regular fainting/lethargy. Examination revealed a hypermobile temporomandibular joint, and an orthopantomogram showed lower supernumerary premolar teeth. Combined, these findings indicated a likely underlying connective tissue disorder, and an indirect referral to a specialist in hypermobility syndromes confirmed a diagnosis of type III E hlers– D anlos syndrome with postural orthostatic tachycardia syndrome. This case highlights the importance of the dental practitioner in being able to provide holistic care for their patients.