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Adjunctive orthodontic therapy for prosthetic rehabilitation in a growing child with Axenfeld‐Rieger syndrome: A case report
Author(s) -
Siddiqui Hamza Parvez,
Sennimalai Karthik,
Samrit Vilas D.,
Duggal Ritu,
Yadav Rahul
Publication year - 2021
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/scd.12579
Subject(s) - medicine , oligodontia , dentistry , hypoplasia , maxilla , agenesis , rehabilitation , orthodontics , surgery , physical therapy
Aim The congenital oligodontia impeding the development of the alveolar process resulting in disproportionate jaw growth has been previously reported. This case report describes the interdisciplinary management of an 11‐year‐old girl with Axenfeld‐Rieger syndrome exhibiting oligodontia and maxillary hypoplasia. Methods and results An adjunctive orthodontic therapy was performed by taking advantage of bone‐anchored maxillary protraction (BAMP) therapy using miniplates and 24‐hour traction by intermaxillary Class III elastics. After 6 months of active treatment, the maxilla advanced by approximately 5 mm and upper lip relation improved by 3 mm without any significant changes in vertical relations. All the changes were maintained at 15th‐month follow‐up. A temporary removable prosthesis was given for immediate esthetics, and the definitive management is discussed. Conclusion The BAMP therapy can be a befitting alternative in cases exhibiting complex presentation involving skeletal and dentoalveolar components. An appreciable profile improvement without any dentoalveolar side effects can be achieved with BAMP therapy.