Open AccessLIMITED ORTHODONTIC TREATMENT IN MYOTONIC DYSTROPHY II
Author(s) -
Aurelia Magdalena Enache,
Alexandru Marghescu,
Roxana Antoanela Baluta,
Maria Otilia Blajin,
Maria Cristina Pomana
Publication year - 2017
Publication title -
romanian journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 4
eISSN - 2069-6094
pISSN - 1843-8148
DOI - 10.37897/rjn.2017.4.5
Subject(s) - myotonic dystrophy , myotonia , medicine , malocclusion , craniofacial , family history , weakness , orthodontics , pediatrics , dentistry , anatomy , surgery , psychiatry
Rationale. Myotonic dystrophy (MD) is a multisystemic autosomal dominant disease characterized by myotonia and progressive muscular weakness and atrophy. Objective. The purpose of this study was to describe the dental, skeletal and muscular features in a family with myotonic dystrophy type II and to discuss possible therapeutic strategies. Methods and results. This study presents the case of a family (a mother and two daughthers) diagnosed with myotonic dystrophy type II. Beside the medical history and genetic tests, each subject underwent a clinical examination including impression taking, intra- and extraoral photographs and cephalometric analysis. Our investigations revealed alterations in the transversal and vertical planes. Conclusions. Our findings were consistent with previously reported craniofacial features of patients affected by myotonic disorders, and they may be important diagnostic signs of a congenital muscular disease. We found that the most predominant malocclusions were the anterior open bite and posterior crossbite, but the tendency to class III malocclusion is in contradiction with their findings.