Syndromes/Craniofacial Anomalies
Monica V. Maldonado, DDS (she/her/hers)
Pediatric Postgraduate Student
Universidad de los Andes
Universidad de los Andes
Santiago, Region Metropolitana, Chile
Christian Córdova, Dr
Universidad de los Andes
Valeria Jadue, Dr
Universidad de los Andes
Andrea Ormeño, Dr
Universidad de los Andes
Santiago, Region Metropolitana, Chile
Isidora Valdivieso, Student
Universidad de los Andes
Andrea Ormeño, Dr
Universidad de los Andes
Santiago, Region Metropolitana, Chile
Introduction: Pierre Robin is a congenital disorder characterized by micrognathia, glossoptosis and respiratory obstruction, in some cases it is associated to cleft palate. Dental manifestations are agenesis, microdontia, taurodontism, supernumeraries and dwarf roots. These patients require several medical and dental treatments to improve their health and functions.
Case report: a 13-year-old male patient with Pierre Robin and Seckel Syndrome, attended for a dental evaluation since he has lost several teeth and wants an esthetic approach. The treatment consisted on 5 main sessions. The first phase was the diagnosis and planification, the second was the exodontia of teeth 3.2 and 4.2 due to their mobility and this was also done for the teeth 1.1 and 2.2 in another session. After the exodontia an intraoral scanning and digital wax-up was performed to simulate the missing teeth (1.2-1.1-2.1-2.2). The digital file was sent to the laboratory, they printed the model with 3D technology and with thermoforming technique a retainer was done. In a fifth session, the retainer was checked, and adjustments were made. For those teeth designed digitally, composite resin in the spaces where the missing teeth were located, in order to visually restore the teeth in the anterior sector. Subsequent check-ups were made. Thanks to the retainer and to 3D technology for a complex oral rehabilitation, the patient was able to improve his self-esteem and communication.