Dental and Medical Problems

Dent Med Probl
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Dental and Medical Problems

2015, vol. 52, nr 4, October-December, p. 505–511

doi: 10.17219/dmp/59586

Publication type: clinical case

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Dental and Facial Characteristics of a Patient with Fetal Alcohol Syndrome – Case Report

Diagnostyka stomatologiczna pacjenta z alkoholowym zespołem płodowym FAS – opis przypadku

Katarzyna Ludwików1,A,B,C,D,E,F, Justyna Sędkiewicz1,B,C,F, Barbara Obłoj2,B,C,F

1 ”ODENT” Private Orthodontic and Implantology Center, Warsaw, Poland

2 Orthodontic Center, Institute of Mother and Child, Warsaw, Poland

Abstract

Fetal alcohol syndrome (FAS) represents a pattern of somatic as well as neurological congenital defects that can develop in children in cases of maternal consumption of alcohol during pregnancy. Fetal alcohol syndrome is an incurable disease, characterized in four categories: height, facial phenotype: moderate level of dysmorphic facial features characteristic of FAS, central nervous system (CNS) dysfunction features, probability of prenatal alcohol exposure. This paper describes the case of a 17-year-old patient with diagnosed strong myopathy with dysmorphic facial features (short palpebral fissures, wide-set eyes, low embedded, asymmetric ears, asymmetric and deformed ear auricles, a smooth philtrum and a thin upper lip), deficiency in body weight and height, microcephaly, abnormalities in sensorimotor progress and below-average intellectual development. The examination showed strong myopathy, horizontal and vertical shortening of the suprahyoid structures, a right-sided crossbite and impacted teeth. During the intraoral examination, it was impossible to establish a repetitive position of the mandible towards the jaw. The dental joint-muscle examination was performed by means of Bumann’s manual functional analysis and posture analysis was also performed. Early diagnosis of FAS and proper dental diagnostics allow for effective and multi-targeted treatment of the patient.

Key words

alcohol, fetal alcohol syndrome, FAS, facial abnormalities, prenatal alcohol exposure

Słowa kluczowe

alkohol, alkoholowy zespół płodowy, FAS, dysmorfia twarzy, ekspozycja alkoholu na płód

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