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Clubfoot and effects of traumatic injuries on condylar development in growing patient / L. Cigni, P. Cressoni, U. Garagiola. - In: DENTAL CADMOS. - ISSN 2785-4248. - 5:307(2021), pp. 230-230. (Intervento presentato al 28. convegno Congresso nazionale del Collegio dei docenti universitari di discipline odontostomatologiche tenutosi a Milano nel 2021).

Clubfoot and effects of traumatic injuries on condylar development in growing patient

L. Cigni;P. Cressoni;U. Garagiola
2021
Aim: a young patient G.F., 12 years old female, came to visit at Unit of Orthodontics in Dental Clinic at Policlinico of Milano for an orthodontic evaluation and for a postural evaluation. The patient suffering from congenital left clubfoot was affected by a severe second class malocclusion and by asymmetry of the left hemimandible. The aim of this work is to demonstrate that the role of the orthodontist is crucial to detect the consequences of traumatic injuries in early childhood. Methods: a young patient affected by congenital left clubfoot showed a diametric left legs and a severe second class malocclusion. The malocclusion consisted of insufficient transversal development of the maxilla, mandibular retrusion and left condyle hypoplasia. A traumatic event could have damaged the regular development of left condyle. The patient underwent to panoramic radiography, cephalometric radiography, CBCT, initial records, cephalometric analysis. The treatment plan consisted of a first phase for orthopedical expansion of maxilla by means of rapid palatal expander; in the second phase the patient underwent to multibracket appliance for recovering the upper impacted canine, for alignment and leveling of dental elements and at last for correction of sagittal and vertical discrepancy. Results: the orthopedic treatment of maxilla by means of rapid palatal expander and multibracket appliance proved to be an adequate therapeutic strategy to reduce transversal, sagittal and vertical discrepancies in growing patient. It also is mandatory to detect the consequences of traumatic injuries in order to minimize condylar growth defects. Conclusion: the Orthodontist plays a fundamental role in the multidisciplinary team that treats the patient affected by congenital disorder. Infect a careful analysis of the radiographies and an accurate clinical examination of the growing patient can lead to the detection of mandibular asymmetries resulting from a traumatic event
Settore MED/28 - Malattie Odontostomatologiche
2021
DENTAL CADMOS
Article (author)
01 - Articolo su periodico
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/1029400
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