897 papat

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897 papat

  1. 1. School of DentistryYr Ysgol DdeintyddiaethThe orthodontic and surgicalmanagement of Zimmerman-LabandSyndromePopat H, Perks T, Cronin AJ, Durning P, Maggs R.Cardiff University School of DentistryYr Ysgol Ddeintyddiaeth
  2. 2. School of DentistryYr Ysgol DdeintyddiaethZimmerman-Laband Syndrome• First reported in 1928• Only 39 cases worldwide• Features:– abnormalities of the nose and/or ears– hypoplasia of the nails/terminal phalanges of thehands and feet– gingival fibromatosis– delayed dental eruption– skeletal anterior open bite– enlarged palatal rugae– learning difficulties
  3. 3. School of DentistryYr Ysgol DdeintyddiaethExtra-oral Presentation
  4. 4. School of DentistryYr Ysgol DdeintyddiaethIntra-oral Presentation
  5. 5. School of DentistryYr Ysgol DdeintyddiaethRadiographic Presentation
  6. 6. School of DentistryYr Ysgol DdeintyddiaethPre- treatment cephalometric values
  7. 7. School of DentistryYr Ysgol DdeintyddiaethTreatment Plan• Upper sectional fixed appliance• Lower continuous fixed appliance• 6mm posterior segmental maxillaryimpaction with autorotation of themandible• Finishing orthodontics with upper andlower continuous archwires• Retention with upper and lower pressureformed retainers
  8. 8. School of DentistryYr Ysgol DdeintyddiaethTreatment simulation
  9. 9. School of DentistryYr Ysgol DdeintyddiaethPost-operative extra- oral photographs
  10. 10. School of DentistryYr Ysgol DdeintyddiaethPost-operative intra-oral photographs
  11. 11. School of DentistryYr Ysgol DdeintyddiaethCephalometric superimposition
  12. 12. School of DentistryYr Ysgol DdeintyddiaethPost-surgical cephalometric analysis
  13. 13. School of DentistryYr Ysgol DdeintyddiaethDebond extra-oral photographs
  14. 14. School of DentistryYr Ysgol DdeintyddiaethDebond intra-oral photographs

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