Clinical cases of upper jaw constriction in children and adolescents depending on severity of connective tissue dysplasia
https://doi.org/10.25789/YMJ.2023.81.30
Abstract
The problems of improving complex medical and social rehabilitation of children and adolescents with connective tissue dysplasia due to its degree of severity (DCT) have not been completely solved up to the present time. At the same time, insufficient information on the diagnosis of dentition anatomical changes depending on DCT severity has been identified in the research. Thus, we present clinical cases of upper dentition cconstriction in children and adolescents with connective tissue dysplasia at various degrees of severity, taking into account the arch height of the hard palate. The purpose of the research is to present clinical cases with pronounced upper dentition constriction in children and adolescents with different severity of connective tissue dysplasia based on the clinical and biometric studies. Discussion. We’ve obtained high values of the sum of the four upper incisors width, characterized as macrodentia in the examined children and adolescents with DCT, which has a direct impact on the deformation of the maxillary dentition. Thus, constriction of maxillary dental arches in mild DCT is 19,32+1,47%, moderate - 22,39+0,72 and severe - 28,52+1,70%, which have significant differences (p<0,05), and the average is at the level of 23,41+0,54%. A certain pattern of increased frequency of upper dentition constriction depending on DCT severity has been established. Conclusion. The research clinical results characterize local DCT manifestations of the maxillary dental row in the form of incisor macrodentia as well as its constrictions where the tendency of increasing the incidence> <0,05) , and the average is at the level of 23,41+0,54%. A certain pattern of increased frequency of upper dentition constriction depending on DCT severity has been established. Conclusion. The research clinical results characterize local DCT manifestations of the maxillary dental row in the form of incisor macrodentia as well as its constrictions where the tendency of increasing the incidence rate depending on its severity degree has been established in the examined age groups of schoolchildren of the North. The established data of the anomalies increase of the frontal teeth group shape and upper jaw narrowings depending on DCT severity in schoolchildren may become the basis for the improvement of treatment, prophylactic and rehabilitative measures.
About the Authors
T. V. Alekseeva
Yakutsk Specialized Dental Center
Russian Federation
Russian Federation
Alekseeva Tatyana Vasilievna – head of children's dental department
I. D. Ushnitsky
M.K. Ammosov North-Eastern Federal University
Russian Federation
Russian Federation
Ushnitsky Innokenty Dmitrievich – MD, Professor, head of department of children’s therapeutic, surgical, orthopedic dentistry
I. S. Pinelis
Chita State Medical Academy
Russian Federation
Russian Federation
Pinelis Iosif Semenovich – Professor, Academician of the Russian Academy of Natural Sciences
A. V. Yurkevich
Far Eastern State Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
Yurkevich Alexander Vladimirovich – MD, Professor, head of Orthopedic Dentistry
M. I. Solovyova
Natural Sciences, North-Eastern Federal University
Russian Federation
Russian Federation
Solovyova Marianna I. – PhD (Biology), Associate Professor of the Institute
References
1. Anatomic-topographic features of temporomandibular joints in different types of mandible arches / D.A. Domenyuk, A.A. Korobkeev, S.V. Dmitrenko [et al] // Medical Bulletin of the North Caucasus. 2019. Vol.14, №2. С. 363-367.
2. Blinov M.S., Borodulina I.I., Tegza N.V. Signs of dysmorphogenesis of the dentoalveolar-facial system in undifferentiated connective tissue dysplasia // Institute of Dentistry. 2018. №3. Р.94– 96.
3. Research of the mineral component of dental enamel structure in connective tissue dysplasia by densitometry and atomic force microscopy methods in the pancreatic postnatal period of otogenesis / V.D. Wagner, V.P. Konev, A.S. Korshunov // Dentistry. 2020. Vol.99, №6. С. 7-12.
4. Genetic screening in the family of a patient with connective tissue dysplasia syndrome and a new pathogenic gene variant / A.N. Meshkov, E.V. Kalugina, A.V. Kiseleva [et al] // Preventive Medicine. 2020. Vol.23, №2. Р. 109-116.
5. Grigorovich E.Sh., Samokhina V.I., Polyakova R.V. Features of the dental status of adults and children associated with various somatic diseases on the background of connective tissue dysplasia. Pediatric dentistry and prevention. 2018. Vol.17, №2. Р. 32-36.
6. Connective tissue dysplasia in the practice of the cosmetologist and dermatologist. Features of diagnosis and treatment of patients / O.B. Borzykh, M.M. Petrova, E.I. Karpova [et al] // Bulletin of dermatology and venereology. 2022. Vol.98, №1. Р. 19-32.
7. Druk I.V., Nechaeva G.I., Rezinovskaya T.L. / Weight deficit in a group of young patients with connective tissue dysplasia // Therapeutics. 2020. №6. Р. 52-58.
8. Atomic force microscopy study of prismatic layers of the organic matrix of human teeth enamel in the postnatal period of ontogenesis. V.D. Wagner, V.P. Konev, A.S. Korshunov [et al]. Institute of Dentistry. 2019; 84(3): 94-95. (In Russ.).
9. Kephalometric features of the connective tissue dysplasia manifestation in children and adolescents / B.N. Davydov, D.A. Domenyuk, S.V. Dmitrienko [et al] // Pediatric dentistry and prevention. 2020. Vol.20, №3. Р. 174-183.
10. Clinical and laboratory evaluation and predictability of inflammatory process development in periodontal tissues in children with undifferentiated connective tissue dysplasia / Yu.A. Ippolitov, T.V. Chubarov, O.G. Sharshova [et al.] // Ibid. 2021. Vol.21, №3. – Р. 199-204.
11. Clinical and functional approaches in the development of pathogenetic schemes for complex therapy of periodontal disease in children with type I diabetes mellitus. Davydov B.N., D.A. Domenyuk, F.V. Samedov [et al]. Periodontology. 2021. Vol.26, №1. Р 9-19.
12. Combined orthodontic-surgical treatment of adult patients with dental and maxillary anomalies and deformities of the dentition / N.V. Popova, O.I. Arsenina, P.I. Makhortova [et al] // Dentistry. 2020. Vol.99, №2. Р 66-78.
13. Phenotypic signs of connective tissue dysplasia and their manifestations in the oral cavity of children in the North-East of Russia. / Nikiforova E. Yu, Ushnitsky I. D., Cheremkina A. S. [et al] // Current problems of dentistry of the Arctic region, prospects for diagnosis, treatment and prevention of dental diseases. Arkhangelsk. 2015. Р. 104-105.
14. Characteristic of phenotypic features of the dentition system in connective tissue dysplasia in school-age children of Yakutia / E.Yu. Nikiforova, I.D. Ushnitsky, A.S. Cheremkina [et al.] // Topical problems of childhood dentistry: a collection of scientific articles of the Vth regional scientific and practical conference with international participation in pedodontics. Khabarovsk, 2015. P. 216-218.
15. Features of maturation of the mineral component of retined tooth enamel in connective tissue dysplasia / V.P. Konev, V.D. Wagner, A.S. Korshunov [et al.] // Institute of Dentistry. 2019. №3. P. 102-103.
16. Patent 177476 of the Russian Federation. Device for measuring the height of hard palate vault / Ushnitsky I.D., Nikiforova E.Yu., Ammosova A. M.; the applicant and patent holder of «North-Eastern Federal University named after M.K. Ammosov» applied 21.07.2017; published 26.02.2018 Bulletin №6.
17. Patent 2672369 of the Russian Federation. Method for determining the height of the hard palate vault in children with connective tissue dysplasia / Ushnitsky I.D., Nikiforova E.Yu., Ammosova A.M.; the applicant and patent holder of the «North-Eastern Federal University named after M.K. Ammosov» applied 21.07.2017; published 14.11.2018 Bulletin № 32.
18. The role of magnesium orotate in the treatment of arrhythmic syndrome with connective tissue dysplasia / E.N. Loginov, Yu.V. Moskvin, G.I. Nechaev [et al.] // Treating doctor. 2018. №12. P. 50-53.
19. Improvement of dental care for children and adolescents with connective tissue dysplasia living in the conditions of the Republic of Sakha (Yakutia) / Nikiforova E.Yu., Ushnitsky I.D., Ammosova A.M. at all. // Methodological recommendations. Yakutsk: NEFU Publishing House, 2019. 24 p.
20. Ushnitskiy I.D., Alekseeva T.V., Nikiforova E.Yu. Improvement of medical and social rehabilitation of dentoalveolar anomalies in children and adolescents with different degrees of connective tissue dysplasia severity: Guidelines. - Yakutsk: Publishing house of NEFU, 2023. 36 p.
21. Avanisyan V. Morphology of facial skeleton in children with undifferentiated connective tissue dysplasia. V. Avanisyan, G. Al-Harazi, Yu. Harutyunyan. Archiv EuroMedica. 2020; 10(3): 130-141.
22. Classical Ehlers-Danlos syndrome with a propensity to arterial events: A new report on a French family with a COL1A1 p.(Arg312Cys) variant. S. Adham, S. Dupuis-Girod, E. Charpentier. Clin Genet. 2020; 97(2): 357-361. doi: 10.1111/cge.1364329.
Review
For citations:
Alekseeva T.V., Ushnitsky I.D., Pinelis I.S., Yurkevich A.V., Solovyova M.I. Clinical cases of upper jaw constriction in children and adolescents depending on severity of connective tissue dysplasia. Yakut Medical Journal. 2023;(1):122-125. https://doi.org/10.25789/YMJ.2023.81.30
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