[Oradlist] Orthodontic Tx in Gardner's syndrome patient?
Tamimi, Dania Faisal
dania_tamimi at student.hms.harvard.edu
Tue Feb 1 05:01:10 PST 2005
Sorry about the delay in replying to your inquiry. As my thesis defense deadline looms, I'm finding it harder and harder to do independent research on interesting topics. With beads of sweat rolling down my forehead, I medline-searched and googled "orthodontic treatment AND Gardner's syndrome" and various other combinations of words that I thought may appeal to the search engines. I found tons of articles related to how the dental finding helped diagnose the more serious intestinal polyposis, but nothing on the actual implications on the movement of teeth (as if they ceased to exist once the medical people take over!). The only thing I found that came even remotely close was this link:
which, in one very terse line, talks about how the osteomas can be excised if they are disfiguring (?in the way of your impacted maxillary canine?). I also found this page interesting:
It says nothing at all about dental treatment, but talks about the genetics of Familial Adenomatous Polyposis (FAP) in a non-complicated way, and touches upon the genetic varient "Gardner's Syndrome" very briefly, as well as other varients that give other manifestations as well as the polypsis, but I like the way the page touches upon the newest developments in treatment for these syndromes. I thought this may be of interest for all our colleagues in Oradlist.
I sent out an email to our orthodontic department with your original message, and will forward their reply as soon as I get it.
Many warm wishes (from Arctic Boston!) for you and Kevin for a wonderful new year.
From: oradlist-bounces at lists.ucla.edu on behalf of Apirum Janhom
Sent: Tue 1/25/2005 3:37 AM
To: Oral Radiology Discussion Group
Subject: [Oradlist] Orthodontic Tx in Gardner's syndrome patient?
I have seen a 22 year-old female patient with multiple radiopaque masses
in both jaws and in skull and impacted upper right canine. Her elder
brother and her elder sister also have similar radiopaque pattern. Her
brother told me he had his 10 impacted teeth removed 7 years ago. I was
concerned about their conditions of Gardner's syndrome and asked them to
check with the GI doctor for polyps in intestine and colon. The GI doctor
called me the day before telling me that the youngest sister doesn't have
any polyp but her elder brother does. The girl would like to have
orthodontic treatment to correct her impacted canine and also malocclusion
on lower anterior area. Does any of you have experienced the consequence
of orthodontic movement in Gardner's patient? I have not talked to the
orthodontist yet I am sure she will ask me is it all right for orthodontic
treatment in this case. The radiopaque masses are pretty big and for the
maxilla area it even causes a recession of the floor of the left maxillary
sinus. Any comment would be appreciated.
Department of Oral Radiology
Faculty of Dentistry
Chiang Mai University
e-mail: dnipjnhm at chiangmai.ac.th
Oradlist mailing list
Oradlist at lists.ucla.edu
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