DENTAL MANAGEMENT AND OROFACIAL MANIFESTATIONS OF A PATIENT WITH ROBINOW SYNDROME

Abstract

Robinow syndrome (RS) is an extremely rare condition. Characteristic craniofacial findings of RS include a fetal facial appearance, ear abnormalities and oral findings. The aim of this case report was to evaluate the oral findings of a 26-year-old man with RS and to describe the dental treatments performed. The patient had short stature, vertebral anomalies, short and broad fingers, a fetal facial appearance, gingival hyperplasia, fissured tongue, caries and multiple impacted teeth. Periodontal and restorative dental treatments were performed under aseptic conditions with due precautions. No surgical treatment was performed to the impacted teeth because of the lack of symptoms.

Keywords

• Robinow syndrome,gingival hyperplasia; gingivectomy; vestibuloplasty; impacted teeth

References

1. Robinow M. The robinow (fetal face) syndrome: A continuing puzzle. Clin Dysmorphol 1993;2(3):189-198.
2. Robinow M, Silverman FN, Smith HD. A newly recognized dwarfing syndrome. Am J Dis Child 1969;117(6):645-651.
3. Patton MA, Afzal AR. Robinow syndrome. J Med Genet 2002;39(5):305-310.
4. Beiraghi S, Leon-Salazar V, Larson BE, John MT, Cunningham ML, Petryk A, Lohr JL. Craniofacial and intraoral phenotype of robinow syndrome forms. Clin Genet 2011;80(1):15-24.
5. Cerqueira DF, de Souza IP. Orofacial manifestations of robinow's syndrome: A case report in a pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(3):353-357.
6. Mazzeu JF, Pardono E, Vianna-Morgante AM, Richieri-Costa A, Ae Kim C, Brunoni D, Martelli L, de Andrade CE, Colin G, Otto PA. Clinical characterization of autosomal dominant and recessive variants of robinow syndrome. Am J Med Genet A 2007;143(4):320-325.
7. Eronat N, Cogulu D, Ozkinay F. A case report on autosomal recessive robinow syndrome. Eur J Paediatr Dent 2009;10(3):147-150.
8. Grothe R, Anderson-Cermin C, Beiraghi S. Autosomal recessive robinow syndrome: A case report. J Dent Child (Chic) 2008;75(1):48-54.

9. Horbelt CV. Robinow syndrome, cockayne syndrome, and pfeiffer syndrome: An overview of physical, neurological, and oral characteristics. Gen Dent 2010;58(1):14-17.
10. Israel H, Johnson GF. Craniofacial pattern similarities and additional orofacial findings in siblings with the robinow syndrome. J Craniofac Genet Dev Biol 1988;8(1):63-73.
11. Al Kaissi A, Bieganski T, Baranska D, Chehida FB, Gharbi H, Ghachem MB, Hendaoui L, Safi H, Kozlowski K. Robinow syndrome: Report of two cases and review of the literature. Australas Radiol 2007;51(1):83-86.
12. Kantaputra PN, Gorlin RJ, Ukarapol N, Unachak K, Sudasna J. Robinow (fetal face) syndrome: Report of a boy with dominant type and an infant with recessive type. Am J Med Genet 1999;84(1):1-7.
13. Gbotolorun OM, Arotiba GT, Ladeinde AL. Assessment of factors associated with surgical difficulty in impacted mandibular third molar extraction. J Oral Maxillofac Surg 2007;65(10):1977-1983.
14. Jannu AA, Bharani KSN, Vivek GK, Veena GC, Kamath R. Missing molars caught kissing. J Dent Med Sci 2014;14:51-54.
15. Carranza FA, Hogan EL. Gingival Enlargement. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s Clinical Periodontology. 11th Ed.,St.Louis,Missouri: Elsevier Saunders, 2012, p.84-96.
16. Merin RL. Supportive periodontal treatment. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s Clinical Periodontology. 11th Ed.,St.Louis,Missouri: Elsevier Saunders, 2012, p.746-755.