AI Article Synopsis

  • Van der Woude syndrome (VWS) is the most common syndromic cleft lip and palate (SCLP), affecting about 2% of CLP patients.
  • The case involves an orthodontic treatment for a girl with VWS, focusing on addressing her cosmetic concerns.
  • Treatment included various surgical and orthodontic procedures, with genetic testing identifying a specific mutation as the cause, highlighting the importance of an interdisciplinary approach and parental counseling.

Article Abstract

Introduction: Van der Woude syndrome (VWS) is the most frequent form of syndromic cleft lip and palate (SCLP) accounting for 2% of all patients with CLP.

Case Presentation: We describe the orthodontic treatment of a girl diagnosed with VWS referred by her family dentist for her cosmetic concerns.

Discussion: Comprehensive orthodontic treatment, secondary bone graft, distraction osteogenesis (for a deficient maxilla), secondary palatoplasty and excision of lower lip pits, as well as orthodontic and prosthetic procedures may provide a satisfactory outcome. Genetic testing showed a known putative splice site mutation (c.174+1G/A) as the prime cause of VWS in our patient and her family.

Conclusion: SCLP has significant effects on facial aesthetics and the psychosocial status. Parents should be assessed and counseled appropriately. This condition is treatable in the absence of life threatening systemic anomalies. An interdisciplinary team approach is advocated.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5192017PMC
http://dx.doi.org/10.1016/j.ijscr.2016.11.032DOI Listing

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