Centronuclear myopathy and nursing pattern caries: management of a 1 year old.
The pathognomonic open mouth of centronuclear and other myopathies can also have implications for oral health. These patients are at greater risk for gingivitis, dental caries as a result of the mouth breathing and loss of lip seal. Low tongue posture may impede the lateral expansion of the maxilla resulting in a constricted maxillary arch with resultant posterior crossbites and functional shifts. Excessive molar eruption may also occur, resulting in anterior open bites and increases in the anterior lower vertical height.
Law
C S
CS
Harvard School of Dental Medicine, Boston, MA, USA.
Sheehan
M
M
Needleman
H L
HL
D000766:Anesthesia, Dental / Q000379:methods; D000768:Anesthesia, General; D001903:Bottle Feeding / Q000009:adverse effects; D002467:Cell Nucleus; D017742:Dental Care for Chronically Ill; D003731:Dental Caries / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007223:Infant; D008297:Male; D008310:Malocclusion / Q000209:etiology; D008963:Molar; D009058:Mouth Breathing / Q000150:complications / Q000209:etiology*; D009135:Muscular Diseases / Q000150:complications* / Q000151:congenital* / Q000503:physiopathology; D014078:Tooth Eruption; D014716:Vertical Dimension