An atypical Hallermann-Streiff syndrome. Focus on dental care and differential diagnosis.
The Hallermann-Streiff syndrome (HSS) is a rare congenital disorder characterized by dyscephaly, birdlike facies, hypoplastic mandible, congenital cataracts, microphthalmia, hypotrichosis, skin atrophy, proportionate short stature, and dental anomalies. A case of a 29-year-old man with atypical HSS with neither cataracts, hair and skin alterations, nor short stature is reported, with special consideration to oral findings and dental management. Dental extractions, scaling, restorations, and endodontics were performed under local anesthesia. Later, orthodontic rehabilitation with fixed brackets was carried out. Finally, a removable partial denture for the maxillary arch was designed using transparent acrylic, and this also served as a retention splint. Young patients with HSS and other similar syndromes must be involved in personalized oral health prevention programs as early as possible. Despite numerous systemic anomalies, some of these patients may undergo conventional dental procedures under local anesthesia in the dental office.
Limeres
Jacobo
J
Department of Special Needs, School of Medicine and Dentistry, Santiago de Compostela University, Santiago de Compostela, Spain.
Abeleira
Maite
M
Tomás
Inmaculada
I
Feijoo
Javier F
JF
Vilaboa
Carlos
C
Diz
Pedro
P
D000328:Adult; D017742:Dental Care for Chronically Ill; D003832:Denture, Partial, Removable; D003937:Diagnosis, Differential; D019066:Facies; D006210:Hallermann's Syndrome / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000209:etiology / Q000628:therapy*; D008844:Micrognathism / Q000209:etiology; D017090:Occlusal Splints; D018704:Orthodontic Retainers; D009971:Orthodontics, Corrective / Q000379:methods*; D010155:Palatal Expansion Technique; D014079:Tooth Eruption, Ectopic / Q000209:etiology / Q000601:surgery; D014081:Tooth Extraction