title: An atypical Hallermann-Streiff syndrome. Focus on dental care and differential diagnosis.
abstract: 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.
authors.affiliation: Department of Special Needs, School of Medicine and Dentistry, Santiago de Compostela University, Santiago de Compostela, Spain.
authors.forename: Jacobo
authors.initials: J
authors.lastname: Limeres
authors.forename: Maite
authors.initials: M
authors.lastname: Abeleira
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Tomás
authors.forename: Javier F
authors.initials: JF
authors.lastname: Feijoo
authors.forename: Carlos
authors.initials: C
authors.lastname: Vilaboa
authors.forename: Pedro
authors.initials: P
authors.lastname: Diz
mesh_terms: 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