Myotonic dystrophy and craniofacial morphology: clinical and instrumental study.
OBJECTIVE
The aim of this study is to assess if, and to what extent, myotonic dystrophy can affect the craniofacial growth pattern.


METHODS
The research was conducted on a sample of 27 patients with Steinert's myotonic dystrophy (study group). Each subject underwent a clinical examination with impression-taking and intra- and extraoral photographs. A latero-lateral projection teleradiography in the mirror position was also taken and a cephalometric examination was performed. The assessed values were compared with those obtained from a group of healthy subjects (control group).


RESULTS
Statistical analysis of the data obtained from the myotonic patients who developed the disease during the growth phase revealed alterations in the transversal plane and, to an even greater extent, the vertical one, with a high frequency of anterior open bite. Discussion and conclusions Regarding the pathogenesis of these types of skeletal dysplasias, the authors hypothesise a posterior rotation growth pattern, resulting from gravitational force prevailing over the deficit of the elevator muscles.
University of Messina, Department of Orthodontic and Paediatric Dentistry A.O.U. G. Martino, Messina, Italy. marcoportelli79@tin.it
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M
Portelli
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G
Matarese
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Militi
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Nucera
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Triolo
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Cordasco
D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D002508:Cephalometry / Q000379:methods; D002648:Child; D002680:Chin / Q000254:growth & development / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000254:growth & development / Q000473:pathology; D008437:Maxilla / Q000254:growth & development / Q000473:pathology; D008445:Maxillofacial Development / Q000502:physiology*; D003765:Models, Dental; D009223:Myotonic Dystrophy / Q000150:complications / Q000503:physiopathology*; D009666:Nose / Q000254:growth & development / Q000473:pathology; D024343:Open Bite / Q000209:etiology / Q000473:pathology; D023861:Photography, Dental; D012886:Skull / Q000254:growth & development / Q000473:pathology; D019291:Skull Base / Q000254:growth & development / Q000473:pathology; D055815:Young Adult