title: Orthodontic treatment for a patient with hereditary angiodema: a case report.
abstract: BACKGROUND
  Hereditary angiodema (HAE), also known as C1 esterase inhibitor deficiency, causes sufferers to experience episodic subcutaneous and submucosal oedema. These episodes can be triggered by dental treatment and manifest as life-threatening oedematous swelling in the head and neck region.
  
  
  METHODS
  This case report reviews an adolescent with hereditary angiodema whose malocclusion required orthodontic intervention. Due to her complex and unpredictable reaction to dental treatment, various options were explored before determining the appropriate care pathway for this patient. Trial placement of a sectional fixed appliance tested the tissue reaction prior to comprehensive treatment including extractions and fixed orthodontic appliances.
  
  
  CONCLUSIONS
  This report demonstrates successful interdisciplinary management facilitating orthodontic care in a patient with HAE.
authors: Dental Core Trainee in Oral and Maxillofacial Surgery, Pinderfields Hospital, Wakefield, UK.
authors: Kate
authors: K
authors: Waldon
authors: Sophy Kathleen
authors: SK
authors: Barber
authors: Richard James
authors: RJ
authors: Spencer
mesh_terms: D000293:Adolescent; D054179:Angioedemas, Hereditary / Q000150:complications*; D003729:Dental Care; D005260:Female; D006801:Humans; D008310:Malocclusion / Q000628:therapy*