Craniofacial Disorders – Orofacial Features and Peculiarities in Dental Treatment


by

Gisele da Silva Dalben, Marcia Ribeiro Gomide

DOI: 10.2174/97816810851661170101
eISBN: 978-1-68108-516-6, 2017
ISBN: 978-1-68108-517-3



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Craniofacial Disorders – Orofacial Features and Peculiarities in Dental Treatment presents detailed information about...[view complete introduction]

Table of Contents

Foreword 1

- Pp. i

José Alberto de Souza Freitas

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Foreword 2

- Pp. ii

Terumi Okada Ozawa

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Preface

- Pp. iii-iv (2)

Gisele da Silva Dalben and Marcia Ribeiro Gomide

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Dedication

- Pp. v

Gisele da Silva Dalben and Marcia Ribeiro Gomide

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List of Contributors

- Pp. vi

Gisele da Silva Dalben and Marcia Ribeiro Gomide

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Glossary

- Pp. vii-viii (2)

Gisele da Silva Dalben and Marcia Ribeiro Gomide

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Normal and Abnormal Oro-Facial Embryogenesis

- Pp. 1-34 (34)

Kathleen K. Sulik

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Concepts of Genetics

- Pp. 35-41 (7)

Lucimara Teixeira das Neves, Gisele da Silva Dalben and Marcia Ribeiro Gomide

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Teratology and Teratogens

- Pp. 42-45 (4)

Lucimara Teixeira das Neves

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Dental Management in Rare Facial Clefts

- Pp. 46-56 (11)

Marcia Ribeiro Gomide, Gisele da Silva Dalben and Lucimara Teixeira das Neves

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Syndromes with Orofacial Clefts

- Pp. 57-85 (29)

Beatriz Costa, Cleide Felício de Carvalho Carrara and Vivian de Agostino Biella Passos

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Craniosynostosis Syndromes

- Pp. 86-103 (18)

Ana Lúcia Pompéia Fraga de Almeida and Gisele da Silva Dalben

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Pharyngeal Arch Disorders

- Pp. 104-113 (10)

Marcia Ribeiro Gomide

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Syndromes with Characteristic Facies

- Pp. 114-131 (18)

Marcia Ribeiro Gomide, Gisele da Silva Dalben and Lucimara Teixeira das Neves

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Surgical Treatment in Craniofacial Malformations: Distraction Osteogenesis

- Pp. 132-154 (23)

Cristiano Tonello, Adriano Porto Peixoto, Maurício Mitsuru Yoshida, Michele Madeira Brandão, Melissa Zattoni Antoneli and Nivaldo Alonso

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Subject Index

- Pp. 155-161 (7)

Gisele da Silva Dalben and Marcia Ribeiro Gomide

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Foreword

During my life I was assigned several missions: dentist, professor, researcher, manager; all of them were pleasant and full of challenges, with the bonus of knowing and living together with special people. I am proud to be invited to present this book to the world of Dentistry. The experience at the Hospital for Rehabilitation of Craniofacial Anomalies (HRAC-USP) gave me the opportunity to follow the career of several professionals, from undergraduate training up to the highest levels of research and university life. Few feelings are more thorough than following the personal and professional growth of people we respect; and the better reward for a professor is to see the shine of enthusiasm and curiosity in the eyes of young professionals, thirsty for knowledge; for a manager, to follow the vibration with which the team conducts its work. I have learned more than I have taught. At HRAC-USP, the daily routine was always filled with technical and human challenges. The daily care for individuals with different disabilities provides professionals with a rich source of research inspiration, besides demands yet to be explored. It is enough to be willing. The editors Gisele da Silva Dalben, Marcia Ribeiro Gomide and the contributor Beatriz Costa are examples of this thirst for knowledge and clinical sensitivity. They are three great researchers who were shaped at the Pediatric Dentistry clinic of HRAC/USP, where they sharpened and deepened their skills on the needs of patients requiring differentiated attention and treatment, respecting their exceptional birth conditions. Part of the long years of study, investigation and practice of these three brilliant researchers is present in this book, which surely enriches the dental management of patients with craniofacial anomalies. The book gathers experiences, knowledge and tips that the contributors kindly offer to anyone interested in this field. A part of their lives, all of them built inside Pediatric Dentistry. The years have been generous for me, giving me the opportunity to publicly celebrate the scientific maturity of three great pediatric dentists – and friends: Gisele, Marcia and Beatriz. And I say with certainty that another important chapter of Dentistry was written.

Dr. José Alberto de Souza Freitas (“Tio Gastão”)
Founder and former superintendent of HRAC/USP,
Full Professor of University of São Paulo,
Brazil

FOREWORD 2

Writing the foreword to this book “Craniofacial disorders – orofacial features and peculiarities in dental treatment” has been a reason of great joy and pride, since this is one more contribution of the Hospital for Rehabilitation of Craniofacial Anomalies of University of São Paulo, gently known as “Centrinho”, to the specialized literature.

Both editors are dental professionals graduated by FOB-USP with Master and PhD degrees and are extremely dedicated professionals who, together, add up more than 50 years of contribution to clinical activities, rehabilitating and providing smiles to individuals with craniofacial anomalies, besides actively working in the Teaching and Research scopes of the institution, valuing the scientific production.

The book is composed of nine chapters that bring valuable information for dentists and health professionals caring for individuals with syndromes associated with craniofacial anomalies. The book presents an update approach about Craniofacial Embryology, Concepts of Genetics, Teratogenesis, Dental Management in Rare Facial Clefts, as well as the alterations accompanying the diverse Syndromes with Orofacial Clefts, Craniosynostosis Syndromes, First Pharyngeal Arch Disorders, Syndromes with Characteristic Facies, and an approach about the Surgical Treatment in Craniofacial Malformations: Distraction Osteogenesis.

Further, the HRAC-USP has a strong team working on Genetics associated with craniofacial anomalies, coordinated by the medical geneticist Dr Antonio Richieri Costa, and during 50 years of work the institution concentrates a databank that is a scientific treasure. During her PhD, Dr Gisele da Silva Dalben worked with Dr Richieri Costa, analyzing individuals with Opitz G/BBB syndrome, and has several publications in the subject of craniofacial syndromes.

Since HRAC/USP is a reference center in craniofacial anomalies with participation of an interdisciplinary team, it was possible to prepare this book especially focusing the interest of dental professionals.

I consider this book a precious masterpiece, which shall fill the gap currently existing in the literature, concentrating in a single work the information on dental, skeletal and craniofacial alterations in individuals with different craniofacial disorders.

Dr. Terumi Okada Ozawa
Orthodontist and former Director of Dental Division of HRAC/USP,
Brazil


Preface

In 2003, the editors of this book noticed a lack of organized information about dental care for individuals with craniofacial disorders. Then, the editors performed a literature review about different craniofacial disorders and wrote an informal handout, which the editors made available in the local library. As years went by, that handout turned out to be widely borrowed and used as reference in their institution, which encouraged the editors to expand the information and transform that handout in the present ebook.

The editors work as pediatric dentists in a tertiary hospital and are often challenged with a wide array of disorders, frequently facing situations in which individuals and their families must travel even days to attend the institution for accomplishment of dental procedures that could be performed by professionals at their cities of origin, if only they had a little more information about craniofacial disorders. In some international experiences, the editors observed that, worldwide, there is still a lot of misconception and disinformation about when and how to treat the different disorders present in individuals with craniofacial disorders.

The organization of this book into chapters was largely based on the classic book “Syndromes of the head and neck” (Gorlin, 1990), which the editors consider fundamental for professionals who want to dive deeper into the world of craniofacial disorders.

To enhance the understanding on “hows and whys”, Chapter 1 presents rich information about craniofacial embryology. This chapter was written by the eminent embryologist Kathleen K. Sulik, who describes craniofacial development in detail with the aid of amazing scanning electron micrographs of embryos, allowing the reader to travel through the stages of normal and abnormal embryonic development.

Chapters 2 and 3 present basic concepts of genetics and teratology, enhancing the knowledge of readers so that they can better understand the information presented in following chapters.

Chapters 4 to 8 describe the different craniofacial disorders in a similar sequence as in “Syndromes of the head and neck”, presenting the disorders with their respective etiology, systemic involvement, and peculiarities in dental treatment. All contributors in these chapters have current and/or previous clinical experience in providing dental care to individuals with craniofacial malformations, and much of the information presented in these chapters were observed in investigations conducted at the editors’ institution.

Finally, in Chapter 9, the authors describe the surgical steps required for complex dentomaxillofacial reconstruction in different disorders. These surgical procedures aim at both esthetic and functional improvement, and are paramount for the thorough rehabilitation of individuals.

The aim of this ebook is to be a chairside resource for clinical dentists who wish to offer dental care for individuals with craniofacial disorders. The editors’ goal, when organizing this ebook, was to enhance the knowledge of dental professionals across the world about craniofacial disorders, their orodental features and peculiarities in dental treatment, so that individuals affected by such syndromes may have increasingly better and easier access to dental care.

We wish the readers all the best when assisting individuals with craniofacial malformations. We hope you will find the present information useful, and we wish you a rewarding experience in treating these individuals and watching them grow stronger and more self-reassured with your collaboration.

We also wish all the best to individuals with craniofacial malformations and their families, with special consideration to those attending the editors’ institution – the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo at Bauru, Brazil, who were the main driving force behind this ebook, and special thanks to individuals and their families who kindly granted permission to publish their images in this ebook. This book was inspired by you, and is dedicated to you.

acknowledgement

Chapters 2 to 9 were originally written in Portuguese and translated into English by the author Gisele da Silva Dalben. Signed informed consent was obtained from all individuals whose facial photographs that allow their identification are presented in this ebook.

All photographs presented in Chapter 1 belong to the files of the chapter author. Photographs presented in Chapters 2 through 9 belong to the files from respective chapter authors, from the Hospital for Rehabilitation of Craniofacial Anomalies of University of São Paulo, and from Adriano Porto Peixoto, who kindly granted access to his files.

Gisele da Silva Dalben
Pediatric and Community Dentistry Sector,
Hospital for Rehabilitation of Craniofacial Anomalies,
University of São Paulo,
Bauru,
Brazil

&

Marcia Ribeiro Gomide
Pediatric and Community Dentistry Sector,
Hospital for Rehabilitation of Craniofacial Anomalies,
University of São Paulo,
Bauru,
Brazil

List of Contributors

Editor(s):
Gisele da Silva Dalben
Pediatric Dentist, Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Marcia Ribeiro Gomide
Pediatric Dentist, Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil




Contributor(s):
Adriano Porto Peixoto
Orthodontics and Dentofacial Orthopedics Sector and Craniofacial Surgery Sector Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Ana Lúcia Pompéia Fraga de Almeida
Department of Prosthodontics, Bauru School of Dentistry
University of São Paulo
Bauru
Brazil
/
Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Beatriz Costa
Pediatric and Community Dentistry Sector Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Cleide Felício de Carvalho Carrara
Pediatric and Community Dentistry Sector Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Cristiano Tonello
Craniofacial Surgery Sector Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Gisele da Silva Dalben
Pediatric and Community Dentistry Sector Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Kathleen K. Sulik
Bowles Center for Alcohol Studies School of Medicine
University of North Carolina
Chapel Hill
USA


Lucimara Teixeira das Neves
Discipline of Genetics, Bauru School of Dentistry
University of São Paulo
Bauru
Brazil
/
Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Marcia Ribeiro Gomide
Pediatric and Community Dentistry Sector Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Maurício Mitsuru Yoshida
Craniofacial Surgery Sector (Former member) Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil
/
Santa Marcelina Hospital
São Paulo
Brazil
/
Medical School of ABC
Santo André
Brazil


Melissa Zattoni Antonelli
Speech-Language Pathology Sector Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Michele Madeira Brandão
Craniofacial Surgery Sector Hospital for Rehabilitation of Craniofacial Anomalies
Bauru
Brazil


Nivaldo Alonso
Medical School
University of São Paulo
São Paulo
Brazil
/
Craniofacial Surgery Sector Hospital for Rehabilitation of Craniofacial Anomalies
University of São Paulo
Bauru
Brazil


Vivian de Agostino Biella Passos
School of Dentistry
University of Sagrado Coração
Bauru
Brazil




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