897 papat

School of DentistryYr Ysgol Ddeintyddiaeth

The orthodontic and surgical management of Zimmerman-Laband

Syndrome

Popat H, Perks T, Cronin AJ, Durning P, Maggs R.

Cardiff University School of Dentistry

Yr Ysgol Ddeintyddiaeth


Zimmerman-Laband Syndrome

• First reported in 1928

• Only 39 cases worldwide

• Features:– abnormalities of the nose and/or ears

– hypoplasia of the nails/terminal phalanges of the hands and feet

– gingival fibromatosis

– delayed dental eruption

– skeletal anterior open bite

– enlarged palatal rugae

– learning difficulties


Extra-oral Presentation


Intra-oral Presentation


Radiographic Presentation


Pre- treatment cephalometric values


Treatment Plan

• Upper sectional fixed appliance

• Lower continuous fixed appliance

• 6mm posterior segmental maxillary impaction with autorotation of the mandible

• Finishing orthodontics with upper and lower continuous archwires

• Retention with upper and lower pressure formed retainers


Treatment simulation


Post-operative extra- oral photographs


Post-operative intra-oral photographs


Cephalometric superimposition


Post-surgical cephalometric analysis


Debond extra-oral photographs


Debond intra-oral photographs

897 papat

Education

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