Case Study Emily Speiser 11/9/2010

Patient: Joey Smith Age: 2 years Gender: Male Height: 30 inches Weight: 28 pounds Vital Signs: HR:85 bpm Respiratory rate: 22 rpm Blood Pressure: 92/55 Temperature: 98 °F Chief complaint Bleeding gums Medical Alert Name of Syndrome: Mandibulofacial Dysostosis Also known as, Treacher Collins Syndrome or Franceschetti's syndrome Cause of Syndrome - Medical History (if applicable) Genetic: Inherited developmental disorder. Autosomal dominant Embryologic: between 6 th and 7 th week of embryologic development, bilateral and symmetrical abnormalities.

Orofacial Clinical Features Cheek bones depressed, eyelashes may be deficient medially from lower lid, slanted eyes, incorrectly positioned teeth, atypical hair growth, gingival disease, open bite, ear tags cleft palate found in 1/3 of cases Age/race/sex predilections and Systemic Clinical Features: Present from birth Males & Females All races Systemic Clinical Features: colon polyps, adenocarcinoma, hearing loss, chronic respiratory insufficiency, sleep apnea, speech difficulties, vision problems, possible learning disabilities. Radiographic Features of this Syndrome Odontomas and osteomas in jaw

Special considerations in Treatment of this patient? How is it Diagnosed? How common is it? Is it a horse or zebra? Special Considerations: respiratory insufficiency, hearing loss, speech and vision problems Diganosis: Clinical, Radiographs, family history. Some cases diagnosed via sonogram while in utero 1 in 40,000 to 1 in 70,000 of live births…….ZEBRA

Pictures of Disease or Syndrome

Intraoral Pictures

List Sources and References (This should be more than your text book!) Oral Pathology for the Dental Hygienist Textbook