Dental findings in marfan syndrome: a case report

Abstract

Marfan syndrome is an autosomal dominant disorder of connective tissue primarily characterized with anomalies affecting the musculoskeletal system, the cardiovascular system and the eyes. It has been suggested that early diagnosis of the syndrome is important, because of the risk of infective endocarditis. A 7-year-old female was referred to our clinic, with a chief complaint of dental crowding in the anterior region of mandible. It was observed that the patient needed multiple treatments based on detailed clinical and radiographic examinations. The treatment was carried out with antibiotic prophylaxis an hour prior to her appointment considering her profound caries. The patient was advised to visit regularly for follow up and she was referred for orthodontic evaluation.

Keywords: Marfan syndrome; antibiotic prophylaxis; dental management; infective endocarditis.

Figure 1.

Positive thumb and wrist signs (positive wrist-Walker-Murdoch sign-the distal phalanx of the first and fifth fingers of the hand overlap when surrounded around the opponent wrist and positive thumb-Steinberg sign-a flexed thumb clutched within a clenched palm protrudes beyond the ulnar border of that hand)

Figure 2.

Pretreatment clinical photographs showing profound caries and stains on teeth.

Figure 3.

Panoramic radiography of the patient taken before dental treatment.

Figure 4.

Hand-wrist radiograph.

Figure 5.

Intraoral photographs taken after restorative treatment was completed.