The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 16 , ISSUE 8 ( August, 2015 ) > List of Articles

CASE REPORT

Management of Maxillary Deformity with Segmental Osteotomy followed by Implant Insertion in β-Thalassemia Major Patient

Zafer Ozgur Pektas, Secil Cubuk, Beyza Kircelli, Sina Uckan

Citation Information : Pektas ZO, Cubuk S, Kircelli B, Uckan S. Management of Maxillary Deformity with Segmental Osteotomy followed by Implant Insertion in β-Thalassemia Major Patient. J Contemp Dent Pract 2015; 16 (8):704-707.

DOI: 10.5005/jp-journals-10024-1744

Published Online: 01-02-2016

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Aim

The aim of this report is to present the management of the maxillary deformity and subsequent implant therapy of a case with β-thalassemia major.

Background

β-thalassemia is a hematologic disorder that results from the abnormality of the β-globulin chain synthesis. The best known thalassemia-induced dentofacial problem is the maxillary enlargement, and this undesirable growth of maxilla affects not only the facial esthetics but also dental occlusion, and leads to functional deficiency.

Case description

A 16-year-old female patient with â-thalassemia major was referred with the complaints of severe facial deformity and malocclusion, resulting in psychosocial and functional problems for her. The dentofacial deformity was characterized by an excessive premaxillary growth both in sagittal and vertical planes. Anterior maxillary osteotomy was performed with bilateral canines extraction, and dental implants were inserted to the canine regions, following bone healing. Postoperative course was free of problems with the crown restorations in function. Recurrence has not been occurred at 6 years follow-up.

Conclusion

With maintaining hemoglobin level over 10 gm/dl, correction of maxillary defects is stable for long-term in â-thalassemia major patient. Implant application to these patients may lead to unforeseeable results.

Clinical significance

Although having some difficulties, such as overbleeding and stability problems, maxillary enlargement can be treated by segmental osteotomies successfully in β-thalassemia major patient. Implant failure frequency may be higher, but many other studies are needed for determining implant survival rate in β-thalassemia major patients.

How to cite this article

Pektas ZO, Cubuk S, Kircelli B, Uckan S. Management of Maxillary Deformity with Segmental Osteotomy followed by Implant Insertion in β-Thalassemia Major Patient. J Contemp Dent Pract 2015;16(8):704-707.


PDF Share
  1. lu E, Akalar M. Effects of thalasaemia major on components of the craniofacial complex. Brit J Orthod 1996;23(2):157-162.
  2. β-thalassemia: medical and surgical consideration in managing facial deformities: case report and review of the literature. J Oral Maxillofac Surg 2012;70(4):284-289.
  3. Redefining thalassemia as a hypercoagulable state. Ann NY Acad Sci 2010:1202;231-236.
  4. Hemolytic anemia: part 2. Ped Rev/Am Acad Pediatr 1999;20(6):204-208.
  5. Reconstruction of the maxilla in thalassemia. Ann NY Acad Sci 1969;165(1):437-442.
  6. A case of thalassemia major with gross dental and jaw deformities. Br J Oral Maxillofac Surg 1987;25(4):348-352.
  7. Management of the thalassemia-induced skeletal deformity: case report and review of the literature. J Oral Maxillofac Surg 1997;55(11):1131-1139.
  8. Superior repositioning of the maxilla in thalassemia-induced facial deformity: report of 3 cases and a review of the literature. J Oral Maxillofac Surg 2007;65(5):1023-1031.
  9. Submental intubation in a patient with beta-thalassaemia major undergoing elective maxillary and mandibular osteotomies. Br J Anaesth 2002;88(2):288-291.
  10. Maxillary implant surgery on a patient with thalassemia: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86(4): 401-405.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.