Clinical Findings and Dental Manifestations Associated With Microcephalic Osteodysplastic Primordial Dwarfism Type II: A Case Report

Background: Microcephalic Osteodysplastic Primordial Dwarfism type 2 (MOPD II) is a rare untreatable genetic disorder characterized by severe prenatal and postnatal growth retardation, microcephaly, bird-headed face (receding forehead and chin, a beaklike nose, and prominent eyes), skeletal abnormal...

Full description

Bibliographic Details
Main Authors: Bahareh Nazemi Salman, Nazila Biglar, Masoumeh Mirkeshavarz, Ghasem Ansari
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2022-12-01
Series:Journal of Pediatrics Review
Subjects:
Online Access:http://jpr.mazums.ac.ir/article-1-479-en.html
_version_ 1797946313838428160
author Bahareh Nazemi Salman
Nazila Biglar
Masoumeh Mirkeshavarz
Ghasem Ansari
author_facet Bahareh Nazemi Salman
Nazila Biglar
Masoumeh Mirkeshavarz
Ghasem Ansari
author_sort Bahareh Nazemi Salman
collection DOAJ
description Background: Microcephalic Osteodysplastic Primordial Dwarfism type 2 (MOPD II) is a rare untreatable genetic disorder characterized by severe prenatal and postnatal growth retardation, microcephaly, bird-headed face (receding forehead and chin, a beaklike nose, and prominent eyes), skeletal abnormalities, abnormal dentition, abnormal hair and skin changes, high-pitched nasal voice, and an increased risk for insulin resistance and cerebrovascular disease. MOPDII is caused by mutations in the pericentrin gene and is inherited in an autosomal recessive manner. This study aims to report a MOPD II child patient.  Case Presentation: A seven-year-old girl genetically diagnosed with MOPD II has been presented in this case report. Clinical, radiological, and laboratory findings with emphasis on oral features have been reported, and her dental problems management has also been described. Conclusions: MOPD II patients have a shorter life expectancy. The main health complications which need regular care include vascular changes of the central nervous system, diabetes mellitus, renal problems, blood pressure, cardiac pathologies, and hematologic profile. MOPD II patients have a high risk of caries because they consume soft and cariogenic foods due to microdontia, oligodontia, and an incompetent masticatory system. On the other hand, dental treatment for such patients can be very challenging. MOPD II cases and their families should be aware of the importance of oral hygiene and routine dental follow-ups.
first_indexed 2024-04-10T21:09:03Z
format Article
id doaj.art-b01e8ec4fe4f4bb898cb9398b4a3cd4f
institution Directory Open Access Journal
issn 2322-4398
2322-4401
language English
last_indexed 2024-04-10T21:09:03Z
publishDate 2022-12-01
publisher Mazandaran University of Medical Sciences
record_format Article
series Journal of Pediatrics Review
spelling doaj.art-b01e8ec4fe4f4bb898cb9398b4a3cd4f2023-01-21T08:52:14ZengMazandaran University of Medical SciencesJournal of Pediatrics Review2322-43982322-44012022-12-01104321330Clinical Findings and Dental Manifestations Associated With Microcephalic Osteodysplastic Primordial Dwarfism Type II: A Case ReportBahareh Nazemi Salman0Nazila Biglar1Masoumeh Mirkeshavarz2Ghasem Ansari3 Department of Pedodontics, School of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran. Department of Pedodontics, School of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran. Department of Oral and Maxillofacial Pathology, School of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran. Department of Pedodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Background: Microcephalic Osteodysplastic Primordial Dwarfism type 2 (MOPD II) is a rare untreatable genetic disorder characterized by severe prenatal and postnatal growth retardation, microcephaly, bird-headed face (receding forehead and chin, a beaklike nose, and prominent eyes), skeletal abnormalities, abnormal dentition, abnormal hair and skin changes, high-pitched nasal voice, and an increased risk for insulin resistance and cerebrovascular disease. MOPDII is caused by mutations in the pericentrin gene and is inherited in an autosomal recessive manner. This study aims to report a MOPD II child patient.  Case Presentation: A seven-year-old girl genetically diagnosed with MOPD II has been presented in this case report. Clinical, radiological, and laboratory findings with emphasis on oral features have been reported, and her dental problems management has also been described. Conclusions: MOPD II patients have a shorter life expectancy. The main health complications which need regular care include vascular changes of the central nervous system, diabetes mellitus, renal problems, blood pressure, cardiac pathologies, and hematologic profile. MOPD II patients have a high risk of caries because they consume soft and cariogenic foods due to microdontia, oligodontia, and an incompetent masticatory system. On the other hand, dental treatment for such patients can be very challenging. MOPD II cases and their families should be aware of the importance of oral hygiene and routine dental follow-ups.http://jpr.mazums.ac.ir/article-1-479-en.htmlgrowth disordersdwarfismmicrocephalic osteodysplastic primordial dwarfismtype iichilddentalpediatric dentistrypericentrin
spellingShingle Bahareh Nazemi Salman
Nazila Biglar
Masoumeh Mirkeshavarz
Ghasem Ansari
Clinical Findings and Dental Manifestations Associated With Microcephalic Osteodysplastic Primordial Dwarfism Type II: A Case Report
Journal of Pediatrics Review
growth disorders
dwarfism
microcephalic osteodysplastic primordial dwarfism
type ii
child
dental
pediatric dentistry
pericentrin
title Clinical Findings and Dental Manifestations Associated With Microcephalic Osteodysplastic Primordial Dwarfism Type II: A Case Report
title_full Clinical Findings and Dental Manifestations Associated With Microcephalic Osteodysplastic Primordial Dwarfism Type II: A Case Report
title_fullStr Clinical Findings and Dental Manifestations Associated With Microcephalic Osteodysplastic Primordial Dwarfism Type II: A Case Report
title_full_unstemmed Clinical Findings and Dental Manifestations Associated With Microcephalic Osteodysplastic Primordial Dwarfism Type II: A Case Report
title_short Clinical Findings and Dental Manifestations Associated With Microcephalic Osteodysplastic Primordial Dwarfism Type II: A Case Report
title_sort clinical findings and dental manifestations associated with microcephalic osteodysplastic primordial dwarfism type ii a case report
topic growth disorders
dwarfism
microcephalic osteodysplastic primordial dwarfism
type ii
child
dental
pediatric dentistry
pericentrin
url http://jpr.mazums.ac.ir/article-1-479-en.html
work_keys_str_mv AT baharehnazemisalman clinicalfindingsanddentalmanifestationsassociatedwithmicrocephalicosteodysplasticprimordialdwarfismtypeiiacasereport
AT nazilabiglar clinicalfindingsanddentalmanifestationsassociatedwithmicrocephalicosteodysplasticprimordialdwarfismtypeiiacasereport
AT masoumehmirkeshavarz clinicalfindingsanddentalmanifestationsassociatedwithmicrocephalicosteodysplasticprimordialdwarfismtypeiiacasereport
AT ghasemansari clinicalfindingsanddentalmanifestationsassociatedwithmicrocephalicosteodysplasticprimordialdwarfismtypeiiacasereport