J Korean Assoc Oral Maxillofac Surg.  2020 Feb;46(1):70-77. 10.5125/jkaoms.2020.46.1.70.

Osteogenesis imperfecta and combined orthodontics and orthognathic surgery: a case report on two siblings

• Kim DY
• Baik U
• Jeon JH

• KMID: 2471115
• DOI: http://doi.org/10.5125/jkaoms.2020.46.1.70

Abstract

Osteogenesis imperfecta is a heterogeneous group of connective tissue diseases that is predominantly characterized by bone fragility and skeletal deformity. Two siblings with undiagnosed type I osteogenesis imperfecta underwent orthognathic surgery for the treatment of facial asymmetry and mandibular prognathism. The authors report two cases of combined orthodontics and orthognathic surgery in patients with type I osteogenesis imperfecta, mandibular prognathism, and facial asymmetry.

Keyword

Osteogenesis imperfecta; Orthognathic surgery

MeSH Terms

Congenital Abnormalities
Connective Tissue Diseases
Facial Asymmetry
Humans
Orthodontics*
Orthognathic Surgery*
Osteogenesis Imperfecta*
Osteogenesis*
Prognathism
Siblings*

Figure

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  Fig. 1 Preoperative intraoral photographs of Case 1 patient.

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  Fig. 2 Preoperative cephalometric (A, B), panoramic (C), and facial views (D, E) of Case 1 patient.

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  Fig. 3 Photographs on postoperative 9 days of Case 1 patient; Ecchymosis and abnormal edema (A), subconjunctival hemorrhage, blue sclera (B).

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  Fig. 4 Intraoral photographs on debonding of Case 1 patient.

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  Fig. 5 Cephalometric (A, B) and facial views (C, D) on debonding of Case 1 patient.

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  Fig. 6 Preoperative intraoral photographs of Case 2 patient.

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  Fig. 7 Preoperative cephalometric (A), panoramic (B), and facial views (C, D) of Case 2 patient and her blue sclera (E) can be seen.

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  Fig. 8 Intraoral photographs on debonding of Case 2 patient.

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  Fig. 9 Cephalometric (A), panoramic (B), and facial views (C, D) of Case 2 patient.

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