Orodental manifestations of facial port-wine stains - 14/09/12
Correspondence to: David H. Darrow, MD, DDS, Department of Otolaryngology, Eastern Virginia Medical School, 600 Gresham Dr, Norfolk, VA 23507.Abstract |
Background |
Patients with facial port-wine stains (PWS) often demonstrate oral manifestations of their disorder; however, the spectrum and prevalence of such findings among a cohort of patients with PWS has not been established. As a result, dermatologists and oral health specialists may be uncertain how to counsel their patients with PWS regarding oral hypervascularity, bony oral changes, and oral hygiene.
Objectives |
We sought to identify physical findings and complications involving the teeth, oral cavity, and perioral structures in individuals with facial PWS.
Methods |
This was a cross-sectional study of 30 patients with facial PWS. Descriptive data were collected through anonymous paired surveys completed by patients and their dentists, and analyzed (Fisher exact test) for trends based on physical findings and stage of the PWS.
Results |
The most common orodental manifestations according to patients were enlargement of the lip (53.3%), stained gums (46.7%), abnormal bite (30%), and spontaneous bleeding of the gums (26.7%). Staining of the gingiva correlated significantly with gingival hyperplasia (P = .006), maxillary hyperplasia (P = .014), and widened interdental spaces (P = .002), and in all cases gingival staining predated these findings. Lip hyperplasia was reported more frequently by patients than by their dentists (50% vs 18.2%, P = .008). Orodental manifestations were more common among patients with darker and thicker PWS. Hemorrhage after dental procedures was rare (4.5%).
Limitations |
Modest sample size and difficulty recruiting control subjects are limitations.
Conclusions |
Facial PWS commonly affect the orodental structures, and intraoral staining may predict future complications.
Le texte complet de cet article est disponible en PDF.Key words : bleeding, dental, face, gingiva, gums, malocclusion, mouth, oral, port-wine stain, teeth
Abbreviation used : PWS
Plan
| Funding sources: None. |
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| Disclosure: Dr Darrow is a member of the advisory board for www.birthmarks.com. The authors have no commercial associations, current or within the past 5 years, that might pose a potential, perceived, or real conflict of interest. |
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| Reprints not available from the authors. |
Vol 67 - N° 4
P. 687-693 - octobre 2012 Retour au numéro
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