European Archives of Paediatric Dentistry

, Volume 18, Issue 2, pp 127–133 | Cite as

Frontonasal dysplasia: oral features, restorative and orthodontic dental treatment in a child

  • R. A. ValérioEmail author
  • C. Scatena
  • F. R. R. Santos
  • F. L. Romano
  • A. M. Queiroz
  • F. W. G. Paula-Silva
Case Report



Frontonasal dysplasia is a complex rare malformation, characterised by abnormalities involving the central portion of the face, especially the eyes, nose and forehead. It can manifest independently or associated with other abnormalities as part of some syndromes.

Case report

The purpose of this case report was to describe a 5-year-old patient, diagnosed with frontonasal dysplasia. Among the abnormalities characterised with this disorder were ocular hypertelorism, broad nose tip with median notch, median facial cleft, bifid anterior skull, low set hairline, Poland’s syndactyly and ankyloglossia.


Consisted of behavioural management, oral hygiene instruction, prophylaxis, topical fluoride application, extraction of primary teeth, composite resin restorations and sealants in pits and fissures. Preformed metal crowns were also applied to the right and left primary maxillary second molars.


Currently, the patient is 11 years-old in the permanent dentition and therefore was referred for corrective orthodontic and periodontal treatments due to the persistence of gingival retraction of the permanent mandibular right central incisor.


The treatment in this case was directed to the promotion of oral health and orthodontic corrections, which are of fundamental importance due to medical, physical and social limitations of children affected by this syndrome, hindering healing and rehabilitative treatment. Paediatric dentists should be included in multidisciplinary teams providing care to patients with special needs, improving their quality of life.


Frontonasal dysplasia Craniofacial abnormalities Preventive dentistry 


Compliance with ethical standard

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© European Academy of Paediatric Dentistry 2017

Authors and Affiliations

  • R. A. Valério
    • 1
    • 2
    Email author
  • C. Scatena
    • 1
  • F. R. R. Santos
    • 1
  • F. L. Romano
    • 1
  • A. M. Queiroz
    • 1
  • F. W. G. Paula-Silva
    • 1
  1. 1.Department of Paediatric Clinics, School of Dentistry of Ribeirão PretoUniversity of São PauloRibeirão PretoBrazil
  2. 2.School of Dentistry of Ribeirão PretoUniversity of São PauloRibeirão PretoBrazil

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