Apert Syndrome: Report of a Case with Emphasis on Oral Manifestations

Abstract

To report the oral findings, including dental anomalies, ectopic eruption of the maxillary
permanent first molars and periodontal disease and soft tissue alterations, in a subject with
Apert syndrome. Clinical and radiographic examination of a patient with Apert syndrome,
aged 21 years old, not previously submitted for orthodontic or orthognathic treatment.
Dental anomalies were present in a patient. Intraoral evaluation revealed poor oral hygiene
with varying degrees of periodontal involvement, an arched swelling (pseudo cleft configuration),
class III malocclusion, anterior open bite, posterior crossbite, supernumerary
teeth, ectopic eruption and creamy white enamel opacities, an excessively large appearing
tongue and a v-shaped maxillary arch. The occurrence of typical lateral palatal swellings
agrees with the literature. The high prevalence of dental anomalies and ectopic eruption
may suggest a possible etiologic relationship with the syndrome.