Marfan syndrome and TMJ disfunctions, a family case in low income vulnerable populations: challenges and opportunities for pediatric dentistry

Abstract

Marfan syndrome is a connective tissue hereditary disorder with a low prevalence in the population. The syndrome primarily affects the skeleton, the cardiovascular system and the eyes. Also, craniofacial and oral manifestations are reported, such as hypermobility in the TMJ. The latter is not usually considered in diagnosis and treatment, even if can improve patient's life quality. The research summarizes the follow-up, during 20 years, of 3 generations of a low-income vulnerable family from Argentina. With the NGO Cuerpo & Alma, and UMAI Pediatric Dentistry guidelines and as showed by evidence-based scientific work the relevance of subluxations and symptoms of TMJ dysfunctions is highlighted. The research includes on field experience with vulnerable populations, the registry, follow-up and transdisciplinary treatment combined with personalized approach to cases emphasizing the TMJ dysfunctions associated patterns in pediatric dentistry patients. The case study and the treatments allow us to highlight the relevance of the combination of pediatric dentistry and TMJ, particularly in Marfan syndrome patients showing a high prevalence of subluxations and TMJ dysfunctions. The social context and the specific syndrome are challenges and an interesting pedagogical opportunity to raise awareness of the relationship between the study of TMJ and pediatric dentistry, transdisciplinary work and social responsibility.