Laurence-Moon-Bardet-Biedl syndrome Report from questionnaires

Transcription

1 7--8 Orofacial function of persons having Laurence-Moon-Bardet-Biedl syndrome Report from questionnaires The survey comprises questionnaires. Synonyms: Bardet-Biedl syndrome, Laurence-Moon syndrome, LMBBS Occurrence: -4: live births. Etiology: Unknown. Genetically determined. Changes have been found in six chromosomes with different mutations in different families. LMBB syndrome is an autosomal recessive disorder. General symptoms: Symptoms may vary but the core symptoms are retinal changes, extra fingers and/or toes, obesity, underdevelopment of the male reproductive organs (hypogenitalism) and low concentrations of sexual hormones (hypogonadism), renal changes, mental retardation and coordination difficulties. Orofacial/odontological symptoms: Tooth anomalies may occur, such as lack of tooth buds for one or more teeth (hypodontia), small/thin teeth and short tooth roots. Snoring is common. Impaired oral motor function occurs and may cause speech and eating difficulties, as well as drooling. Orofacial/odontological treatment Early contact with dental services for intensified prophylactic care and oral hygiene information is essential Regular check-ups of dental and jaw development. Orthodontist should be consulted when needed Extra care is recommended in orthodontic treatment of patients with short tooth roots. Snoring problems should be investigated by a physician in cases of suspected sleep apnea (frequent breathing pauses during sleep). Oral motor training may be required in cases of eating difficulties, speech impairment and drooling Sources The rare disease base of the Swedish National Board of Health and Welfare. The MHC base - The Mun-H-Center base on oral health and orofacial function in rare diseases. The Documentation from the Ågrenska Center. Sida av 7

2 7--8 Age distribution F M : Ages: 7-5 Sex: M () F () Additional diagnoses Medical impairment Inborn heart defect Other cardiovascular disease Epilepsy Asthma Need of respiratory support Allergy 4 7 Neuropsychiatric diagnosis ADHD/ADD Autistic syndrome Autistic traits Asperger s syndrome Tourette s syndrome General disability Intellectual disability 8 Mobility dysfunction 4 6 Impaired vision 7 Impaired hearing Difficulty in communicating Sida av 7

3 7--8 About dental care and oral health Do you feel that you receive the dental care you need?, not really, not at all How many times per year do you normally seek dental care? Three or more times per year Twice per year Once per year Less than once per year When were your teeth last X-rayed? During the past two years More than two years ago Never had my teeth X-rayed Sida av 7

4 7--8 Do you look after your teeth in a good way?, not really, not at all 8 Who brushes your teeth? I always brush myself Sometimes I brush myself Someone else always helps me 8 How often are your teeth brushed? Three or more times per day Twice per day Once per day t every day Sida 4 av 7

5 7--8 About dental care and oral health Does your mouth hurt? Does your mouth feel dry? Have you ever taken a serious hit to your permanent front teeth? Do you feel that you have a divergent bite? Have you had a brace? Do you feel that you need orthodontics/a brace? Do you grind or press your teeth at night? Never Once or twice per week Every night Do you grind or press your teeth during the day? Never Once or twice per week Every day Sida 5 av 7

6 7--8 About eating Do you have any problems with eating? %, not really, not at all % Do you cough daily in connection with meals? Do you gag daily in connection with meals? Do you get acid reflux daily? Do you throw up often (at least twice per week)? Do you have a poor appetite? Does it take a long time before you can swallow a mouthful? Do you press your tongue forward when you swallow so that food ends up outside the mouth? Do you find it difficult to chew, i.e. grind food using your molars? Do you find it difficult to take food from the spoon using your lips? Have you had problems with food and drink leaking out through the corners of your mouth? Does food tend to remain in your mouth after meals? Do you get nutrition in any other way than through your mouth? 8 Sida 6 av 7

7 7--8 Do you drool? About drooling Never drool Drool sometimes not every day Drool often every day Constant drooling How much do you drool? Slight drooling, only on the lips Moderate drooling, on lip and chin Profuse drooling, on clothes Very profuse drooling, on hands/objects Is your drooling a problem for you?, not really, not at all Is your drooling a problem for your family or people around you?, not really, not at all Sida 7 av 7