Treatment of Brodie syndrome

Abstract

Brodie Syndrom is a rare form of transverse malocclusion, characterized by excessive occlusion of the lateral zones, the contact is established between the palatal surfaces of the maxillary teeth and labial surfaces of the mandibular teeth, so that there is no intercuspidation of the maxillary and mandibular molars. It not only adversely affects chewing and muscle functions, but also impairs normal growth and development of the mandible if left untreated, with the possibility of jaw deformities. The anomaly may be bilateral or unilateral, clinical examination will search for signs of asymmetry or mandibular lateral deviation. Additional tests are needed to point out the alveolar or basal location of the malocclusion. Schematically, the therapeutic means used will seek to contract the maxillary arch, and expanding the lower arch. Orthodontic treatment is complex but the bone anchorages provide some help in this context. Nevertheless, the therapy is often orthodontic and surgical and must move towards unconventional surgeries such as symphyseal distraction.