1. School of Dentistry
Yr Ysgol Ddeintyddiaeth
The orthodontic and surgical
management of Zimmerman-Laband
Syndrome
Popat H, Perks T, Cronin AJ, Durning P, Maggs R.
Cardiff University School of Dentistry
Yr Ysgol Ddeintyddiaeth

2. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Zimmerman-Laband Syndrome
• First reported in 1928
• Only 39 cases worldwide
• Features:
– abnormalities of the nose and/or ears
– hypoplasia of the nails/terminal phalanges of the
hands and feet
– gingival fibromatosis
– delayed dental eruption
– skeletal anterior open bite
– enlarged palatal rugae
– learning difficulties

3. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Extra-oral Presentation

4. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Intra-oral Presentation

5. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Radiographic Presentation

6. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Pre- treatment cephalometric values

7. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Treatment Plan
• Upper sectional fixed appliance
• Lower continuous fixed appliance
• 6mm posterior segmental maxillary
impaction with autorotation of the
mandible
• Finishing orthodontics with upper and
lower continuous archwires
• Retention with upper and lower pressure
formed retainers

8. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Treatment simulation

9. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Post-operative extra- oral photographs

10. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Post-operative intra-oral photographs

11. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Cephalometric superimposition

12. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Post-surgical cephalometric analysis

13. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Debond extra-oral photographs

14. School of Dentistry
Yr Ysgol Ddeintyddiaeth
Debond intra-oral photographs