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Article: Volume 44 Number 9 Page 898 - October 2017

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  Dent Update 2017; 44: 898-903

Orthodontics:  Dentofacial Features of 'En Coup De Sabre' – A Case Report

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Abstract: ‘En coup de sabre’ or morphea, is a linear scleroderma that typically affects the frontoparietal region of patients resulting in a band-like scar that looks like a sword cut across the face. This case report describes a 13-year-old male patient with a history of ‘en coup de sabre’ referred to a dental department because of facial and dental involvement. To the authors’ knowledge this has only previously been described on one occasion. The clinical presentation, clinical findings and a brief discussion of management, including the complicating effects of ‘en coup de sabre’ are discussed.

Clinical relevance: By describing the facial and dental features of this rare condition to the dental community, the authors wish to increase awareness of the condition.

Author notes: Jamie AB Deans, BDS, MScD, MFDS, MOrth, StR(post CCST) Orthodontics, Jonathan Jones, BDS, MBBCH, MRCS, ST7 SpR, Oral and Maxillofacial Surgery, Sarah J Merrett, BDS, MPhil, MFDS, MOrth FDS(Orth), Consultant in Orthodontics, Cardiff University Dental Hospital, Heath Park Campus, Cardiff, CF14 4XY, UK.

Objective: To understand the suggested aetiology, reported pathogenesis and the possible burden of care that patients with 'en coup de sabre' experience.