# Progressive Strategy for Congenitally Missing Anteriors in Binder Syndrome: A Case Report

## TL;DR

This case report presents a new treatment approach for a rare facial condition called Binder syndrome, focusing on replacing missing front teeth to improve appearance and function.

## Contribution

The paper introduces a novel combined orthodontic and prosthetic strategy for managing congenitally missing anterior teeth in Binder syndrome.

## Key findings

- A multidisciplinary approach combining orthodontics and prosthetics successfully addressed dental and facial anomalies.
- The treatment improved both aesthetics and functionality in a patient with Binder syndrome.
- Slow maxillary expansion is suggested as a suitable strategy for adult patients with similar conditions.

## Abstract

Binder syndrome (maxillonasal dysplasia) is an uncommon congenital craniofacial condition. It is marked by distinctive facial characteristics including a flat, vertically oriented nose, maxillary underdevelopment, malocclusion, and nasal bone irregularities. This case study introduces an inventive strategy for addressing congenitally absent anterior teeth in a patient diagnosed with Binder syndrome. Our treatment approach combined orthodontic interventions and prosthetic restorations to enhance both aesthetics and function. This report explores the diagnostic and therapeutic aspects of the case, underscoring the encountered challenges and the ultimately successful outcome. This approach provides valuable insights into managing dental anomalies linked to Binder syndrome, emphasizing the necessity of a multidisciplinary approach for comprehensive patient care. A suitable strategy for adult patients might be slow maxillary expansion. This case report is about a rare case of maxillonasal dysplasia managed with the esthetic replacement of anterior teeth.