Orthodontic treatment of a patient with cutis laxa

Cutis laxa syndrome is a connective tissue disease characterized by loss of skin elasticity and increased skin folds. In addition to systemic findings, the disease also has craniofacial findings. Together with skeletal developmental retardation, these individuals with a loose and saggy skin structure have an aging appearance, which leads to serious esthetic problems. This case report describes the orthodontic treatment approach for an individual with cutis laxa. Orthopedic treatment was planned to be applied to the patient with severe transversal insufficiency and increased vertical dimensions, taking advantage of the fact that the patient was in the growth development period, thus contributing to the improvement of the patient’s facial appearance. Accordingly, the patient was first treated with rapid maxillary expansion. Later, the treatment was completed with fixed treatment mechanics. The orthodontic treatment produced good functional and esthetic results and patient pleasure.