Treatment for a malpositioned occlusion in a patient with acromegaly.

62-year-old Caucasian male presented for treatment of a mandibular dysfunction. His chief complaint was that he could “pass a magazine through his teeth,” and he had trouble eating. Over the last year and a half, his jaw had been shifting. Ultimately, he was diagnosed with a benign adenoma of the pituitary gland, which resulted in a diagnosis of acromegaly. This disease often affects jaw positioning by causing an uncontrolled growth of the bones in the front of the skull. Treatment consisted of intracranial excision of a part of the pituitary gland. The results appeared to be positive. No medication was required. The patient was then referred to an oral surgeon, who recommended extensive surgical procedures to help reposition the mandible. The patient refused surgery, and nonsurgical consultation was sought. Conventional dental recommendation included removal of the offending crown (#31) with an attempt, TREATMENT FOR A MALPOSITIONED OCCLUSION IN A PATIENT WITH ACROMEGALY PHILIP MILLSTEIN, DMD, MS