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Table 2 Demographical and clinical characteristics of the studies selected for the systematic review

From: Oral findings and comprehensive dental management of Moebius syndrome: a systematic review

No.

Authors/ Year/ Country

Type of Study/Cases No.

A/G

Extraoral Manifestations

Oral Manifestations

1

Aren G, (2002), Turkey [30]

Case Report

1

7/M

Bilateral facial paralysis, lack of facial expression, blinking, visual problems, speech difficulties, and malformations of the upper and lower limbs

Tongue deformities and dental caries

2

De Serpa Pinto et al., (2002), Brazil [15]

Case Series

12

9 = M, 3 = F, Mean age = 6

12 = Bilateral and unilateral facial paralysis and malformations of the upper and lower limbs

12 = Micrognathia, microstomia, cleft palate, gothic palate, tongue deformities anterior open bite

3

Chungyoon and Zakaria (2003), USA [20]

Case Report

1

18/M

Lack of facial expression, blinking, and visual problems

Periodontal disease, dental caries, and odontogenic abscesses

4

Sensat et al., (2003), USA [21]

Case Report

1

40/M

Bilateral facial paralysis, lack of facial expression, dysphagia, blinking, and visual problems

Microdontia, microstomia, periodontal disease, and dental caries

5

Magalhães et al., (2006), Brazil [16]

Case Series

29

18 = M, 11 = F, Mean age = 1,5

29 = Blinking, visual problems, and malformations of the upper and lower limbs

29 = Micrognathia, tongue deformities, cleft palate, and gothic palate

6

Lima et al., (2008), Brazil [17]

Case Report

1

5/M

Unilateral facial paralysis, lack of facial expression, blinking, and visual problems, speech difficulties, and compromised breathing

Tongue deformities and anterior open bite

7

Scarpelli et al., (2008), Brazil [18]

Case Report

1

5/M

Bilateral facial paralysis and speech difficulties

Micrognathia, gothic palate, tongue deformities, dental caries, Class II malocclusion, and anterior open bite

8

Escoda-Francolí et al., (2009), Spain [23]

Case Report

1

49/F

Malformations of the upper and lower limbs

Microstomia, total edentulism, and cleft palate

9

Cai et al., (2012), China [25]

Case Series

3

2 = M, 1 = F, Mean age = 19,3

2 = Bilateral facial paralysis, blinking, and visual problems

1 = Unilateral facial paralysis, blinking, and visual problems

3 = Labial incompetence, anterior open bite with mandibular hyperplasia, crowded dentition, tongue deformities

10

Guijarro-Martínez et al., (2012), Spain [24]

Case Report

1

15/F

Lack of facial expression and speech difficulties

Labial incompetence, anterior open bite tongue deformities, reduced vestibular depth in the upper and low lip, and periodontal disease

11

Bianchi et al., (2013), Italy [26]

Case Report

1

23/M

Bilateral facial paralysis

Micrognathia, and Class II malocclusion

12

Greene et al., (2015), United Kingdom [31]

Care Report

1

12/M

Speech difficulties

Velopharyngeal dysfunction

13

Pradhan et al., (2015), Australia [32]

Case Report

1

19/F

Lack of facial expression

Dental caries

14

Magnifico et al., (2017) Italy [27]

Case Report

1

23/M

Bilateral facial paralysis, blinking, and visual problems

Micrognathia, labial incompetence, and crowded dentition

15

Magnifico et al., (2017) Italy [36]

Case series

58

NI / Mean age = 10

50 = Strabismus, absence of blinking

24 = Malformations of the upper and lower limbs

28 = Reduced TMJ movements

42 = Tongue deformities

8 = Lip and palatal cleft

40 = Labial incompetence

16

Mahrous et al., (2018), USA [22]

Case Report

1

40/F

Bilateral facial paralysis, blinking, visual problems, and malformations of the upper and lower limbs

Micrognathia, complete edentulism, reduced vestibular depth, microstomia, tongue deformities,

17

Cudzilo and Brzozowska, (2019), Poland [33]

Case Report

1

9/F

Bilateral facial paralysis and lack of facial expression

Crowded dentition, hypoplastic enamel, and periodontal disease

18

Freire et al., (2019), Brazil [19]

Case Report

1

5 months/F

Lack of facial expression, blinking, and visual problems

Micrognathia, microstomia, and tongue deformities

19

Hassib et al., (2020), Egypt [34]

Case Series

4

4 = M

Mean age = 3,8

4 = Lack of facial expression, blinking, visual problems, and malformations of the upper and lower limbs

4 = Gothic palate, dental caries, periodontal disease, tongue deformities, microdontia, enamel hypoplasia, premature eruption

20

Chen et al., (2021), China [12]

Case report

1

21/M

Lack of facial expression, blinking, and visual problems

Microstomia, crowded dentition, periodontal disease, dental caries, and gothic palate

21

Lee and Moon, (2022). Korea [35]

Case Report

1

7/M

Blinking, visual problems, and malformations of the upper and lower limbs

Microstomia, tongue deformities, anterior deep bite

22

Duggal et al., (2023), India [28]

Case Report

1

9/F

Bilateral facial paralysis, lack of facial expression, blinking, and visual problems

Anterior open bite, crowded dentition

23

Mittal et al., (2023), India [29]

Case Report

1

5/M

Hypotonia, malformations of the upper and lower limbs, lack of facial expression, blinking and visual problems, and compromised breathing

Gothic palate, dental caries, periodontal disease, hypoplastic enamel, microstomia, and micrognathia

  1. *Abbreviations: Not information = NI; Number = No.; Age = A; Gender = G; Female = F; Male = M; Moebius syndrome = MS