What can a dentist learn from an astrophysicist? A photographic evaluation of the long-term impact of amyotrophic lateral sclerosis on the orofacial sphere, using the example of Stephen Hawking: A historical case report

Article Article scientifique Rapport de cas What can a dentist learn from an astrophysicist? A photographic evaluation of the long-term impact of amyotrophic lateral sclerosis on the orofacial sphere, using the example of Stephen Hawking: A historical case report eng 2021-10-20 2022-05 author Vaudroz Vincent Michel 0000-0003-0230-0026 840857 author Kiliaridis Stavros 130544 author Antonarakis Gregory 0000-0001-6741-6922 133276 216-224 10.1111/scd.12665 34671991 0275-1879 PMC9297872 Aims: The present historical case report aims to characterize the long-term orofacial repercussions of amyotrophic lateral sclerosis (ALS), a rare neurodegenerative disease with poor prognosis and relatively short life expectancy following initial diagnosis. Methods: Here we focus on the long-term orofacial evolution seen in the example of Stephen Hawking, one of the greatest personalities in the scientific world, using publicly-available photographic documentation. The fact that Stephen Hawking lived several decades following his diagnosis of ALS presents one with a unique opportunity to characterize and follow-up the evolution of the ALS on the orofacial sphere. Through this article, we want to show him and his family, and all those living with this disease, our deepest respect, without intending in any way to intrude or misuse the privacy of the late universally-respected astrophysicist. Results: Photographic documentation analyzed longitudinally shows changes towards the development of a Class III malocclusion, lower incisor protrusion, and a concave profile. Moreover, tooth wear has occurred, accompanied by posterior tooth loss and aberrant tongue and lip posture. Conclusion: The causes of such changes remain speculative but could be due to changes in the soft tissue equilibrium, changes in head and tongue posture, loss of oral function, respiratory needs, and a general deterioration of dental health. Our sincere thanks to the Hawking family who took the time to read the article and approve its publication for scientific and educational purposes. We are also deeply grateful to them for providing us with some photographs from their family collection. Amyotrophic lateral sclerosis Extraoral photography Malocclusion Oral health Amyotrophic Lateral Sclerosis / complications Dentists Humans Male Neurodegenerative Diseases / complications Tongue Dewey 617.6 209 Division d'orthodontie 24Q1 false 188 Groupe Kiliaridis Stavros (médecine dentaire) 239 1448 Orthodontie 1065 Special care in dentistry 42 3 8069fbff-7e63-41aa-af37-74210d1996f3 Article (Published version) Public Article-scientifique-from-europePmc.pdf 5176312 application/pdf CC BY-NC-ND openAccess Faculté de médecine / Section de médecine dentaire / Département de réhabilitation oro-faciale / Division d'orthodontie

Title	Published in	Access level	OA Policy	Year	Views	Downloads

What can a dentist learn from an astrophysicist? A photographic evaluation of the long-term impact of amyotrophic lateral sclerosis on the orofacial sphere, using the example of Stephen Hawking: A historical case report	Special care in dentistry			2022	151	178

Archive ouverte UNIGE

Vaudroz, Vincent Michel