Segmental odontomaxillary dysplasia

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Segmental odontomaxillary dysplasia is a painless, unilateral enlargement of the upper jaw. The cause is unknown, and the disease affects the jaws, teeth, and adjacent soft tissue. The premolars may be congenitally missing, and the primary teeth (baby teeth) may be smaller than usual. It is a relatively recent discovery.

Maxilla upper jawbone formed from the fusion of two maxillary bones; includes the frontal portion of the palate of the mouth

The maxilla in animals is the upper fixed bone of the jaw formed from the fusion of two maxillary bones. The upper jaw includes the hard palate in the front of the mouth. The two maxillary bones are fused at the intermaxillary suture, forming the anterior nasal spine. This is similar to the mandible, which is also a fusion of two mandibular bones at the mandibular symphysis. The mandible is the movable part of the jaw.

Premolar

The premolar teeth, or bicuspids, are transitional teeth located between the canine and molar teeth. In humans, there are two premolars per quadrant in the permanent set of teeth, making eight premolars total in the mouth. They have at least two cusps. Premolars can be considered as 'transitional teeth' during chewing, or mastication. They have properties of both the canines, that lay anterior and molars that lay posterior, and so food can be transferred from the canines to the premolars and finally to the molars for grinding, instead of directly from the canines to the molars..

Contents

Description

It is a rare developmental disorder that affects maxilla, also known as the upper jaw in most vertebrates. The disorder is often diagnosed in early childhood. Since its original description as hemimaxillofacial dysplasia by doctors in 1987, [1] less than 40 cases have been reported in the English literature. [2]

Epidiomology

All cases reported appear to represent sporadic occurrence. [3] [4] There is no specific inheritance pattern. [5] [6] [7] The male-to-female ratio of affected is 1.8:1 and is often diagnosed before the age of 9. [8] [9] [10] [11] The disorder affects the right and left sides of the maxilla almost equally. [12] [13]

Related Research Articles

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Macroglossia is the medical term for an unusually large tongue. Severe enlargement of the tongue can cause cosmetic and functional difficulties in speaking, eating, swallowing and sleeping. Macroglossia is uncommon, and usually occurs in children. There are many causes. Treatment depends upon the exact cause.

Orthognathic surgery

Orthognathic surgery ; also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and face related to structure, growth, sleep apnea, TMJ disorders, malocclusion problems owing to skeletal disharmonies, or other orthodontic problems that cannot be easily treated with braces. Originally coined by Harold Hargis, this surgery is also used to treat congenital conditions such as cleft palate. Typically during oral surgery, bone is cut, moved, modified, and realigned to correct a dentofacial deformity. The word "osteotomy" means the division, or excision of bone. The dental osteotomy allows surgeons to visualize the jawbone, and work accordingly.

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Dentinogenesis imperfecta Human disease

Dentinogenesis imperfecta (DI) is a genetic disorder of tooth development. This condition is a type of dentin dysplasia that causes teeth to be discolored and translucent giving teeth an opalescent sheen. Although genetic factors are the main contributor for the disease, any environmental or systemic upset that impedes calcification or metabolisation of calcium can also result in anomalous dentine.

Benign lymphoepithelial lesion is a type of benign enlargement of the parotid and/or lacrimal glands. This pathologic state is sometimes, but not always, associated with Sjögren's syndrome.

Retrognathism

Retrognathia is a type of malocclusion which refers to an abnormal posterior positioning of the maxilla or mandible, particularly the mandible, relative to the facial skeleton and soft tissues.

Osteonecrosis of the jaw area of necrotic bone in the mandible or maxilla

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Buccal exostosis

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The calcifying epithelial odontogenic tumor (CEOT), also known as a Pindborg tumor, is an odontogenic tumor first recognized by the Danish pathologist Jens Jørgen Pindborg in 1955. It was previously described as an adenoid adamantoblastoma, unusual ameloblastoma and a cystic odontoma. Like other odontogenic neoplasms, it is thought to arise from the epithelial element of the enamel origin.It is a typically benign and slow growing, but invasive neoplasm.

Nasopalatine duct cyst

The nasopalatine duct cyst (NPDC) occurs in the median of the palate, usually anterior to first molars. It often appears between the roots of the maxillary central incisors. Radiographically, it may often appear as a heart-shaped radiolucency. It is usually asymptomatic, but may sometimes produce an elevation in the anterior portion of the palate. It was first described by Meyer in 1914.

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Hyalinizing clear cell carcinoma

Hyalinizing clear cell carcinoma (HCCC) is a rare malignant salivary gland tumour, with a good prognosis, that is usually found on the tongue or palate.

Odontoma dysphagia syndrome is a rare syndrome first described in 1967. The cause is not known but it is suspected to be genetic in origin.

Ectomesenchymal chondromyxoid tumor (ECT) is a benign intraoral tumor with presumed origin from undifferentiated (ecto)mesenchymal cells. There are some who think it is a myoepithelial tumor type.

Condylar hyperplasia is over-enlargement of the mandible bone in the skull. It was first described by Robert Adams in 1836 who related it to the overdevelopment of mandible. In humans, mandibular bone has two condyles which are known as growth centers of the mandible. When growth at the condyle exceeds its normal time span, it is referred to as condylar hyperplasia. The most common form of condylar hyperplasia is unilateral condylar hyperplasia where one condyle overgrows the other condyle leading to facial asymmetry. Hugo Obwegeser et al. classified condylar hyperplasia into two categories: hemimandibular hyperplasia and hemimandibular elongation. It is estimated that about 30% of people with facial asymmetry express condylar hyperplasia.

References

  1. Miles DA, Lovas JL, Cohen MM., Jr Hemimaxillofacial dysplasia: A newly recognized disorder of facial asymmetry, hypertrichosis of the facial skin, unilateral enlargement of the maxilla, and hypoplastic teeth in two patients. Oral Surg Oral Med Oral Pathol. 1987;64:445–8.
  2. Shah, Ajaz; Latoo, Suhail; Ahmed, Irshad; Malik, Altaf H.; Hassan, Shahid; Bhat, Abraar; Mir, Shazia; Jain, Nitul (2012-01-01). "Midline segmental odontomaxillary dysplasia". Annals of Maxillofacial Surgery. 2 (2): 185–189. doi:10.4103/2231-0746.101358. ISSN   2231-0746. PMC   3591049 Lock-green.svg. PMID   23483745.
  3. Welsch MJ, Stein SL. A syndrome of hemimaxillary enlargement, asymmetry of the face, tooth abnormalities, and skin findings (HATS) Pediatr Dermatol. 2004;21:448–51
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