Documente Academic
Documente Profesional
Documente Cultură
20102050188
Segmental Odontomaxillary
Dysplasia
Hemimaxillofacial dysplasia
A developmental abnormalities of unknown etiology
that affects posterior alveolar process of one side of
maxilla, including teeth and attached gingiva
Ipsilateral hypertrichosis,hyper and
hypopigmentation,Beckers nevus, clefting in 23% of
cases
Most detected in childhood unerupted tooth, mild
facial asymmetry, missing PM
CBCT
Increase width of alveolar
process
Reduced size of maxillary
sinus
Coronal
Axial
Multiple vertical RL
linear structurenutrient canal
well-defined round,ovoid
with 1-3 cm in diameter
Below mandibular canal,
near inf border of
mandible, can erode
Dense sclerotic RO
margin, thicker at
superior aspect
Unusual variant
with a superior
position above ID
canal
Anterior variant
which associated
with sublingual
gland
CT SCAN
Well-defined defect
3D CT image revealing a
defect extending from
medial surface of mandible
DDx
Management
recognition of lesion should preclude any treatment @ surgical
exploration @ need for advancing image e.g CT
Defect may increase with time
Destruction of well defined cortex of defect may indicate
neoplasm
Clinically:
*asymptomatic
*incidental RG finding
*middle-aged women
seen as
RL
Few internal
trabeculae may be
present
*Periphery varies from well-defined,
corticated to ill defined, blending
*Normal surrounding bone
Common site at mandibular MPM region
Others: max tuberosity, mand
retromolar area, edentulous
area, mand molar furcation
region, apex of tooth
DDx
Could have same appearance
*Simple bone cyst no bone reaction at periphery of it
*Early inflammatory lesion with not yet stimulated a visible
osteoblastic process
If occur in furcation region @ apex of tooth suspect
inflammatory lesion
Management
No treatment required