Clinical and radiological presentation of hemimaxillofacial dysplasia/segmental odontomaxillary dysplasia: critical analysis and report of a case

Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Feb;113(2):268-73. doi: 10.1016/j.tripleo.2011.03.051. Epub 2011 Jul 28.

Abstract

Objectives: The purpose of the present study was to critically evaluate the literature, describe the clinical and radiographic features of HD-SOD (hemimaxillofacial dysplasia/segmental odontomaxillary dysplasia), and describe one new case, involving a 12-year-old boy, with detailed radiological, clinical, and histologic characteristics.

Methods: Thirty-six cases published between 1987 and 2010, together with the present case, were evaluated according to criteria that included gender, age, location of the lesion, findings, and symptoms.

Results: We found that the lesion is discovered mainly in the first decade of life (71%), and has a male predilection (64%, 23/64). The maxillary alveolar process was affected unilaterally in all cases, with gingival and bone enlargement and facial asymmetry being constant findings. Missing premolars and skin manifestations were found to be common features.

Conclusions: New case reports should include clinical, radiographic, and histologic findings; follow-up reports; and treatment protocols to improve dentist and parent information regarding HD.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Alveolar Process / abnormalities
  • Child
  • Facial Asymmetry / complications*
  • Facial Asymmetry / diagnostic imaging
  • Facial Asymmetry / pathology
  • Facial Asymmetry / surgery
  • Gingival Hyperplasia / complications*
  • Gingival Hyperplasia / diagnostic imaging
  • Gingival Hyperplasia / pathology
  • Gingival Hyperplasia / surgery
  • Humans
  • Male
  • Maxilla / abnormalities*
  • Maxillary Diseases / complications
  • Maxillary Diseases / diagnostic imaging
  • Maxillary Diseases / pathology
  • Maxillofacial Abnormalities / complications*
  • Maxillofacial Abnormalities / diagnostic imaging
  • Maxillofacial Abnormalities / pathology
  • Maxillofacial Abnormalities / surgery
  • Odontodysplasia / complications*
  • Odontodysplasia / diagnostic imaging
  • Odontodysplasia / pathology
  • Radiography
  • Tooth Abnormalities / complications*
  • Tooth Abnormalities / diagnostic imaging
  • Tooth Abnormalities / pathology
  • Treatment Outcome