JAW ANOMALIES

DRG. SHANTY CHAIRANI

CLEFT PALATE
A developmental defect of the palate characterized
by a lack of complete fusion of the two lateral
portions of the palate, resulting in a communication
with the nasal cavity.
Clinical features :
May be unilateral or bilateral
The cleft may vary in severity : involving only the uvula or
soft palate, or extending all the way through the palate and
including the alveolar ridge.

Radigraphic features : the alveolar bone in the

region of the cleft may reveal numerous dental
anomalies. These may include the absence of the
maxillary lateral incisor dan the presence of
supernumerary teeth in this region. Often the teeth
in this region are malformed and poorly positioned.

CLEIDOCRANIAL DYSPLASIA
It is a developmental anomaly of the skeleton
and teeth
Clinical features :

Failure of formation of clavicles

Maxillary micrognathia
Prolonged retention of primary dentition and
delayed eruption of the permanent dentition.
A large number of unerupted supernumerary
teeth.

Radiographic features :

Typically multiple supernumeray unerupted teeth.

Prolonged retention of primary dentition.

Maxillary retrognathism in cleidocranial dysplasia

In this 28 years old, there are many of the permanent

teeth fail to erupt

MANDIBULOFACIAL DYSOSTOSIS
Also known as Treacher Collins syndrome
It is a developmental anomaly.
Clinical features :
Underdevelopment of the zygomatic bones and
mandible.
Macrostomia
Malformation of the external ears and absence of
external auditory canal.
Occasional facial cleft.

Radiographic features :
Consistent with the clinical observation

In this patient with mandibulofacial dysostosis, the maxilla and

mandible are both underdeveloped, the latter markedly so,
producing a receding chin.

There is malocclusion of the maxillary and mandibular incisors

and crowding of the teeth. The inferior border of the mandible
is concave with pronounced antegonial notching and ,in this
patients, the right maxillary antrum is less well developed.

HEMIFACIAL HYPERTOPHY
Is a condition in which half of the face and jaws,
alone or in concert with other parts of the body,
grow to unusual proportions.
The cause of this condition is unknown, but heredity
is suggested play a rule.
Clinical features :
Begins during youth, sometimes at birth.
The dentition of affected individual may show enlargement
of the canine, premolar and first molar crown and roots and
accelerated development.
Typically primary teeth shed prematurely.
The tongue and alveolar bone are enlarged on the involved
side

Radiographic features :
Enlargement of the bones on the affected side, it may
include enlargement of the mandible, maxilla and zygoma.

HEMIFACIAL HYPOPLASIA
There is reduced growth of half of the face
Clinical features :
Usually begins early in life.
A striking appearance as a result of progressive failure
of growth of the affected side, with the result that there
is a reduced dimension of the involved side of the face.

Radiographic features :
A reduction in the size of the bones on the affected side.
Mostly determined in the mandible, which may show a
reduction in the size of the condyle, coronoid process or
overal dimensions of the body and ramus of the
mandible.
The dentition of the affected side show a reduction in
the number or size of the teeth.

There is hypoplasia of the right mandibular

ramus, coronoid process and condyle.