NDA Journal 10 Featured Article Unilateral Mandibular Hypoplasia—a Panoramic and CT Study By Jyoti Mago, MDS, MS DS, DDS* Background A three-dimensional analysis of unilateral mandibular hypoplasia and its extent is described in the current report. The current study also evaluates involvement of other bones using advanced imaging. Additionally, the report also includes various treatment planning methods for this deformity in varied bony involvement and at various ages. Case Report An 18 year-old female patient visited the screening clinic of the Maharishi Markandeshwar College of Dental Sciences and Research, India with a complaint of increasing facial asymmetry beginning in childhood. The patient also complained of occasional self-limiting intermittent rightsided pain in the auricular area which radiated towards the eye. The patient also had a history of recurrent ear infection and was under medication for the same from a local doctor in her place of residence. A panoramic radiograph revealed hypoplasia of mandibular body and ramus on right side with a prominent antigonial notch on the same side. (Figure 1) To evaluate any infection, and to evaluate the extent of the deformity and involvement of adjacent soft tissues, a non-contrast enhanced computed tomography (CT) was performed. The CT which revealed facial asymmetry with hypoplasia of the right mandibular body, ramus, and condyle resulting in retrognathism. (Figure 2) Mild flattening of right condylar head and articular eminence were also present. Additionally, there was bilateral absence of frontal sinuses. (Figure 3) There were no associated soft tissue findings in the scan. Figure 1 Figure 2 Figure 3
RkJQdWJsaXNoZXIy MTY1NDIzOQ==