Dental Findings in a Case of Hemihypertrophy

Abstract

This is a case of congenial hemihypertrophy. This case was observed from the time the patient was 5 years old until she was 9 years 2 months old. Observations were made from the dental point of view of the oral condition.
The findings were as follows;
1. We found hypertrophy which involved a right maxillofacial and a left cnemial. These elements have to be soon continued from the time of the first examination.
2. The complexion area revealed bilateral dissymmetry, especialy the right zygomatic process to the submandibulor, and there were found soft and hard tissue. Also eye, ear and lips were in eccentric positions.
3. The dental arch shifted and showed distrophism, too, and the tongue showed right hypertrophy.
4. Radiographic examinations showed growth acceleration and missing teeth in the affected side. Also right lateral teeth germs were more acceleratied than chronological age, but left side was somewhat retarded. The braincase area did not show any dissymmetry.
5. Deciduous teeth were standard size. However the right premolar teeth and first permanent molar have a tendency to macro. The left side molars are standard however.