Hemihypertrophyの1症例-とくに6年間にわたるセファログラムによる経年的分析-

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  • A Case of Hemihypertrophy -Especially reporting cephalometric analyses for 6 years-

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Hemihypertrophy is characterized by overgrowth of one half side of the body with or without unilateral hypertrophy of the face. In hemihypertrophy of the face, both skeletal and soft tissues are usually involved. The causes is unknown. The dental findings are premature eruption and development of the teeth, macrodontia, and malocclusion. There is a tendency to have some congenital missing teeth.<BR>This report is a serial observation of a case of hemihypertrophy which was observed for 6 years from the age of 3 to 9.<BR>The results were as follows;<BR>1. The tongue was enlarged and thickend on the left side of the face, and the fungiform papillae were grossly hypertrophic.<BR>2. The facial appearance was asymmetrical. The soft and hard tissues, such as the lips, palate, maxilla and mandible, were also enlarged on the affected side.<BR>3. Because of decayed deciduous teeth, it was very difficult to decide whether side were larger than those on the normal side, or not.<BR>4. There were no differences in the mesiodistal and buccolingual diameter of the permanent dentition.<BR>5. There was a fusion of the erupted primary teeth in the lower jaw.<BR>6. The shape and size of both the deciduous and permanent teeth as well as the number were normal which revealed no differences between the right and left sides.<BR>7. This case had not shown any familial history.<BR>8. The carpal bone, which was underdeveloped at the age of 3, was almost normal at the age of 9.<BR>9. Over the 6 year period, the left side of the tooth germ grew rapidly compared with the right side.<BR>10. There was shown severe malocculusion of the permanent dentition.

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