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Hemi-maxillofacial dysplasia
General information
• Aetiology of this condition is unknown and
many times it is mistaken as craniofacial
fibrous dysplasia or hemifacial hyperplasia
• this condition remains stable
Clinical features
• Frequently occurs in younger patient
• there is painless unilateral enlargement of the
maxillary bone
• fibrous hyperplasia of gingiva occurs in majority
of patient
• maxillary premolar is missing and primary teeth
in the affected area show enamel defect
• Becker's nevus – some patient may be associated
with hypertrichosis and hyperpigmentation
Radiological features
• Trabeculae are thickened and are vertically
oriented resulting in granular appearance
• maxillary sinus is smaller in size on the
affected side
Diagnosis
• Unilateral enlargement of maxillary bone with
fibrous hyperplasia of gingiva will give clue to
diagnosis
• sinus is smaller on radiograph
Management
• Orthodontic therapy
• orthognathic surgery

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