J Korean Assoc Oral Maxillofac Surg.  2008 Jun;34(3):376-382.

Treatment of transverse deficiency with surgically assisted rapid palatal expansion in an open bite patient showing pseudomacroglossia

Affiliations
  • 1Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center, Korea. dentpark64@hanmail.net
  • 2Department of Oral and Maxillofacial Surgery, Kangdong Sacred Heart Hospital, Hallym University Medical Center, Korea.
  • 3Saem dental clinic, Korea.
  • 4Graduate School of Hallym University, Korea.

Abstract

Anterior open bite is a condition in which maxillary and mandibular incisors do not occlude at central occlusion. It is a vertical discrepancy of the jaws and dental arches that has many etiologic factors making it difficult in diagnosis, treatment and prediction of prognosis. One of the causes of open bite is abnormal size and shape of the tongue. Macroglossia, a condition in which tongue is oversized, is caused by several factors which are not clearly identifiable, and it may be a major factor of anterior and posterior open bite. Macroglossia is subdivided into true, functional and pseudomacroglossia depending on its relative size in the oral cavity. In this case report, a patient was diagnosed as skeletal Class II with pseudomacroglossia, and was treated with SARPE in order to expand the narrowed maxillary arch and quad helix for the mandibular arch. As a result the transverse deficiency was treated. In the adult patients where no skeletal growth is expected, SARPE has shown to be effective in treating maxillomandibular transverse discrepancies in which macroglossia was accompanied as in this case.

Keyword

Macroglossia; Maxillary expansion; Open bite

MeSH Terms

Adenine
Adult
Carbamates
Dental Arch
Deoxycytidine
Drug Combinations
Humans
Incisor
Jaw
Macroglossia
Mouth
Open Bite
Organophosphonates
Palatal Expansion Technique
Prognosis
Quinolones
Thiazoles
Tongue
Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination
Adenine
Carbamates
Deoxycytidine
Drug Combinations
Organophosphonates
Quinolones
Thiazoles
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