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A unique functional craniofacial suture that may normally never ossify: A cone-beam computed tomography-based report of two cases.

Poorsattar Bejeh Mir K, Poorsattar Bejeh Mir A, Bejeh Mir MP, Haghanifar S - Indian J Dent (2016 Jan-Mar)

Bottom Line: In cone-beam computed tomography (CBCT) evaluation, an in-ossified suture was found in anterior two-third of midpalatal region of both individuals.The application of clinical vignettes from CBCT findings for maxillofacial orthodontic and orthopedic purposes is of value.Existing cases of successful nonsurgical rapid palatal expansion of maxilla in adults could surrogate this dogma about timing for ossification of midpalatal suture which is considered as a purely chronologic-related phenomenon and transmitted masticatory forces may be one possible cause (functional hypothesis).

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Division of Neonatology, Amir Mazandarani General Hospital, Sari, Iran.

ABSTRACT
The premise of complete ossification of midpalatal suture in early adulthood still has its popularity, though conflicting data are emerging in the literature. A 49-year-old male and a 54-year-old female Iranian patient, both dentulous, were referred to a Maxillofacial Radiology Center to be evaluated for implant insertion. In cone-beam computed tomography (CBCT) evaluation, an in-ossified suture was found in anterior two-third of midpalatal region of both individuals. The application of clinical vignettes from CBCT findings for maxillofacial orthodontic and orthopedic purposes is of value. Existing cases of successful nonsurgical rapid palatal expansion of maxilla in adults could surrogate this dogma about timing for ossification of midpalatal suture which is considered as a purely chronologic-related phenomenon and transmitted masticatory forces may be one possible cause (functional hypothesis).

No MeSH data available.


Related in: MedlinePlus

Paraxial view of the hard palate of the first patient. Note ossification at posterior portion and incomplete ossification at anterior portion. Yellow (superior) arrow points toward parallel hyper-dense lines with intermediate hypo-dense area. Red (middle) arrow indicates the location of maxilla-palatine suture and green (lower) arrow corresponds to posterior fusion of palatal halves
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Figure 1: Paraxial view of the hard palate of the first patient. Note ossification at posterior portion and incomplete ossification at anterior portion. Yellow (superior) arrow points toward parallel hyper-dense lines with intermediate hypo-dense area. Red (middle) arrow indicates the location of maxilla-palatine suture and green (lower) arrow corresponds to posterior fusion of palatal halves

Mentions: In cone-beam computed tomography (CBCT) scan of the first patient, there was a complete ossification beyond the maxillo-palatine suture at the posterior one-third and the rest of the suture appeared as two semi-parallel hyper-dense lines continued to the incisive canal [Figure 1].


A unique functional craniofacial suture that may normally never ossify: A cone-beam computed tomography-based report of two cases.

Poorsattar Bejeh Mir K, Poorsattar Bejeh Mir A, Bejeh Mir MP, Haghanifar S - Indian J Dent (2016 Jan-Mar)

Paraxial view of the hard palate of the first patient. Note ossification at posterior portion and incomplete ossification at anterior portion. Yellow (superior) arrow points toward parallel hyper-dense lines with intermediate hypo-dense area. Red (middle) arrow indicates the location of maxilla-palatine suture and green (lower) arrow corresponds to posterior fusion of palatal halves
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4836098&req=5

Figure 1: Paraxial view of the hard palate of the first patient. Note ossification at posterior portion and incomplete ossification at anterior portion. Yellow (superior) arrow points toward parallel hyper-dense lines with intermediate hypo-dense area. Red (middle) arrow indicates the location of maxilla-palatine suture and green (lower) arrow corresponds to posterior fusion of palatal halves
Mentions: In cone-beam computed tomography (CBCT) scan of the first patient, there was a complete ossification beyond the maxillo-palatine suture at the posterior one-third and the rest of the suture appeared as two semi-parallel hyper-dense lines continued to the incisive canal [Figure 1].

Bottom Line: In cone-beam computed tomography (CBCT) evaluation, an in-ossified suture was found in anterior two-third of midpalatal region of both individuals.The application of clinical vignettes from CBCT findings for maxillofacial orthodontic and orthopedic purposes is of value.Existing cases of successful nonsurgical rapid palatal expansion of maxilla in adults could surrogate this dogma about timing for ossification of midpalatal suture which is considered as a purely chronologic-related phenomenon and transmitted masticatory forces may be one possible cause (functional hypothesis).

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Division of Neonatology, Amir Mazandarani General Hospital, Sari, Iran.

ABSTRACT
The premise of complete ossification of midpalatal suture in early adulthood still has its popularity, though conflicting data are emerging in the literature. A 49-year-old male and a 54-year-old female Iranian patient, both dentulous, were referred to a Maxillofacial Radiology Center to be evaluated for implant insertion. In cone-beam computed tomography (CBCT) evaluation, an in-ossified suture was found in anterior two-third of midpalatal region of both individuals. The application of clinical vignettes from CBCT findings for maxillofacial orthodontic and orthopedic purposes is of value. Existing cases of successful nonsurgical rapid palatal expansion of maxilla in adults could surrogate this dogma about timing for ossification of midpalatal suture which is considered as a purely chronologic-related phenomenon and transmitted masticatory forces may be one possible cause (functional hypothesis).

No MeSH data available.


Related in: MedlinePlus