The Journal of the American Dental Association
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J Am Dent Assoc, Vol 132, No 10, 1402-1408.
© 2001 American Dental Association

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CLINICAL PRACTICE

Hemifacial microsomia

Etiology, diagnosis and treatment



RICHARD MONAHAN, D.D.S., KAREN SEDER, D.D.S., PRAVIN PATEL, M.D., MARDEN ALDER, D.D.S., STEPHEN GRUD, D.D.S. and MARY O’GARA, M.A.

Background. Three percent of all newborns have significant structural anomalies. Hemifacial microsomia, or HFM, is the second most common facial anomaly, second only to cleft lip and palate. New therapeutic and clinical management techniques offer promising interventions that can allow many patients to have more normal childhoods at earlier ages.

Description. Due to a unilateral deficiency of the mandible and lower face, patients who have HFM have specific dental needs that require restorative, orthodontic and surgical correction.

Clinical Implications. Oral and maxillofacial malformations present diagnostic and treatment challenges unique to the dental profession. The etiology, diagnosis and treatment modalities discussed in this article can be used to help effectively rehabilitate patients who have HFM.




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