Micrognathia and Facial Hemiatrophy Overview
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Questions and Answers

What condition results from hypoplasia of the mandible and can lead to respiratory difficulty?

  • Craniosynostosis
  • Pierre Robin Syndrome (correct)
  • Cleft Lip
  • Robin Sequence (correct)
  • What term describes defects transmitted from parents to offspring without a clearly identified genetic location?

  • Familial Developmental Anomalies (correct)
  • Congenital Disorders
  • Acquired Developmental Anomalies
  • Environmental Mutations
  • Which developmental anomaly is characterized by notched incisors and mulberry molars?

  • Congenital Syphilis (correct)
  • Fetal Alcohol Syndrome
  • Neonatal Hemochromatosis
  • Cleft Palate
  • What are commissural lip pits primarily characterized by?

    <p>Uni/bilateral blind tracts at the angle of the lip</p> Signup and view all the answers

    Which of the following is NOT an example of an acquired developmental anomaly?

    <p>Congenital Syphilis</p> Signup and view all the answers

    What is a common occurrence rate for commissural lip pits?

    <p>1-20%</p> Signup and view all the answers

    Which statement about developmental disturbances of soft tissue is true?

    <p>They can occur due to pathological conditions during intra-uterine life.</p> Signup and view all the answers

    Which of the following represents a key characteristic of acquired developmental anomalies?

    <p>Can develop prenatal, neonatal, or postnatal</p> Signup and view all the answers

    What is a characteristic feature of median rhomboid glossitis?

    <p>Smooth or nodular surface</p> Signup and view all the answers

    What type of tissue is primarily contained within a lingual thyroid nodule?

    <p>Normal mature thyroid tissue</p> Signup and view all the answers

    What is NOT typical of median rhomboid glossitis?

    <p>Presence of fungiform papillae</p> Signup and view all the answers

    Which type of amelogenesis imperfecta is characterized by defective matrix deposition?

    <p>Hypoplastic type</p> Signup and view all the answers

    Which of the following conditions is associated with defective maturation of enamel?

    <p>Hypomaturation</p> Signup and view all the answers

    What distinguishes the hypomaturation-hypoplastic type of amelogenesis imperfecta?

    <p>Presence of taurodontism</p> Signup and view all the answers

    In the context of thyroid nodules, what does colloid degeneration indicate?

    <p>Accumulation of a thyroid substance</p> Signup and view all the answers

    The effects of amelogenesis imperfecta can be observed in which types of dentition?

    <p>Both deciduous and permanent teeth</p> Signup and view all the answers

    What is a characteristic histological feature of hairy tongue?

    <p>Marked accumulation of keratin on filiform papillae</p> Signup and view all the answers

    What is the clinical presentation of a lingual thyroid nodule?

    <p>A 2-3 cm smooth sessile mass</p> Signup and view all the answers

    Which factor is associated with the development of a lingual thyroid nodule?

    <p>Failure of thyroid tissue migration</p> Signup and view all the answers

    Which cells are often found histologically in the case of hairy tongue?

    <p>Fungal hyphae and inflammatory cells</p> Signup and view all the answers

    What occurs to the papillae in the condition of hairy tongue?

    <p>They undergo atrophy and loss</p> Signup and view all the answers

    Which condition is associated with congenital micrognathia?

    <p>Pierre Robin syndrome</p> Signup and view all the answers

    What is a known outcome of facial hemiatrophy?

    <p>Significant unilateral enlargement of the face</p> Signup and view all the answers

    Which syndrome is not associated with congenital micrognathia?

    <p>Post-natal trauma</p> Signup and view all the answers

    What is the etiology of congenital micrognathia?

    <p>Unknown but related to specific syndromes</p> Signup and view all the answers

    Facial hemi-hypertrophy is best described as:

    <p>Hyperplasia of tissues</p> Signup and view all the answers

    Which of the following conditions is commonly associated with facial hemiatrophy?

    <p>Parry Romberg Syndrome</p> Signup and view all the answers

    Which dental anomalies are commonly seen in patients with congenital syphilis?

    <p>Delayed eruption and incomplete root formation</p> Signup and view all the answers

    What is the condition characterized by horizontal folds of mucosal tissue in the lips?

    <p>Double lip</p> Signup and view all the answers

    What defines the cause of ankylosis in dental contexts?

    <p>Infection or trauma</p> Signup and view all the answers

    Which condition is characterized by an enlarged tongue due to muscular overdevelopment?

    <p>True macroglossia</p> Signup and view all the answers

    Which feature is NOT commonly associated with Down syndrome?

    <p>High arched palate</p> Signup and view all the answers

    What are Fordyce granules primarily composed of?

    <p>Sebaceous glands</p> Signup and view all the answers

    What is a common cause of congenital macroglossia?

    <p>Overdevelopment of the musculature</p> Signup and view all the answers

    Which of the following is a characteristic feature of Beckwith-Wiedemann syndrome?

    <p>Congenital macroglossia</p> Signup and view all the answers

    What describes pseudomacroglossia?

    <p>Tongue appears enlarged due to abnormal positioning</p> Signup and view all the answers

    Which anatomical feature is typically found in patients with Down syndrome?

    <p>Large anterior fontanel</p> Signup and view all the answers

    What is commonly observed in the histology of Fordyce granules?

    <p>Superficial no hair glands</p> Signup and view all the answers

    Which condition is associated with both congenital macroglossia and cardiac abnormalities?

    <p>Beckwith-Wiedemann syndrome</p> Signup and view all the answers

    Study Notes

    Micrognathia

    • Congenital causes include Pierre Robin syndrome, Catel Manzke syndrome, and Cerebrocostomandibular syndrome
    • Intrauterine acquired conditions include congenital syphilis
    • Acquired developmental anomalies are defects that occur during intrauterine life due to some pathological environment condition and can be prenatal, neonatal, or postnatal
    • Causes of acquired developmental anomalies include congenital syphilis (notched incisors and mulberry molars) and fluorides (enamel hypoplasia)

    Facial Hemiatrophy & Hemihypertrophy

    • Facial hemiatrophy is also known as Parry Romberg Syndrome, Progressive Facial Hemiatrophy, and Progressive hemifacial atrophy
    • Facial hemihypertrophy is also known as Friedreich's Disease
    • Facial hemihypertrophy is a significant unilateral enlargement of the face and represents hyperplasia of tissues rather than hypertrophy
    • Syndromes associated with facial hemihypertrophy include Neurofibromatosis, Beckwith Wiedemann syndrome, and familial developmental anomalies

    Double Lip

    • Often congenital
    • Usually affects lower lip more than upper lip
    • Composed of a horizontal fold of mucosal tissue

    Macroglossia

    • Condition where the patient has an enlarged tongue
    • True macroglossia and pseudomacroglossia are both observed
    • Pseudomacroglossia is due to conditions that force the tongue to sit in an abnormal position, including habitual posturing of the tongue, enlarged tonsils/adenoids
    • True macroglossia can be congenital or acquired
    • Causes for congenital macroglossia include over development of the musculature, Down syndrome and Beckwith-Wiedemann syndrome

    Hairy Tongue

    • Characterized by marked accumulation of keratin on filiform papillae of the dorsal surface resulting in a hair like appearance
    • Histologic features include presence of fungal hyphae, loss of papillae, elongated rete ridges and lymphocytic infiltration

    Lingual Thyroid Nodule

    • Thyroid tissue located at the mid-posterior dorsum of the tongue
    • Clinically presents as a 2-3 cm smooth sessile mass
    • Appears during puberty or adolescence
    • Histopathology reveals normal mature thyroid tissue with occasional colloid degeneration

    Amelogenesis Imperfecta

    • Also known as Hereditary enamel dysplasia, Hereditary brown enamel, and Hereditary brown opalescent tooth
    • Group of conditions caused by defects in the genes encoding enamel matrix proteins
    • Affects both dentition deciduous and permanent
    • Types include hypoplastic (defective matrix deposition), hypocalcification (defective calcification), hypomaturation (defective maturation), and hypomaturation-hypoplastic with taurodontism

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    Description

    This quiz covers micrognathia and related facial conditions such as facial hemiatrophy and hemihypertrophy. It discusses congenital and acquired causes, notable syndromes, and their implications. Test your knowledge on these developmental anomalies and their characteristics.

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