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Mandibular Condylar Hypoplasia

By

Gary D. Klasser

, DMD, Louisiana State University School of Dentistry

Last full review/revision Jun 2020| Content last modified Jun 2020
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Mandibular condylar hypoplasia is facial deformity caused by a short mandibular ramus.

This condition usually results from trauma, infection, or irradiation occurring during the growth period but may be idiopathic. The deformity involves fullness of the face, deviation of the chin toward the affected side, an elongated mandible, and flatness of the face on the unaffected side. (The side to which the ramus is short causes muscles to appear fuller; the muscles on the unaffected side are stretched so that side appears flatter.) Mandibular deviation causes malocclusion.

Diagnosis is based on a history of progressive facial asymmetry during the growth period and x-ray evidence of condylar deformity and antegonial notching (a depression in the inferior border of the mandible just anterior to the angle of the mandible). There is frequently a causative history.

Treatment consists of surgical shortening of the unaffected side of the mandible or lengthening of the affected side. Presurgical orthodontic therapy helps optimize results.

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A 12-year-old girl is brought to the office by her grandmother because she has had pain in her mouth for the past week. The patient appears to be drooling. Physical examination shows a smooth red tongue. Tenderness is noted on palpation of the oral mucosa. Based on these findings, this patient most likely has a deficiency of which of the following? 
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