Microdontia and macrodontia international journal of morphology. If a pituitary tumor that secretes growth hormone develops after the bone growth plates fuse, the result is acromegaly. Most textbooks list pituitary gigantism as the most common cause. Isolated bilateral macrodontia of mandibular second. This is seen in cases of growth hormone excess called pituitary gigantism. Pdf isolated bilateral macrodontia of mandibular second. Seen in pituitary gigantism and pineal hyperplasia with gigantism. Microdont macrodontia teeth are larger than usual relative macrodontia micrognathia diffuse involvement very rare has been noted in association with pituitary gigantism and hemifacial hyperplasia macrodontia developmental alterations shape gemination fusion concrescence talon cusp dens evaginatus dens invaginatus taurodontism. True generalized macrodontia, the condition in which all teeth are larger than they are normally, has been associated with pituitary gigantism, and is rare. The peasized pituitary gland is located at the base of your brain. Gigantism usually presents in childhood or young adulthood. Prognathic mandible, frontal bossing, dental malocclusion, and interdental spacing are the other features which may be seen in such individuals. In true generalized macrodontia, all teeth are larger than normal, and the condition may be associated with pituitary gigantism. True generalized macrodontia involving the entire dentition is very rare.
If an underlying condition, like pituitary gigantism, is the cause, your childs doctor and dentist can collaborate on a treatment plan. Macrodontia is a rare dental anomaly which consists on the presence of any tooth or teeth larger than the average. Isolated bilateral macrodontia of mandibular second premolars. Pdf macrodontia is a rare dental anomaly which consists on the presence of any.
Gigantism is the childhood version of growth hormone excess and is characterized by the general symmetrical overgrowth of the body parts. The patient was successfully treated by surgery, which led to the normalisation of. It makes hormones that control many functions in your body. Pituitary dwarfism or panhypopituitarism is a growth hormone deficiency that causes children to be abnormally short, with otherwise normal body proportions. Uncommon true isolated macrodontia of a maxillary tooth the journal of contemporary dental practice, januaryfebruary 2014.
A pituitary gland tumor is almost always the cause of gigantism. Uncommon true isolated macrodontia of a maxillary tooth. A case of pituitary gigantism resulting from a pituitary adenoma which secreted growth hormone is described. Macrodontia can be differentiated into true generalized, relative generalized, and isolated forms. Gigantism is a form of familial pituitary adenomas, and may run in some families due to a genetic mutation. Macrodontia is a type of localized gigantism in which teeth are larger than normal for the. A 22yearold man with gigantism due to excess growth hormone is shown to the left of his identical twin. In the present report the case of a child with an uncommon true isolated. Pituitary gigantism article pdf available in archives of disease in childhood 678.