DENTOFACIAL ASPECTS OF ACROMEGALY: CASE REPORT AND REVIEW OF THE LITERATURE
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Keywords
Acromegaly; Dentofacial; Jaw; Oral
Abstract
Acromegaly is an uncommon condition that results from excessive production of growth hormone. Most of the cases are due to pituitary adenomas. Craniofacial alterations are a hallmark of this condition and can affect various facial structures, including jaw enlargement, upper jaw widening, spacing between teeth and misalignment of the skeletal structure, broadening and thickening of the nose, prominence of the cheekbones, thickened lips, and pronounced facial lines. Additional intraoral symptoms include tongue enlargement (macroglossia), hypertrophy of the palatal tissues that can cause or exacerbating sleep apnea, and buccal tilting of the teeth caused by tongue enlargement. Given the high incidence of dental and jaw disorders associated with acromegaly, a thorough evaluation of oral and maxillofacial conditions by endocrinologists, dentists, and oral surgeons is essential. We present the case of a 44-year-old man who attended the Department of Oral Medicine, College of Dentistry, Ajman University, for dental examination and advice on multiple carious lesions and generalized periodontal breakdown. He reported that he was diagnosed with acromegaly about 5 years ago.
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