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A unique functional craniofacial suture that may normally never ossify: A cone-beam computed tomography-based report of two cases
Author(s) -
Karim Poorsattar Bejeh Mir,
Arash Poorsattar Bejeh Mir,
Morvarid Poorsattar Bejeh Mir,
Sina Haghanifar
Publication year - 2016
Publication title -
indian journal of dentistry
Language(s) - English
Resource type - Journals
ISSN - 0975-962X
DOI - 10.4103/0975-962x.179375
Subject(s) - ossification , masticatory force , medicine , maxilla , fibrous joint , cone beam computed tomography , orthodontics , dentistry , craniofacial , orthopedic surgery , computed tomography , anatomy , surgery , psychiatry
The premise of complete ossification of midpalatal suture in early adulthood still has its popularity, though conflicting data are emerging in the literature. A 49-year-old male and a 54-year-old female Iranian patient, both dentulous, were referred to a Maxillofacial Radiology Center to be evaluated for implant insertion. In cone-beam computed tomography (CBCT) evaluation, an in-ossified suture was found in anterior two-third of midpalatal region of both individuals. The application of clinical vignettes from CBCT findings for maxillofacial orthodontic and orthopedic purposes is of value. Existing cases of successful nonsurgical rapid palatal expansion of maxilla in adults could surrogate this dogma about timing for ossification of midpalatal suture which is considered as a purely chronologic-related phenomenon and transmitted masticatory forces may be one possible cause (functional hypothesis).

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