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Related Experiment Videos

Siblings with spaced arches treated with and without partial glossectomy.

Shingo Kawakami1, Masahiko Yokozeki, Takumi Takahashi

  • 1Department of Orthodontics and Dentofacial Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|March 19, 2005
PubMed
Summary

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Macroglossia (enlarged tongue) can cause dental issues and orthodontic instability. Partial glossectomy or a tongue crib may help manage these problems, with glossectomy potentially offering better long-term stability.

Area of Science:

  • Dentistry
  • Orthodontics
  • Oral and Maxillofacial Surgery

Background:

  • Macroglossia, or enlarged tongue, is linked to open bite, bimaxillary protrusion, and dental arch spacing.
  • Macroglossia may lead to instability following orthodontic treatment.
  • Surgical reduction of tongue size (partial glossectomy) is a potential solution.

Purpose of the Study:

  • To describe the orthodontic treatment of two siblings with macroglossia and associated arch-space problems.
  • To compare the outcomes of partial glossectomy versus a non-surgical approach (tongue crib).
  • To evaluate the post-treatment stability in patients with macroglossia.

Main Methods:

  • Orthodontic treatment was provided to two siblings diagnosed with enlarged tongues.

Related Experiment Videos

  • One sibling underwent partial glossectomy, while the other used a tongue-crib appliance.
  • Post-treatment stability was assessed for both cases.

    • Main Results:

    • The sister, with more severe macroglossia and spacing, underwent partial glossectomy.
    • Her brother, who refused surgery, was treated with a tongue-crib appliance.
    • The study evaluated and compared the stability achieved by each treatment method.

    Conclusions:

    • Partial glossectomy is a viable treatment option for managing macroglossia-related dental and orthodontic issues.
    • Non-surgical management with appliances like the tongue crib can also be considered.
    • Further evaluation is needed to determine the long-term stability differences between surgical and non-surgical interventions for macroglossia.