Abnormal tooth maturation associated with port wine stains

Area of Science:

• Dentistry
• Pediatric Dentistry
• Craniofacial Anomalies

Background:

• Port wine stains (PWS) are congenital vascular malformations that can affect facial structures.
• Dental anomalies are frequently observed in patients with PWS, impacting oral health and development.
• Understanding the relationship between PWS and dental development is crucial for timely intervention.

Purpose of the Study:

• To investigate the impact of unilateral maxillary PWS on the developmental timing of permanent teeth in mixed dentition.
• To provide insights into managing dental abnormalities associated with PWS.

Main Methods:

• Retrospective analysis of 21 patients with mixed dentition and unilateral maxillary PWS.
• Nolla Analysis used to assess developmental stages of permanent teeth from panoramic radiographs.
• Comparison of tooth development between affected and unaffected sides, and between upper and lower jaws.

Main Results:

• Port wine stains significantly influenced the maturity of permanent upper teeth.
• Early developmental completion was observed on the PWS-affected side compared to the unaffected side.
• Developmental stages of lower teeth showed no significant difference between sides.

Conclusions:

• Port wine stains can accelerate tooth maturation on the affected side, potentially altering eruption sequences.
• Accelerated development may lead to abnormal occlusion in children with mixed dentition.
• Findings support the need for tailored management strategies for dental anomalies in PWS patients.