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Biomedical subjects

Kenji Sueishi

Publications and source records attributed to Kenji Sueishi.

3 recordsLinked to original sources

Two cases with supernumerary teeth in lower incisor region.

Abnormalities in number of teeth are occasionally noted in clinical cases. Many theories have been proposed as regards the causes of the occurrence of supernumerary teeth, including atavism theory, mechanical tooth germ separation theory, tissue induction theory, and dental laminar morphological disturbance theory. However, none of these theories alone offers a sufficient explanation for this phenomenon. The incidence of supernumerary permanent teeth is approximately 1-3%. These are the maxillary anterior teeth, the maxillary molars, and the maxillo-mandibular premolars in terms of descending order of site of occurrence. On the other hand, incidence in the mandibular anterior tooth area, of which there have been few detailed reports, is about 0.01%, a markedly low value. In this paper, we report two rare cases of supernumerary teeth in the mandibular incisor area. We discuss their etiology and orthodontic treatment, and detail a differential diagnosis between the normal and supernumerary teeth. We found that it was difficult to establish a clear etiology and differentiation between the normal and supernumerary teeth.

Adolescent↗

A case of Antley-Bixler syndrome with severe skeletal Cl. III malocclusion.

Antley-Bixler syndrome is a disorder characterized by craniosynostosis, midface hypoplasia, choana blockade, and radiohumeral synostosis. However, the features of occlusion remain unclear. In this paper, we report a case of Antley-Bixler syndrome, a 7-year-old boy, from the viewpoint of orthodontics. From lateral cephalometric head film analysis, remarkable retardation of the anterior subcranial base, infraorbitale, and maxilla were notable, as was vertical growth restriction of the maxilla. The choana blockade tendency was also recognized. Moreover, although reverse occlusion was present, a mandibular retrognathic tendency was also present, and a short ramus mandible, remarkable mandibular vertical growth pattern, and skeletal open bite were present. In the dentition, two of the lower incisors were missing, and the present lower incisors were large. Maxillary and mandibular first molars were delayed in eruption. For treatment, the solutions to such remarkable skeletal problems were limited by the insufficiency of recovery of cranial formation after the operation. We planned a non-surgical treatment to expand the maxilla. It will be necessary to continually consider the treatment of his malocclusion as he continues to grow.

Abnormalities, Multiple↗

Malocclusion associated with abnormal posture.

Growth and development of maxillofacial morphology and oral function are closely interrelated. Oral function is comprised of articulation, swallowing, and chewing. Malocclusion may be caused by abnormal functions such as mouth breathing, tongue thrust swallowing, and unilateral chewing and by abnormal postures of oral circumferential muscles such as forward tongue thrust, tongue biting, and low tongue at rest. Forces from unintentional and habitual behaviors constantly acting on the maxillofacial and alveolar regions can cause the bony structures to generally deform, resulting in jaw deformity and malocclusion. Oral function also plays a vital role in maintaining body posture. In this study, clinical observations of oral postures examined maxillary protrusion and open bite, anterior crossbite and facial asymmetry. The unstable forces induced by abnormal posture were correlated with the varieties of malocclusion. Morphology, function, and posture were shown to be closely interrelated and to influence each other.

Child↗