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Mandibular resorption from silicone chin implants in children
Authors:I J Peled  M R Wexler  S Ticher  E E Lax
Affiliation:2. The Maxillofacial Rehabilitation Unit, Israel;3. The Department of Radiology, Hadassah University Hospital, Jerusalem, Israel;1. Oral and Maxillofacial Radiology Department, School of Dentistry, Hormozgan University of Medical Sciences, Bandar Abbas, Iran;2. Oral and Maxillofacial Radiology Department, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran;3. Social Determinants of Health Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran;4. Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran;1. Department of Maxillofacial and Oral Surgery, Faculty of Health Sciences, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg, South Africa;2. Department of Maxillofacial and Oral Surgery, University of the Western Cape, Cape Town, South Africa;3. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Oklahoma, Oklahoma City, OK, USA;4. Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Florida, Gainesville, FL, USA;5. Division of Oral and Maxillofacial Surgery, Universidad Autonoma de Nueva Leon, Monterrey, Mexico;1. Université Paris-Diderot, Sorbonne-Paris-Cité, 5, rue Thomas-Mann, 75013 Paris, France;2. Hôpital Saint-Louis, AP–HP, 75010 Paris, France;1. Department of Otorhinolaryngology, Division of Oral and Maxillofacial Surgery, University Hospital North Norway and Public Dental Service Competence Centre of North Norway and Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway, Tromsø, Norway;2. Harvard School of Dental Medicine and Harvard Medical School, Boston, MS, USA;3. Department of Plastic and Oral Surgery, Boston Children’s Hospital, Boston, MS, USA;4. Division of Oral and Maxillofacial Surgery, Department of Surgery, Emory University School of Medicine, and Section of Dentistry/Oral and Maxillofacial Surgery, Children’s Healthcare of Atlanta, Atlanta, GA, USA;5. Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark;6. Department of Oral and Maxillofacial Surgery, Aarhus University Hospital and Section of Oral Surgery and Oral Pathology, Aarhus University, Aarhus, Denmark;1. Service de chirurgie maxillo-faciale et stomatologie, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France;2. Laboratoire d’ingénierie ostéo-articulaire et dentaire (LIOAD), faculté de chirurgie dentaire, 1, place Alexis-Ricordeau, 44042 Nantes, France;3. Laboratoire des sarcomes osseux et remodelage des tissus calcifiés (PhyOs, UMR 1238), faculté de médecine, 1, rue Gaston-Veil, 44035 Nantes cedex, France;1. Shanghai Key Laboratory for Molecular Engineering of Chiral Drugs, School of Pharmacy, Shanghai Jiao Tong University, Shanghai, 200240, China;2. Instrumental Analysis Center, Shanghai Jiao Tong University, Shanghai, 200240, China;3. Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People''s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China
Abstract:Silicone implants were placed in the nasal, cheek, and chin areas in children with Down's syndrome to improve facial appearance. Clinical and radiologic follow-up evaluation revealed significant crater-like bone resorption in the mandibular symphysis in 75% of the cases. All of these implants were removed, and the bone showed regrowth to the presurgical state. No sign of bone damage was present in the malar or nasal areas.
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