Case Report

Dental Abnormalities in Pituitary Dwarfism: A Case Report and Review of the Literature

Table 1

Incidence of dental anomalies in pituitary dwarfism resulting from a search of PubMed for “oral cavity hypopituitarism” (ordered from most to least frequent abnormalities).

Oral abnormalities in pituitary dwarfismReported percentage incidencePresence/absence in the case reported

 Periodontal disease98%Present
Orthodontic malocclusion95%Present
Small size of the maxilla and mandible with overcrowding of teeth95%Present
Retention of permanent teeth in maxillary and mandibular shafts75%Present
Marked delay in eruption of permanent teeth72%Present
Delayed shedding of deciduous teeth69%Undefined
 Solitary median maxillary central incisor59%Absent
No resorption of roots of deciduous teeth at the usual time55%Undefined
Development of apical parts of roots of retained permanent teeth and their growth toward the lower mandibular edge55%Present
Tilting of some of the retained teeth35%Present
Displacement of first molars from the shaft to the ascending branch of the mandible10%Absent
Complete absence of buds of wisdom teeth, even in patients in the fourth decade of life10%Present
Radicular fusion with crowns completely separate and independent0%Present