title: A unique functional craniofacial suture that may normally never ossify: A cone-beam computed tomography-based report of two cases.
abstract: The premise of complete ossification of midpalatal suture in early adulthood still has its popularity, though conflicting data are emerging in the literature. A 49-year-old male and a 54-year-old female Iranian patient, both dentulous, were referred to a Maxillofacial Radiology Center to be evaluated for implant insertion. In cone-beam computed tomography (CBCT) evaluation, an in-ossified suture was found in anterior two-third of midpalatal region of both individuals. The application of clinical vignettes from CBCT findings for maxillofacial orthodontic and orthopedic purposes is of value. Existing cases of successful nonsurgical rapid palatal expansion of maxilla in adults could surrogate this dogma about timing for ossification of midpalatal suture which is considered as a purely chronologic-related phenomenon and transmitted masticatory forces may be one possible cause (functional hypothesis).
authors.affiliation: Department of Pediatrics, Division of Neonatology, Amir Mazandarani General Hospital, Sari, Iran.
authors.forename: Karim
authors.initials: K
authors.lastname: Poorsattar Bejeh Mir
authors.affiliation: Dental Materials Research Center, Babol University of Medical Sciences, Babol, Mazandaran Province, Iran.
authors.forename: Arash
authors.initials: A
authors.lastname: Poorsattar Bejeh Mir
authors.affiliation: Private Practice of Orthodontics, Paris, France.
authors.forename: Morvarid Poorsattar
authors.initials: MP
authors.lastname: Bejeh Mir
authors.affiliation: Department of Oral and Maxillofacial Radiology, Dentistry School, Babol University of Medical Sciences, Babol, Mazandaran Province, Iran.
authors.forename: Sina
authors.initials: S
authors.lastname: Haghanifar
keywords: Orthodontic; orthopedic; ossification; suture; treatment