MANDIBULAR BONE EROSION ASSOCIATED WITH HYALURONIC ACID FILLER: CBCT CASE REPORT
DOI:
https://doi.org/10.56238/bocav25n74-025Keywords:
Orthodontics, Cone-Beam Computed Tomography, PET CT Scan, Palatal Expansion Technique, Orthodontic Anchorage Procedures, Hyaluronic AcidAbstract
We report a case of bone erosion in the mental region associated with hyaluronic acid (HA) injection for cosmetic purposes, incidentally identified in a patient undergoing orthodontic treatment with miniscrew-assisted rapid palatal expansion (MARPE). This case offers rare sequential radiographic documentation using cone-beam computed tomography (CBCT) both before and after HA injection, along with intraoperative confirmation of the lesion. These findings provide further support for the hypothesis of HA-induced bone resorption. This report underscores the critical role of imaging in interdisciplinary clinical practice and contributes meaningful evidence regarding the potential adverse effects of facial fillers on underlying osseous structures.
References
1. Angelieri, F., Cevidanes, L. H. S., Franchi, L., Gonçalves, J. R., Benavides, E., & McNamara, J. A., Jr. (2013). Midpalatal suture maturation: Classification method for individual assessment before rapid maxillary expansion. American Journal of Orthodontics and Dentofacial Orthopedics, 144(5), 759–769. https://doi.org/10.1016/j.ajodo.2013.04.022 DOI: https://doi.org/10.1016/j.ajodo.2013.04.022
2. Angell, E. H. (1860). Treatment of irregularity of the permanent or adult teeth. Dental Cosmos, 1, 540–544, 599–600.
3. Arnett, G. W., & Bergman, R. T. (1993). Facial keys to orthodontic diagnosis and treatment planning. Part I. American Journal of Orthodontics and Dentofacial Orthopedics, 103(4), 299–312. https://doi.org/10.1016/0889-5406(93)70010-L DOI: https://doi.org/10.1016/0889-5406(93)70010-L
4. Bass, L. S. (2015). Injectable filler techniques for facial rejuvenation, volumization, and augmentation. Facial Plastic Surgery Clinics of North America, 23(4), 479–488. https://doi.org/10.1016/j.fsc.2015.07.004 DOI: https://doi.org/10.1016/j.fsc.2015.07.004
5. Cantarella, D., Dominguez-Mompell, R., Mallya, S. M., Moschik, C., & Siciliani, G. (2018). Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging. Progress in Orthodontics, 19(1), Article 4. DOI: https://doi.org/10.1186/s40510-018-0240-2
6. Guo, X., Zhao, J., Song, G., Zong, X., Zhang, D., Lai, C., & Jin, X. (2020). Unexpected bone resorption in mentum induced by the soft-tissue filler hyaluronic acid: A preliminary retrospective cohort study of Asian patients. Plastic and Reconstructive Surgery, 146(2), 147e–155e. https://doi.org/10.1097/PRS.0000000000006979 DOI: https://doi.org/10.1097/PRS.0000000000006979
7. Guo, X., Zong, X., Song, G., Zhao, J., Lai, C., Zhang, D., & Jin, X. (2024). Would hyaluronic acid-induced mental bone resorption be a concern? A prospective controlled cohort study and an updated retrospective cohort study. International Journal of Surgery, 110(3), 1502–1510. https://doi.org/10.1097/JS9.0000000000000955 DOI: https://doi.org/10.1097/JS9.0000000000000955
8. Haas, A. J. (1961). Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. Angle Orthodontist, 31(2), 73–90.
9. Karam, M. B., Baratto, L., Sheikhbahaei, S., Werner, R. A., Solnes, L. B., Rowe, S. P., & et al. (2021). Role of 18F-FDG PET in the management of sarcoidosis and other granulomatous diseases. AJR. American Journal of Roentgenology, 216(2), 285–294. https://doi.org/10.2214/AJR.20.23430
10. Lee, K. J., Park, Y. C., Park, J. Y., & Hwang, W. S. (2010). Mini screw assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism. American Journal of Orthodontics and Dentofacial Orthopedics, 137(6), 830–839. DOI: https://doi.org/10.1016/j.ajodo.2007.10.065
11. Nakagawa, T., Ono, S., Sakuma, M., & et al. (2022). A case of bone resorption in the mentum caused by HA filler in a patient with skeletal Class II jaw deformity. Oral Radiology, 38(1), 185–190.
12. Shu, K. Y., Feng, W. R., & Zhao, J. L. (2024). Bone resorption of HA fillers injection induced in chin augmentation: A retrospective study. Journal of Craniofacial Surgery. Advance online publication. https://doi.org/10.1097/SCS.0000000000011033 DOI: https://doi.org/10.1097/SCS.0000000000011033
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c). Conjuncture Bulletin (BOCA)
This work is licensed under a Creative Commons Attribution 4.0 International License.