img_20200904_0009146031662096459875641-4961371

General factors which would influence and tend to favour mandibular prognathism are as follows:

• Increased height of the ramus

• Increased mandibular body length

• Increased gonial angle

• Anterior positioning of the glenoid fossa

•Decreased maxillary length

• Posterior positioning of the maxilla in relation to the cranium

• Prominent chin button

•Varying soft-tissue contours

Source- textbook of oral pathology Shafers and Google images

img_20200904_000522298914912811831418-7697667

Source- textbook of oral pathology Shafers and Google images

Double lip

Ascher syndrome

img_20200831_2306122109884353661806381-3482079 Double lip with blepharochalasis

Source – textbook of oral pathology Shafers and Google images

img_20200831_22395527052674315996562150-6388982 Histopathology

•When tooth eruption is impeded, surgical removal of the excessive tissue and exposure of the teeth are indicated.

•The cosmetic appearance may also require surgical excision.

•The lesion sometimes recurs. It has been reported that tooth extraction alone will cause the tissues to shrink almost to normal and that recurrences can be prevented by this.

Source- textbook of oral pathology Shafers and Google images

Accessory nipples Popleiteal webs Hirschsprung disease Surgical treatment of van der Woude syndrome

Source- textbook of oral pathology Shafers and Google images

Commisural pits Lip pits

Source- textbook of oral pathology Shafers and images from Google