Hemifacial atrophy (Parry-Romberg syndrome) is a rare but well-recogni
zed condition. The developmental effects on facial and oral structures
have been well documented in the literature. However, the etiology of
hemifacial atrophy remains unknown. Previous reported alterations in
tooth growth and development include delayed tooth eruption, abnormal
root morphology, and malocclusion but not root resorption. This report
presents the orofacial changes from hemifacial atrophy in a 22-yr-old
woman and describes the occurrence of root resorptions in two regions
affected by this condition. The concurrent presence of root resorptio
ns in both the maxilla and mandible in the regions showing the most se
vere dental malformations points to root resorption as an additional c
omplication of hemifacial atrophy.