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Órgano Oficial de Difusión de la Facultad de Odontología de la UNAM

2018, Number 3

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Rev Mex Ortodon 2018; 6 (3)

Surgical orthodontic treatment of a patient with facial asymmetry due to condylar hyperplasia. Case report

Caro LMG, Sánchez VA

Language: Spanish
References: 12
Page: 168-177
PDF size: 1030.35 Kb.


ABSTRACT

A case of a 19-year-old female patient who attended the Orthodontics Department, Faculty of Dentistry, National Autonomous University of Mexico, with no apparent pathological data. Facial asymmetry is observed with a marked deviation of the chin towards the left side. Intraorally shows slight dental crowding, non-overlapping dental midlines, oval arcades, OD 15 agenesis, molar and canine bilateral class III, and left anterior and posterior crossbite. The cephalometric analysis showed skeletal class III by prognathism, vertical growth pattern; maxillary ridge, mandibular deviation. The treatment consisted of three phases: 1. Presurgical orthodontics with Roth apparatus 0.022”; 2. Surgical, unilateral advancement and intrusion of the maxilla, bilateral vertical osteotomy for the correction of prognathism and laterognasia and advancement of the chin; 3. Postoperative orthodontics, for detailed, settlement and consolidation. The treatment lasted 23 months, where facial asymmetry was corrected, crossbite removed, canine class I and molar bilateral, centered the dental lines, improving the patient’s function and aesthetics.


REFERENCES

  1. Shah SM, Joshi MR. An Assessment of asymmetry in the normal craniofacial complex. Angle Orthod. 1978; 48: 141-148.

  2. Proffit RW. Ortodoncia contemporánea. 4a ed. EUA: Elsevier; 2008. p. 176.

  3. Bishara S, Burkey P, Kharouf J. Dental and facial asymmetries: a review. Angle Orthod. 1994; 64: 89-98.

  4. Cohen M. Perspectives on craniofacial asymmetry. III. Common and/or well-known causes of asymmetry. Int J Oral Maxillofac Surg. 1995; 24: 127-133.

  5. López DF, Corral CM. Hiperplasia condilar: características, manifestaciones, diagnóstico y tratamiento. Revisión de tema. Rev Fac Odontol Univ Antioq. 2015; 26 (2): 425-446.

  6. Fischer B. Asymmetries of the dentofacial complex. The influence on diagnosis, prognosis and treatment. Angle Orthod. 1954; 24: 179-192.

  7. Sora BC, Jaramillo PMV. Diagnóstico de las asimetrías faciales y dentales. Rev Fac Odontol Univ Antioq. 2005; 16 (1 y 2): 15-25.

  8. Nitzan DW, Katsnelson A, Bermanis I, Brin I, Casap N. The clinical characteristics of condylar hyperplasia: experience with 61 patients. J Oral Maxillofac Surg. 2008; 66 (2): 312-318.

  9. Wolford LM, Movahed R, Perez DE. A classification system for conditions causing condylar hyperplasia. J Oral Maxillofac Surg. 2014; 72 (3): 567-595.

  10. Toledo V. Cirugía ortognática simplificación del tratamiento ortodóntico en adultos. Amolca Edición; 2004.

  11. Proffit WR, White RP, Sarver DM. Contemporary treatment of dentofacial deformity. Mosby Ed.; 2003.

  12. Epker BN, Stella JP, Fish LC. Dentofacial deformities, integrated orthodontic and surgical correction. 2nd ed. St. Louis: Mosby; 1999.




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