2019, Number 2
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Rev Mex Ortodon 2019; 7 (2)
Functional orthopedics for treatment of condylar hypoplasia
Vallejo OCA, Durán GLA, Portillo NE, Hernández CJR
Language: Spanish
References: 11
Page: 99-110
PDF size: 544.07 Kb.
ABSTRACT
Introduction: Condylar hypoplasia is the underdevelopment or defective formation of the condyle; it can be genetic or acquired. This hypoplasia plays a major role in the facial asymmetry in a growing child; there will be facial asymmetry with chin deviation and malocclusion. An adequate diagnosis and correct orthopedic treatment of anomalies of Pruzansky grade I will allow having a better prognosis and satisfactory results.
Case report: We treated a seven-year-old girl with the following characteristics: skeletal class I, mesofacial face type, straight profile, laterognathia caused by right condylar hypoplasia, mixed dentition, mandibular midline deviation, bilateral molar and canine classes not assessable, and complete crossbite.
Results: Growth of the affected condyle was achieved, thus improving the anatomy and function of the temporomandibular joint and dentomaxillary relationships, and decreasing facial asymmetry after three years of treatment.
Conclusions: Dentofacial orthopedic treatment can minimize any type of anomaly in early stages, especially in the case of mild dentofacial orthopedic problems. The results here presented show that functional orthopedic treatment is one of the best therapeutic options.
REFERENCES
Shivhare P, Shankarnarayan L, Usha, Kumar M, Basavaraju M. Condylar aplasia and hypoplasia: a rare case. Case Report Dent. 2013; 74 (56): 1-5.
Quirós O, d’ Escriván SL. Agenesia del cóndilo, crecimiento de cóndilo suplementario en paciente tratado con ortopedia funcional de los maxilares, sin cirugía. Rev Lat Ortod Odontop. 2003; 13 (17): 1-8.
Valencia R, Espinosa R. Manejo no quirúrgico de un paciente con microsomía hemifacial por agenesia condilar. Reporte de un caso. Rev Oper Dent Biom. 2014; 3 (2): 11-25.
Correa E, Rivera J, Oré J, Chuquihuaccha V. Síndrome de Goldenhar: Reporte de un Caso y revisión de literatura. Odontol Sanmarquina. 2013; 16 (2): 42-46.
Sorolla J. Anomalías craneofaciales. Rev Med Clin Condes. 2010; 21 (1): 5-15.
Palma A. Articulación temporomandibular. Consideraciones morfológicas y funcionales. Multimed. 2003; 7 (2): 1-7.
Leiva N, Castellón L, Agurto P, Morovic C. Microsomía hemifacial. Tratamiento de un paciente en crecimiento. Rev Dent Chile. 2010; 101 (3): 31-37.
Choi J, Hoon B, Soo Kim H, Hoon Yu T, Chul Kim B, Lee S. Three-dimensional functional unit analysis of hemifacial microsomia mandible. A preliminary report. Maxillofac Plast Reconstr Surg. 2015; 37 (28): 1-7.
Calderón L, Miranda E, Rubio P. Tratamiento quirúrgico ortodóntico de microsomía hemifacial mediante elongación ósea intraoral de rama mandibular. Rev Odont Mex. 2006; 10 (4): 151-156.
López M, Montoya M, Cárdenas A, Guamán H, Castilla H. Microsomía hemifacial: Manejo multidisciplinario con distracción osteogénica y ortopedia y ortodoncia maxilar. Reporte de caso clínico. Arch Inv Mat Inf. 2009; 1 (2): 79-84.
Pacheco M, Méndez J, Bautista E. Férula de nivelación mandibular. Tratamiento ortopédico maxilar de microsomía hemifacial tipo I. Rev Med Inst Mex Seguro Soc. 2003; 41 (5): 449-456.