Surgery-first approach in a case of mandibular asymmetry

Orlando Motohiro Tanaka, Davani Latarullo Costa, Marcio Furtado Niwa, Susiane Queiroz Bastos, Matheus Melo PithonEuropean Journal of General Dentistry 2020 9(3):181-189
This case report describes the orthodontic and surgical treatment of an adult patient aged 25 years 10 months, who had a skeletal Class I and Angle Class III subdivision malocclusion, with mild mandibular crowding and facial asymmetry. The chief complaint was a deviated chin to the left. Treatment was performed using a surgery- first approach that included maxillo-mandibular advancement, followed by orthodontic fixed appliances. After 12 months, the treatment has addressed the chief complaint of facial asymmetry and resulted in an attractive smile, functional occlusion, passive lip seal, balanced facial profile, and esthetic improvement. After 2 years 5 months of follow-up, the patient showed a stable surgical-orthodontic outcome with increased airway space.

Source: European Journal of General Dentistry - September 14, 2020 Category: Dentistry Authors: Orlando Motohiro Tanaka Davani Latarullo Costa Marcio Furtado Niwa Susiane Queiroz Bastos Matheus Melo Pithon Source Type: research