Facial asymmetry correction with surgical-orthodontic treatment: Challenges of the surgical and postsurgical phases

Asymmetry is commonly diagnosed in orthodontic clinical practice and is more or less perceived depending on its severity. In more severe cases, orthodontic-surgical treatment is the only treatment option. Although presurgical orthodontics is fundamental, occasionally, the occlusion obtained after...

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Main Authors: Sara Palmares, Rui Pereira
Format: Article
Language:English
Published: Sociedade Portuguesa de Estomatologia e Medicina Dentária 2023-12-01
Series:Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial
Subjects:
Online Access:https://administracao.spemd.pt/app/assets/imagens/files_img/1_19_659fc5f4c0ea5.pdf
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author Sara Palmares
Rui Pereira
author_facet Sara Palmares
Rui Pereira
author_sort Sara Palmares
collection DOAJ
description Asymmetry is commonly diagnosed in orthodontic clinical practice and is more or less perceived depending on its severity. In more severe cases, orthodontic-surgical treatment is the only treatment option. Although presurgical orthodontics is fundamental, occasionally, the occlusion obtained after surgery is far from that planned, and the orthodontist must decide between surgical re-intervention or orthodontic finishing. This clinical report describes the case of an 18-year-old man, presenting a severe facial asymmetry with class III malocclusion, who underwent a surgical-orthodontic treatment. One week after orthognathic surgery, the patient was reoperated because the intercuspation was different from the one obtained at the end of surgery. However, after the second surgery, the intercuspation was still far from what was planned. Despite that, at the end of treatment, a functional and stable occlusion was obtained, associated with a significant improvement in facial harmony and function.
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spelling doaj.art-46a9efdaad9e46329275ff9b6f0572bc2024-01-16T10:48:01ZengSociedade Portuguesa de Estomatologia e Medicina DentáriaRevista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial1646-28901647-67002023-12-0164417018010.24873/j.rpemd.2023.12.1202Facial asymmetry correction with surgical-orthodontic treatment: Challenges of the surgical and postsurgical phasesSara Palmares0https://orcid.org/0000-0001-9711-2858Rui Pereira1https://orcid.org/0000-0002-6544-5786Department of Orthodontics, School of Dentistry, University of Lisbon, Lisbon, PortugalDepartment of Orthodontics, School of Dentistry, University of Lisbon, Lisbon, PortugalAsymmetry is commonly diagnosed in orthodontic clinical practice and is more or less perceived depending on its severity. In more severe cases, orthodontic-surgical treatment is the only treatment option. Although presurgical orthodontics is fundamental, occasionally, the occlusion obtained after surgery is far from that planned, and the orthodontist must decide between surgical re-intervention or orthodontic finishing. This clinical report describes the case of an 18-year-old man, presenting a severe facial asymmetry with class III malocclusion, who underwent a surgical-orthodontic treatment. One week after orthognathic surgery, the patient was reoperated because the intercuspation was different from the one obtained at the end of surgery. However, after the second surgery, the intercuspation was still far from what was planned. Despite that, at the end of treatment, a functional and stable occlusion was obtained, associated with a significant improvement in facial harmony and function.https://administracao.spemd.pt/app/assets/imagens/files_img/1_19_659fc5f4c0ea5.pdfclass iiifacial asymmetryorthodonticsorthognathic surgery
spellingShingle Sara Palmares
Rui Pereira
Facial asymmetry correction with surgical-orthodontic treatment: Challenges of the surgical and postsurgical phases
Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial
class iii
facial asymmetry
orthodontics
orthognathic surgery
title Facial asymmetry correction with surgical-orthodontic treatment: Challenges of the surgical and postsurgical phases
title_full Facial asymmetry correction with surgical-orthodontic treatment: Challenges of the surgical and postsurgical phases
title_fullStr Facial asymmetry correction with surgical-orthodontic treatment: Challenges of the surgical and postsurgical phases
title_full_unstemmed Facial asymmetry correction with surgical-orthodontic treatment: Challenges of the surgical and postsurgical phases
title_short Facial asymmetry correction with surgical-orthodontic treatment: Challenges of the surgical and postsurgical phases
title_sort facial asymmetry correction with surgical orthodontic treatment challenges of the surgical and postsurgical phases
topic class iii
facial asymmetry
orthodontics
orthognathic surgery
url https://administracao.spemd.pt/app/assets/imagens/files_img/1_19_659fc5f4c0ea5.pdf
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