Abstract

The correction of major dental asymmetries in adults can be challenging. Many adult patients modify their behavior to compensate for skeletal disharmonies, functional shifts and missing teeth. Some skeletal components, including the temporomandibular joint, also adapt in non-growing patients. Extracting premolars will not always correct a marked asymmetry and orthognathic surgical procedures are frequently inappropriate. In the case of Patient FG, extraction of a mandibular central incisor resulted in improved function and esthetics in a relatively short time with minimal expense and trauma.

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