Nonsurgical Correction of Facial Asymmetry and Occlusal Plane Cant in a Nongrowing Female: A Case Report

Aditi Gaur,Sandhya Maheshwari,Sanjeev Kumar Verma,Fehmi Mian

doi:10.4103/jios.jios_10_17

Aditi Gaur, Sandhya Maheshwari + Show 2 more

Open Access

https://doi.org/10.4103/jios.jios_10_17

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Abstract

The present article describes a case report of a 19-year-old female with facial asymmetry and chin deviation towards the right. Sequential extraction of all four first premolars was performed for midline correction and alignment of blocked out lateral incisors. After the teeth were aligned in the arch, asymmetric elastics were used for correction of the canine and molar relation. Improved facial and dental esthetics were achieved after orthodontic treatment. The posttreatment results were maintained 1 year after the treatment. Orthodontic treatment can successfully improve facial appearance in patients with mild facial asymmetry, thus eliminating the need for orthognathic surgery in such cases.

Highlights

The phenomenon of facial asymmetry can be described as differences in size or relationship between right and left sides of the face
Mild to moderate facial asymmetry can be managed by camouflage orthodontic treatment
Management of cases with facial asymmetry depends on the severity of the discrepancy, the treatment needs of a case, and the esthetic awareness of the patient

Summary

Introduction

The phenomenon of facial asymmetry can be described as differences in size or relationship between right and left sides of the face. Severe skeletal asymmetry most often requires a surgical management protocol.[3] Not all adult facial asymmetry patients are candidates for surgical correction; patient assessment and selection remain major issues in diagnosis and treatment planning.[4] This case report describes orthodontic management of an adult female with Class I skeletal profile, facial asymmetry, and mandibular deviation to the right. The patient had marked skeletal asymmetry as the mandibular midline (menton) was shifted toward right from the mid‐sagittal reference plane. It was observed that the patient had maxillary dental midline deviated to the right by 4 mm from the facial midline and mandibular dental midline deviated to the same side by 8 mm Both skeletal and dental midlines were shifted when compared with the mid‐sagittal reference plane. There was an improvement in the facial esthetics and smile of the patient [Figure 14]

Discussion

Conclusion