Abstract
The patient, a 23 year-old man, presented with a dental Class III malocclusion left subdivision, evident facial asymmetry, lower midline shift, mild contraction of the maxillary arch and an anterior cross bite. There was no history of trauma in the face and jaw or TMJ disorder. The patient was successfully treated by orthodontic approach without performing orthognathic surgery. Pretreatment and post treatment records are presented and discussed.
Highlights
Minor facial asymmetry is observed in all individuals and is considered normal
The degree of the asymmetry [2], and the patient’s perception of it, as well as his/her desire and expectations will guide the decision between opting for surgical correction or orthodontic camouflage
Successful management of the Class III malocclusion with unilateral cross bite was achieved by orthodontic treatment
Summary
Minor facial asymmetry is observed in all individuals and is considered normal. some degree of mandibular asymmetry can compromise function and aesthetics. The patient, a 23 year old male, with a dental Class III malocclusion, left subdivision, evident facial asymmetry, with mild contraction of the maxillary arch and anterior cross bite (maxillary canine, mandibular canine and right first premolar) sought treatment at our Dental Office (Figures 1-3). There was no history of trauma in the face or jaw These signs could indicate a functional cross bite with mandibular shift to the right, no difference was observed between centric occlusion and centric relation. A .019 x .025” SS maxillary arch wire was installed and the midline correction proceeded using elastometric chain in association with tie together for anchorage This mechanics was performed from the maxillary right lateral incisor to the maxillary left second molar. Patient underwent dental bleaching and restorative dentistry to improve the esthetic appearance of the teeth
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