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DOI: 10.1055/s-0039-1697850
Functional Treatment of an Asymmetry Case Having Left Side Paralysis: A Case Report
Publikationsverlauf
Publikationsdatum:
15. März 2020 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00042133/201003/lookinside/thumbnails/10-1055-s-0039-1697850_00341-1.jpg)
This case report presents the results of functional and myofunctional treatment of a 9-year, 5-month-old male patient with laterognathy, facial asymmetry and dentofacial deformity. The patient had a history of herpes encephalitis at age 8.5 months and palsy on the left side in early childhood, and his left side remained paralyzed as a sequela. The patient had dentoalveolar asymmetry with a Class I right and Class III left canine relation, a 1.5 mm midline deviation, anterior cross-bite, an overjet of -3 mm and an overbite of 3 mm. The dentoalveolar and facial asymmetries were corrected using a modified removable appliance, with an acrylic vestibular shield inserted on the right side to guide the mandible in the upper arch and an acrylic plate with artificial teeth in the lower arch. The patient was instructed to practice myofunctional exercises regularly. In total, treatment, including observation, was completed in a period of 2 years and 10 months, at which time, a marked correction in facial asymmetry and profile and improvement in smile esthetics could be observed. (Eur J Dent 2010;4:341-347)
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REFERENCES
- 1 Bishara SE, Burkey PS, Kharouf JG. Dental and facial asymmetry: a review. Angle Orthod 1994; 64: 89-98
- 2 Menlik AK. A cephalometric study of mandibular asymmetry in a longitudinally followed sample of growing children. Am J Orthod Dentofac Orthop 1992; 101: 355-366
- 3 Proffit WR, White RP. Surgical orthodontic treatment. 2nd edition. Mosby; St. Louis: 1991: 142-168
- 4 Hwang HS, Youn IS, Lee KH, Lim HJ. Classification of facial asymmetry by cluster analysis. Am J Orthod Dentofac Orthop 2007; 132: 279
- 5 Pirttiniemi PM. Associations of mandibular and facial asymmetries-a review. Am J Orthod Dentofacial Orthop 1994; 106: 191-200
- 6 Singh G. Orthognathic Surgery in Textbook of Orthodontics. 1st edition. Jaypee Brothers Medical Publishers; India: 2004: 262
- 7 Sezgin OS, Celenk P, Arýcý S. Mandibular asymmetry in different occlusion patternsy. Angle Orthod 2007; 77: 803-807
- 8 Yamashiro T, Okada T, Takada K. Case report: facial asymmetry and early condylar fracture. Angle Orthod 1998; 68: 85-90
- 9 Graber M, Vanarsdall Jr RL. Orthodontics and orthognathic surgery: Principles of combined treatment, in Orthodontics Current Principles and Techniques. 2nd edition. Mosby; St. Louis: 1994: 876
- 10 Graber TM, Rakosi T, Petrovic AG. Treatment of Class III malocclusion, in Dentofacial Orthopedics with functional appliances. 2nd edition. Mosby; St. Louis: 1997: 133
- 11 Weisner SM. Treatment of a skeletal Class III malocclusion with mandibular asymmetry using a single miniscrew. J Clin Orthod 2009; 43: 335-341
- 12 Takano-Yamamoto T, Kuroda S. Titanium screw anchorage for correction of canted occlusal plane in patients with facial asymmetry. Am J Orthod Dentofacial Orthop 2007; 132: 237-242
- 13 Egermark I, Thilander B. Craniomandibular disorders with special reference to orthodontic treatment: an evaluation from childhood to adulthood. Am J Orthod Dentofac Orthop 1992; 101: 28-34
- 14 Melsen B, Bjerregaard J, Bundgaard M. The effect of treatment with functional appliance on a pathologic growth pattern of the condyle. Am J Orthod 1986; 90: 503-512
- 15 Huisinga-Fischer CE, Zonneveld FW, Vaandrager JM, Prahl-Andersen B. Relationship in hypoplasia between the masticatory muscles and the craniofacial skeleton in hemifacial microsomia, as determined by 3-D CT imaging. J Craniofac Surg 2001; 12: 31-40
- 16 Huisinga-Fischer CE, Vaandrager JM, Prahl-Andersen B, Van FCGinkel. Masticatory muscle right-left differences in controls and hemifacial microsomia patients. J Craniofac Surg 2004; 15: 42-46
- 17 Takashima M, Kitai N, Murakami S, Furukawa S, Kreiborg S, Takada K. Volume and shape of masticatory muscles in patients with hemifacial microsomia. Cleft Palate Craniofacial J 2003; 40: 6-12
- 18 Ueki K, Nakagawa K, Takatsuka S, Shimada M, Marukawa K, Takazakura D, Yamamoto E. Temporomandibular joint morphology and disc position in skeletal Class III patients. J Craniofac Surg 2000; 28: 362-368
- 19 Goto TK, Nishida S, Nakayama E, Nakamura Y, Sakai S, Yabuuchi H, Yoshiura K. Correlation of mandibular deviation with temporomandibular joint MR dimensions, MR disk position and clinical symptoms. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 743-749
- 20 Curtis DA, Nielsen I, Kapila S, Miller AJ. Adaptability of the adult primate craniofacial complex to asymmetrical lateral forces. Am J Orthod Dentofacial Orthop 1991; 100: 266-273
- 21 Nakano H, Maki K, Shibasaki Y, Miller AJ. Three-dimensional changes in the condyle during development of an asymmetrical mandible in a rat: a microcomputed tomography study. Am J Orthod Dentofacial Orthop 2004; 126: 410-420