Multidisciplinary treatment of a severe facial asymmetry

• Main Authors: Atik Ezgi (Author), Konas Ersoy (Author), Kocadereli Ilken (Author)
• Format: Book
• Published: Sciendo, 2018-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2207-7480; 10.21307/aoj-2020-060
• Keywords: Dentistry; RK1-715
• Source: Australasian Orthodontic Journal, Vol 34, Iss 1, Pp 70-77 (2018)

This case report presents the multidisciplinary treatment of an adult female who presented with a previously repaired right unilateral cleft lip and palate. The patient had been referred with a complaint of facial asymmetry, eating difficulties and a missing right central incisor. A clinical evaluation revealed severe facial asymmetry created by a mandibular deviation to the right side and a compensatory transverse cant of the maxillary occlusal plane. After pre-surgical orthodontic treatment, a Le Fort I osteotomy and a bilateral sagittal split osteotomy were performed. During post-surgical orthodontic treatment and, as a result of the rotational surgery, the maxillary left central incisor became the right central incisor. The left lateral incisor was subsequently moved toward the midline and reshaped with a composite buildup to serve as a new left central incisor. The combination of orthodontic, orthognathic and restorative treatment established a favourable occlusal and aesthetic result.